Care of an Adult Patient who underwent a Series of Surgical Interventions for Psoas Abscess Complications with Haemophilia: Case Report

Abstract

Introduction: Psoas abscess is a collection of pus in the Iliopsoas muscle compartment. Haemophilia is an inherited congenital bleeding disorder with a lack of clotting factors. Patients with haemophilia commonly bleed in joints and muscles and experience delayed wound healing. Case Report: A 50-year-old individual was admitted to the medical ward with fever and abdominal pain with the diagnosis of Haemophilia A and with regular treatments for 37 years. Subsequently he was diagnosed with an infected psoas abscess which was not cured even with IV antibiotics. The patient underwent a series of surgical procedures including drainage of infected hematoma, vacuum dressing application, exploratory laparotomy, sigmoid colon resection and end-to-end anastomosis. Currently, the patient is experiencing delayed wound healing, ongoing septicaemia, nutritional deficiency, psychological defects, and socio-economic issues. There were many treatment strategies used for treating this patient including intravenous (IV) antibiotics, transfusion of clotting factors, blood transfusion, and surgical, psychological, and nutritional interventions. However, compassionate holistic nursing care was provided to this patient for his psychological stability. Conclusion: Infections, delayed healing, prolong hospitalization, psychological distress and nutritional deficit were identified as complications of chronic HaemophiliaA. Maximum effort was madeto relievethe patient’s pain, psychological defects, nutrition,and knowledge Using a holistic approach was very important in providing effective and, compassionate care. Collaborative care with the patient’s family members created a trustworthy relationship that promoted continuity of care and the psychological wellbeing of the patient.