Pacemaker Nursing Care Plan



Ref: CP0138

Pacemaker Nursing Care Plan

A pacemaker is a small device, which is surgically placed in the chest or abdomen to help control abnormal heart rhythms. It uses low-energy electrical pulses to prompt the heart to beat at a normal rate. They are used to treat irregular rhythm where the heart can beat too fast, tachycardia, or too slow, bradycardia. Most pacemakers have a special sensor that recognises body movement or breathing rate, allowing them to speed up the discharge rate when active.

They can relieve some irregular heart beat symptoms, such as tiredness and fainting and can also help a person resume a more active lifestyle. Signs that the pacemaker is not working as it should, or that there may be an infection or blood clot, can include breathlessness, dizziness, fainting, prolonged weakness, swollen arm on the side of the pacemaker, chest pains, prolonged hiccups, a high temperature of 38°C or above, pain, swelling and redness at the site of the pacemaker.

The Care Plan sets out a clear explanation of the resident’s need for the pacemaker, and will guide the nurse or carer through the process of preparing a comprehensive, individual person centred Care Plan.

Pacemaker Care Plan Features:

Identifies the reason for the pacemaker

Details the comprehensive plan of care

Identifies possible complications

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