International Journal of Nursing Research

Objective To summarize a practical teaching case of Omaha theory combined with MDT model to improve the nursing effect of patients with coronary heart disease. Methods The Omaha system model combined with MDT model was used to formulate a dynamic and continuous nursing plan centered on patients and oriented to solving nursing problems, so as to provide full and comprehensive care for patients. Results The patients body function improved during hospitalization. The New York Heart Association (NYHA) heart function grade of the patient improved from grade III at admission to grade II at discharge. The average length of hospital stay was shortened from the expected 15 days at admission to the actual 14 days. No heart-related complications occurred during hospitalization. This made nursing students understand that the treatment of geriatric diseases is not only about drug therapy, but also about caring about the functional status of elderly patients and prolonging their survival time. Conclusion This case is based on comprehensive geriatric assessment, integrated medical care with Omaha theory as the framework and multidisciplinary team collaboration, and whole-person case management for the purpose of improving the quality of life of the elderly. This case enables nursing students to learn to conduct a comprehensive assessment of elderly patients, discover potential problems of patients, maximize the maintenance of the functional status of the elderly, and prolong their survival time.

Coronary heart disease; Omaha theory; MDT model