Nursing Care According to Functional Health Patterns of Patients With Cholangiocarcinoma Cancer Receiving Nab-Paclitaxel, Gemcitabine Treatment: Case Report

Year 2024, , 266 - 274, 25.03.2024

Zeliha Özkaraca , Sinem Toplar , Zeynep Günes

https://doi.org/10.38108/ouhcd.1249268

Abstract

Objective: This study aimed to plan nursing care according to the functional health patterns of a patient with cholangiocarcinoma cancer who received nab-paclitaxel and gemcitabine therapy.
Method: Observation, physical examination, and communication techniques were used for a patient with cholangiocarcinoma cancer who was receiving nab-paclitaxel gemcitabine treatment in oncology service. In addition, the patient was evaluated with Functional Health Patterns (FHP) and North America Nursing Diagnoses (NANDA), and a care plan was created.
Results: It was found that a 61-year-old male patient with cholangiocarcinoma, depending on the stage of the disease, his secondary problems affect his self-care, and there is a lack of information among caring family members. It was seen that the patient had an inadequacy in the way of cognitive perception and self-care skills.
Conclusion: Cholangiocarcinomas are the most common of biliary system malignant diseases, which usually do not show symptoms at the early stage and are unidentified, often resulting in death. In recent years, nab-paclitaxel, one of the cytotoxic agents, has been used in combination with gemcitabine to increase treatment effectiveness. It is seen that there are no resources to guide nurses about the side effects and care of these cytotoxic agents.

Keywords

Cholangiocarcinoma, nursing care, functional health patterns

Nab-Paclitaxel, Gemcitabine Tedavisi Alan Kolanjiyokarsinoma Kanseri Olan Hastanın Fonksiyonel Sağlık Örüntülerine Göre Hemşirelik Bakımı: Olgu Sunumu

Abstract

Amaç: Bu çalışmada, nab-paclitaxel, gemcitabine tedavisi alan kolanjiyokarsinoma kanseri olan hastanın fonksiyonel sağlık örüntülerine göre hemşirelik bakımının planlanması amaçlanmıştır.
Yöntem: Onkoloji servisinde yatmakta olan nab-paclitaxel, gemcitabine tedavisi alan kolanjiyokarsinoma kanseri olan hasta için gözlem, fizik muayene ve iletişim tekniği kullanıldı. Ayrıca hasta Fonksiyonel Sağlık Örüntüleri (FSÖ) ve North America Nursing Diagnoses (NANDA) ile değerlendirilerek bakım planı oluşturuldu.
Bulgular: Kolanjiokarsinom olan 61 yaşındaki erkek hastanın, hastalığın evresine bağlı olarak sekonder problemlerinin öz-bakımını etkilediği, bakım veren aile bireylerinde bilgi eksikliği olduğu saptandı. Hastanın bilişsel algılama biçiminde ve öz bakımını yerine getirme becerilerinde yetersizlik olduğu görüldü.
Sonuç: Kolanjiokarsinomalar, erken evrede genellikle belirti vermeyen ve tanımlanamayan, genellikle ölümle sonuçlanan biliyer sistem malign hastalıklarının en yaygınıdır. Son yıllarda tedavi etkinliğini arttırmak için sitotoksik ajanlardan nab-paclitaxel, gemcitabine kombine olarak kullanılmaktadır. Bu sitotoksik ajanların yan etkileri ve bakımı konusunda hemşirelere yol gösterecek kaynak bulunmadığı görülmektedir.

Keywords

Kolanjiyokarsinoma, hemşirelik bakımı, fonksiyonel sağlık örüntüleri

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