NURSING CARE OF AN ELDERLY PERSON WITH HIP FRACTURE DUE TO FALL ACCORDING TO FAYE ABDELLAH AND 21 NURSING PROBLEM THEORY: A CASE REPORT

Öz

ABSTRACK Background: It has been reported that 30-40% of individuals over 65 years of age fall every year worldwide and this rate increases with increasing age. It has been reported that the life expectancy of elderly individuals with hip fractures is shorter than the general population and 15-20% of them die within one year after the fracture. Aim:In this study, it was aimed to evaluate the care needs of an elderly woman hospitalized in the orthopedic service due to an intertrochentic femur fracture caused by a fall according to Faye Abdellah's 21 Nursing Problems Theory and to plan appropriate interventions for these needs. Method: The data of the study were collected between 16.04.2023-20.04.2023 in the orthopedic service of the state hospital in Nicosia, Cyprus. The planned study was explained to the patients and their relatives and their permission was obtained. While collecting the data, face-to-face interview technique was used to collect the data, and the planned and implemented care was examined with the case presentation technique. The data were evaluated with "Abdellah's 21 Nursing Problem Model" and "NANDA Nursing Diagnoses". Result: The implementation of nursing care according to Faye Abdellah's 21 nursing problem model, which allows us to systematically take both the physical and emotional states of patients with physical and environmental changes, provides great convenience. Conclusions: Nursing care requires a humanistic approach. The application of nursing care according to Faye Abdellah's 21 nursing problem model, which allows us to undertake all the effects of physical (pain, immobilization, surgical procedure, infection, etc.) and emotional (feeling of loneliness, social isolation, etc.) and the situations that patients experience with physical and environmental changes. Providing it in a very systematic way provides great convenience. Keywords: Elderly, Femur fracture, Nursing Care, Nursing Theory

Anahtar Kelimeler

• Eldery,
• Femur Fracture
• Nursing Care
• Nursing Theory

Kaynakça

1. Allam, N.A., Megrin, A.A., & Alkerids, A. (2016). Faye Abdellah model to banishing social stigma of head lice among school students. Science Journal of Clinical Medicine, 5, 1-1.
2. Aslan, M. & Hocaoğlu, Ç. (2017). Yaşlanma ve Yaşlanma Dönemiyle İlişkili Psikiyatrik Sorunlar. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 7 (1) , 53-62 .
3. Balcı, M. A., Şimşek, Ç., Emre, A. T. A. Y., Ertekin, A., & Tahta, Y. (2019).Kalça Cerrahisi Yapılan Düşkün Yaşlı Hastada Lomber Pleksus Bloğu: Olgu Sunumu. Acta Medica Alanya, 3(1), 81-84.
4. Cankaya, D., Ozkurt, B., & Tabak, A. Y. (2013). Cemented calcar replacement versus cementless hemiarthroplasty for unstable intertrochanteric femur fractures in elderly. Turkish Journal of Trauma and Emergency Surgery, 19(6), 548-553.
5. Çoban, N., Gezginci, E., & Göktaş, S. (2019). Amputasyon bakımında Abdellah’ın modelinin kullanımı: olgu sunumu. Sağlık Bilimleri Üniversitesi Hemşirelik Dergisi, 1(3), 249-256.
6. Gormeli, G., Korkmaz, M. F., Gormeli, C. A., Adanas, C., Karatas, T., & Simsek, S. A. (2015). Femur intertrokanterik kırıklarının tedavisinde proksimal femur çivisi ve hemiartroplasti sistemlerinin karşılaştırılması.
7. ktoeos.org.’’Cyprus census,2011’.’Acces Date: 22.08.2023. https://www.ktoeos.org.
8. Malkoç, M., & Kural, C. (2006). Stabil Olmayan İntertrokanterik Femur Kırıklarında Primer Bipolar Leinbach Parsiyel Endoprotez Uygulamaları ve Sonuçları. Haseki Journal, (21).

9. Miyamoto RG, Kaplan KM, Levine BR, Egol KA, Zuckerman JD. Surgical management of hip fractures: an evidence-based review of the literature. I: femoral neck fractures. J Am Acad Orthop Surg 2008; 16:596- 607.
10. Özcan M., Kapucu S. (2014). Üriner İnkontinansı Olan Geriatrik Hastalara Hemşirelik Yaklaşımı. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2014; 1(2): 101-109.
11. Parisa M., Parivash N., Ghanbari A. (2020). Designing a Nursing Care Plan Based on Faye Glenn Abdellah Model in Patients with Diabetes Type 2. International Journal of Caring Sciences September-Decembe Volume 13, Issue 3, 2251.
12. Şengün İnan, F., Üstün, B., ve Bademli, K., (2013). Türkiye’de kuram/ modele dayalı hemşirelik araştırmalarının incelemesi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 16, 132-139.
13. Tokyay, A. (2020). Distal Femur Kırıkları. New Developments in Health and Life Sciences, 201-210.
14. Türk, K. E., & Gürler, H. (2020). Total Kalça Protezi Takılan Meme Kanserli Yaşlı Kadının Evde Bakımı. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 9(1), 58-66.
15. Uygur, E., Söylemez, S., Aktaş, B., Çarkçı, E. (2015). Proksimal femoral çivileme ile tedavi edilen intertrokanterik femur kırığı olan yaşlı hastaların ameliyat sonrası sağ kalım sonuçları. Medeniyet Medical Journal, 30(2), 63-66.
16. World Health Organization (WHO) (2015) http://apps.who.int/iris/bitstream/handle/10665/186463/978924 0694811 eng.pdf;jsessionid=C4C5EBE22DD183174AE1B1F F2AD869A5?sequence=1 Access Date: 01.09.2023.