title: A pediatric client in an adult ICU setting requiring a mechanical assist device and heart transplantation: case study.
abstract: Intensive care unit nurses are often faced with challenging situations. This case study focuses on an older school-age child in an adult intensive care unit (ICU) for the placement of a biventricular assist device (BIVAD) and eventual heart transplantation. Discussion of the assist device and transplantation is included as well as a discussion of the nursing care issues. The care issues discussed include alteration in family processes, alteration in body image, and grieving related to the possibility of death.
authors.affiliation: Ohio State University Hospitals, Columbus.
authors.forename: S
authors.initials: S
authors.lastname: Chucta
authors.forename: S
authors.initials: S
authors.lastname: Vaupel-Juart
authors.forename: T
authors.initials: T
authors.lastname: Latimer
authors.forename: K
authors.initials: K
authors.lastname: Murphy
mesh_terms: D000223:Adaptation, Psychological; D001828:Body Image; D006328:Cardiac Catheterization; D009202:Cardiomyopathies / Q000175:diagnosis / Q000382:microbiology / Q000523:psychology* / Q000628:therapy*; D002648:Child; D003422:Critical Care / Q000379:methods*; D005190:Family / Q000523:psychology; D005260:Female; D006117:Grief; D016027:Heart Transplantation; D006353:Heart-Assist Devices; D006801:Humans; D010347:Patient Care Planning; D014777:Virus Diseases / Q000150:complications*