A pediatric client in an adult ICU setting requiring a mechanical assist device and heart transplantation: Case study

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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.

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