Nursing Care According to NANDA-I Diagnoses, NIC Interventions, and NOC Outcomes in a Patient with Autoimmune Encephalitis: A Case Report

Yıl 2024, Cilt: 7 Sayı: 3, 229 - 239, 30.12.2024

Emine Ezgi Özçelik , Selda Çelik

https://doi.org/10.54803/sauhsd.1461503

Öz

Encephalitis, defined as inflammation of the brain tissue, is an uncommon yet serious condition that can lead to severe brain damage. Nursing care is critical in increasing the effectiveness of treatment in patients with encephalitis. In the case presented here, care was planned and implemented based on nursing diagnoses by field in the NANDA-I classification, NIC interventions, and NOC outputs. The patients’ nursing diagnoses were identified as ineffective health management, imbalanced nutrition: less than body requirements, fluid volume deficit, constipation, impaired physical mobility, impaired verbal communication, hopelessness, impaired social interaction, ineffective sexuality, risk for impaired psychological health, risk for ineffective activity planning, risk for impaired independent decision making, hyperthermia, chronic pain, and risk for delayed development. The care plan for four of these diagnoses is presented.

Anahtar Kelimeler

Encephalitis, Nursing Process, Nursing Diagnoses

Etik Beyan

It is declared that during the preparation process of this study, scientific and ethical principles were followed and all the studies benefited from are stated in the bibliography.

OTOİMMUN ENSEFALİT TANISIYLA TAKİP EDİLEN HASTANIN NANDA I TANILARI, NIC GİRİŞİMLERİ VE NOC ÇIKTILARINA GÖRE HEMŞİRELİK BAKIMI: OLGU SUNUMU

Öz

Ensefalit, beyin dokusunun inflamasyonu olarak tanımlanan önemli bir hastalıktır. Prevelans ve insidansın azımsanmayacak oranlarda olduğu belirtilen Ensefalit olgularında, ciddi beyin hasarına kadar giden süreçlerin yaşanabildiği için tedavinin etkinliğinin arttırılmasında hemşirelik bakımı oldukça önemlidir. olguya ait hemşirelik tanıları NANDA-I Sınıflaması ve alanlarına, NIC-NOC çıktılarına göre ele alınarak bakım planlanmış ve uygulanmıştır. Olguya, etkisiz sağlık yönetimi, dengesiz beslenme: beden gereksiminden az, sıvı volüm eksikliği, konstipasyon, fiziksel mobilitede bozulma, sözel iletişimde bozulma, umutsuzluk, sosyal etkileşimde bozulma, psikolojik sağlamlığın bozulma riski, aktivite planlamada etikizlik riski, bağımsız karar vermede bozulma riski, hipertermi, kronik ağrı ve uyku örüntüsünde bozulma hemşirelik tanıları koyularak dört tanının bakım planı sunulmuştur.

Anahtar Kelimeler

Ensefalit, Beyin İnflamasyonu, Hemşirelik Bakımı

Kaynakça

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