Turkiye Klinikleri Journal of Internal Medicine

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A Nursing Model Example Based on Nursing Care Life Activities Provided with a Holistic Approach to a Patient Receiving Palliative Care
Palyatif Bakım Alan Hastaya Bütüncül Yaklaşımla Sunulan Hemşirelik Bakımı: Yaşam Aktivitelerine Dayalı Hemşirelik Modeli Örneği
Ayşe SOYLUa, Serap GÜNGÖRa, Dilek SOYLUb, Medet KORKMAZc, Filiz TAŞd
aKahramanmaraş Sütçü İmam University Health Services Vocational School, Kahramanmaraş, TURKEY
bDepartment of Surgical Nursing, Erciyes University Institute of Health Sciences, Kayseri, TURKEY
cİnönü University Faculty of Nursing, Malatya, TURKEY
dDepartment of Public Health Nursing, Kahramanmaraş Sütçü İmam University Faculty of Health Sciences, Kahramanmaraş, TURKEY
Turkiye Klinikleri J Intern Med. 2020;5(3):150-6
doi: 10.5336/intermed.2019-73006
Article Language: EN
Full Text
ABSTRACT
 Palliative care consists of communication, coordination, symptom control, continuity of care, caregiver support and end of life care. Nursing models provide nursing care by systematizing nursing practices. It is aimed to give care to the patient according to the nursing model based on life activities. Our case is a 32-year-old male with hypoxic brain and myocardial infarction. Nursing care was given with the diagnosis of under/over nutrition, risk of fluid-electrolyte imbalance, deterioration in gas exchange, ineffectiveness of respiratory functions, confusion, and deterioration in family process. The aim of nursing care is to evaluate the complications that may develop by providing care for the patient's problems and to eliminate the lack of information of the family. In our case, care was given for the nursing diagnoses mentioned. The care given had a positive effect on the quality of life of the patient.

Keywords: Palliative care; nursing care
ÖZET
 Palyatif bakım; iletişim, koordinasyon, semptom kontrolü, bakımın sürekliliği, bakım veren desteği ve yaşam sonu bakımdan oluşmaktadır. Hemşirelik modelleri ise; hemşirelik uygulamalarını sistematize ederek hastaya bakım sunmaktadır. Olgumuza Yaşam Aktivitelerine Dayalı Hemşirelik Modeline göre bakım verilmesi amaçlanmıştır. Olgumuz 32 yaşında erkek hipoksik beyin ve miyokard infarktüsü tanılarıyla yatmaktadır. Olgumuza beden gereksiniminden az/fazla beslenme, sıvı-elektrolit dengesizliği riski, gaz değişiminde bozulma, solunum fonksiyonla- rında etkisizlik, konfüzyon, travma, düşme ve bası yarası riski, aile sürecinde bozulma tanılarıyla modele göre bakım verilmiştir. Hemşirenin bütüncül yaklaşımla planladığı bakımda amacı, hastanın mevcut sorunlarına yönelik bakım vererek gelişebilecek komplikasyonları değerlendirmek ve ailenin bilgi eksikliğini gidermektir. Olgumuzda belirttiğimiz hemşirelik tanılarına yönelik bakım verilmiştir. Olgumuza verilen bakımın hastanın yaşam kalitesi üzerine olumlu katkısı olmuştur.

Anahtar Kelimeler: Palyatif bakım; hemşirelik bakımı
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