Nursing Care of the Patient Diagnosed with Multiple Myeloma as a Result of Trauma-Induced Fracture Development: A Case Report

Yıl 2024, Cilt: 40 Sayı: 2, 293 - 304, 29.08.2024

Funda Akduran , Nebiha Kenar

https://doi.org/10.53490/egehemsire.1153032

Öz

Multiple myeloma is a neoplasm of plasma cells. Observed usually in patients over 65 years of age. This case report 41 year old has been prepared in order to determine the nursing diagnoses grouped according to the "Functional Health Patterns" model and to evaluate them in the nursing care plan of a patient who was diagnosed with multiple myeloma as a result of the examination which is that were noticed during a different examination. In the case for the problems; diagnoses of acute pain, sleep disturbance, undernutrition, deterioration of oral mucous membrane, constipation, fatigue, activity intolerance, risk of deterioration in individual identity, risk of deterioration in individual resistance, and nursing interventions for these diagnoses were planned and implemented. Before the study, verbal and written consent was obtained from the patient, and the data were collected by face-to-face interview method. As a result; the patient care process, which was planned and applied in line with the functional health patterns model, provided a positive improvement in the patient's behaviors that would negatively affect the disease process such as facilitated discharge, and guided nurses about care, effectiveness and follow-up of treatment. This model is recommended for the effective implementation of nursing care in clinics such as hematology, oncology, palliative care, where patients need to be followed actively.

Anahtar Kelimeler

Multiple myeloma, patterns of functional health, nursing care, case report

Travmaya Bağlı Fraktür Gelişimi Sonucu Multipl Miyelom Tanısı Alan Hastanın Hemşirelik Bakımı: Olgu Sunumu

Öz

Multipl miyelom plazma hücrelerinin bir neoplazmıdır. Genellikle 65 yaş üstü hastalarda görülür. En sık organ hasarlarından biri kemik tutulumudur. Bu olgu sunumu travmaya bağlı 41 yaşında, farklı bir tetkik sırasında fark edilen fraktürlerin tetkiki sonucu multipl miyelom tanısı konan bir hastanın “Fonksiyonel Sağlık Örüntüleri” modeline göre gruplandırılmış hemşirelik tanılarının tespiti ve hemşirelik bakım planında değerlendirilmesi amacıyla hazırlanmıştır. Olguda, sorunlarına yönelik olarak; akut ağrı, uyku düzeninde bozulma, gereksinimden az beslenme, oral mukoz membranda bozulma, konstipasyon, yorgunluk, aktivite intoleransı, bireysel kimlikte bozulma riski, bireysel dirençte bozulma riski tanıları ve bu tanılara yönelik hemşirelik girişimleri planlanmış ve uygulanmıştır. Çalışma öncesinde hastadan sözlü ve yazılı izin alınmış, veriler yüz yüze görüşme yöntemi ile toplanmıştır. Sonuç olarak; Fonksiyonel sağlık örüntüleri modeli doğrultusunda planlanan ve uygulanan hasta bakım süreci, hastanın hastalık sürecini olumsuz etkileyecek davranışlarında olumlu yönde iyileşmeyi sağlamış, taburculuğu kolaylaştırmış ve hemşirelere bakım, tedavinin etkinliği ve takibi konusunda rehber olmuştur. Bu model, hemataloji, onkoloji, palyatif bakım gibi hastaların aktif takip edilmesi gereken kliniklerde hemşirelik bakımının etkili bir şekilde uygulanması için önerilmektedir.

Anahtar Kelimeler

Multipl miyelom, fonksiyonel Sağlık Örüntüleri, hemşirelik bakımı, olgu sunumu

Kaynakça

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