Nursing Experience of a Patient with Acute Heart Failure Complicated by Uterine Prolapse: An Integrated Traditional Chinese and Western Medicine Approach

Abstract: This paper summarizes the integrated Traditional Chinese and Western medicine nursing experience of a 70-year-old female patient with acute heart failure (HF) complicated by uterine prolapse, non-ST-segment elevation myocardial infarction (NSTEMI), and essential thrombocythemia.The nursing team focused on heart failure management, bleeding risk prevention, uterine prolapse care, and TCM syndrome differentiation. Interventions included condition monitoring, oxygen therapy and respiratory support, anticoagulant and antiplatelet nursing, diuretic and volume management, wound care for uterine prolapse, skin infection management, and adjunctive treatment with a modified Zhuling Decoction. Following active treatment and nursing care, the patient's heart failure symptoms were alleviated, bleeding was controlled, and her condition stabilized, leading to an improved discharge. This case provides a valuable reference for the nursing care of similar critically ill patients with multisystem diseases.