Myeloma Comes as a Staple: A Case Report of the Roy Adaptation Model

Öz

In individuals with multiple myeloma, symptom management includes specific problems such as infection, anemia, pain and coagulation disorders, especially symptoms related to bone disease and kidney dysfunction. As in other diseases, nursing care has an important place in the diagnosis and treatment process of the patient with myeloma. Nursing care models contribute to increasing the quality of care by providing a systematic and comprehensive treatment of the patient. The Roy Adaptation Model is one of them. In the Roy Adaptation model, there are four areas of adaptation: physiological, self-concept, role function and interdependence, and nurses care for their patients in line with these adaptation areas. In this case report, a patient who was diagnosed with lambda light chain, stage III B multiple myeloma according to Durie Salmon with radiological, laboratory, cytogenetic and clinical findings and who presented with low back pain and an outpatient chemotherapy treatment plan was prepared is discussed. This case report has been prepared to guide nurses working in the field of hematology and oncology about the care given to a patient with multiple myeloma in line with the Roy Adaptation Model, together with the nursing diagnoses of the North American Nursing Diagnosis Association.

Anahtar Kelimeler

• Multiple myeloma
• nursing
• Roy Adaptation Model.

Miyelom Zimba Gibi Gelir: Roy Adaptasyon Modeli Bir Olgu Sunumu

Öz

Multiple miyelomlu bireylerde semptom yönetimi, kemik hastalığı ve böbrek fonksiyon bozukluğuna bağlı semptomlar başta olmak üzere, enfeksiyon, anemi, ağrı ve pıhtılaşma bozukluğu gibi spesifik sorunları içermektedir. Diğer hastalıklarda olduğu gibi, miyelomlu hastanın tanı ve tedavi sürecinde hemşirelik bakımı önemli bir yer tutmaktadır. Hemşirelik bakım modelleri hastanın sistematik ve kapsamlı şekilde ele alınmasını sağlayarak bakımının kalitesinin arttırılmasına katkıda bulunmaktadır. Roy Adaptasyon Modeli bunlardan biridir. Roy Adaptasyon modelinde fizyolojik, benlik kavramı, rol fonksiyonu ve karşılıklı bağlılık olmak üzere dört uyum alanı vardır ve hemşireler hastalarına bu uyum alanları doğrultusunda bakım vermektedir. Olgu sunumunda, bel ağrısı nedeniyle başvuran radyolojik, laboratuvar, sitogenetik ve kliniği ile Durie Salmon’a göre lambda hafif zincir, evre III B multiple miyeloma tanısı almış ve ayaktan kemoterapi tedavi planı hazırlanmış bir hasta ele alınmaktadır. Bu olgu sunumu, Multiple miyelomlu bir hastaya Roy Adaptasyon Modeli doğrultusunda verilen bakımın North American Nursing Diagnosis Association hemşirelik tanılarıyla birlikte ele alınması konusunda, hematoloji ve onkoloji alanında çalışan hemşirelere rehber olmak amacıyla hazırlanmıştır.

Anahtar Kelimeler

• Hemşirelik
• multiple miyelom
• Roy Adaptasyon Modeli

Kaynakça

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