CLINICAL CASE ANALYSIS WORKSHEET
CONCEPT: CARE OF CHILD WITH RHEUMATIC HEART DISEASE
(RHD)
PATIENT’S PERSONAL DATA
Name: N/A Age: 13-year-old Sex: Female
Civil status: N/A. Religion: N/A Address: N/A
I. FAMILY BACKGROUND:
Other Relevant Data: N/A
II. DEVELOPMENTAL DATA: Specify the Stage
(Based on Erikson’s Life and Developmental Task/Psycho-Social)
According to Erik Erikson’s psychosocial theory, a 13-year-old adolescent is in the Identity
vs. Role Confusion stage. At this stage, the central developmental task is the formation of a
personal identity and sense of self. Teenagers explore different roles, beliefs, and values to
develop a stable identity, which provides direction and purpose in life. Successful
resolution leads to fidelity and a coherent sense of self, while failure may result in role
confusion, insecurity, and difficulty forming healthy relationships or setting long-term
goals.
In the case of the 13-year-old girl suffering from rheumatic heart disease with resulting
congestive heart failure, the chronic illness poses a significant challenge to achieving a
strong sense of identity. Frequent hospital visits, physical limitations (e.g., breathlessness,
fatigue), visible symptoms (e.g., edema, malnourishment), and medication routines may
interfere with normal social development and peer relationships. These limitations may
provoke feelings of isolation or difference, potentially leading to role confusion and
lowered self-esteem. However, with proper medical support, psychological counseling,
and a strong familial support system, she can still develop resilience and a healthy self-
concept, thus positively navigating this critical psychosocial stage despite her condition.
Reference:
Potter, P. A., Perry, A. G., Stockert, P. A., and Hall, A. M. (2023). Fundamentals of
Nursing.
Eleventh Edition. Elsevier, ISBN: 9780323810340 page 146.
CHIEF COMPLAINTS:
Breathlessness during activity (Shortness of Breath)
III. HEALTH HISTORY
Past Illness/Surgery: Upper respiratory tract infection (URTI)
Inclusive Period of Hospitalization: N/A
Present Illness:
Patient experienced breathlessness (shortness of breath) during physical
activities, swelling on face and lower extremities and palpitations.
IV. COMPLETE DIAGNOSIS OF THE CASE CHOSEN
a. Definition (at least 2 Definitions with Bibliography)
1. Rheumatic heart disease
rheumatic heart disease refers to the long-term sequelae of rheumatic
fever, primarily involving valvular heart disease. It is characterized by
inflammation of the heart valves, leading to regurgitation.
References:
Kumar, V., Abbas, A. K., & Aster, J. C. (2015). Robbins and Cotran Pathologic Basis
of Disease (8th., pp. 556–560). Elsevier Saunders. ISBN: 978-1-4557-4276-0.
2. Rheumatic heart disease
Rheumatic Heart Disease (RHD) is a chronic heart condition resulting
from permanent damage to the heart valves caused by rheumatic fever.
Which is an inflammatory disease that can develop after an untreated
or inadequately treated infection with group A streptococcus bacteria,
such as strep throat or scarlet fever.
References:
Remenyi B., Carapetis J., Wyber R., Taubert K., & Mayosi B. M. (2013). Position
statement of the World Heart Federation on the prevention and control of rheumatic
heart disease. Nature Reviews Cardiology, 10(5), 284–292. Retrieved on February
18,
2025. doi:10.1038/nrcardio.2013.34.