diplomsko delo
Nejc Intihar (Author), Robert Sotler (Reviewer), Bernarda Djekić (Mentor), Matej Lunder (Co-mentor)

Abstract

Uvod: Ishemična možganska kap je zelo pogosto urgentno stanje v nevrologiji, ki zahteva takojšnje ukrepanje. Akutna oskrba se prične v urgentni nevrološki ambulanti, nadaljuje pa se v enoti za možgansko kap, kjer je medicinska sestra neprestano ob bolniku. Njena pomembna naloga je opazovanje bolnika z namenom zgodnje prepoznave slabšanja zdravstvenega stanja. Namen: Namen diplomskega dela je predstaviti zdravstveno obravnavo bolnika z ishemično možgansko kapjo v podaljšani hrbtenjači ter izpostaviti vlogo medicinske sestre pri obravnavi specifičnih zapletov. Cilji diplomskega dela so: predstaviti nadzor bolnika z ishemično možgansko kapjo v podaljšani hrbtenjači, opisati prehranjevanje bolnika z disfagijo in predstaviti vlogo medicinske sestre pri izvajanju dihalne podpore. Metode dela: Uporabljena je bila deskriptivna metoda dela s pregledom literature. Iskanje strokovne in znanstvene literature, iz obdobja od leta 2009 do leta 2019, je potekalo s pomočjo digitalne knjižnice Univerze v Ljubljani v podatkovnih bazah CINAHL in Medline. Slovenska literatura je bila iskana s pomočjo vzajemne kataloške baze podatkov COBISS.SI. Literaturo smo iskali po ključnih besedah v slovenskem in angleškem jeziku. Iskanje je potekalo v obdobju od maja do junija 2019. Rezultati: Medicinska sestra pri bolniku izvaja kontinuiran monitoring vitalnih funkcij ter opazuje dinamiko nevrološkega stanja. Pomembno vlogo ima pri odkrivanju in obvladovanju disfagije, saj je pri ishemični možganski kapi zelo pogosta. Pri bolniku z možgansko kapjo v podaljšani hrbtenjači se lahko pojavijo motnje dihanja vse do popolne dihalne odpovedi. Medicinska sestra mora znati hitro prepoznati takšno nujno stanje ter poznati in uporabljati pripomočke za dihalno podporo in endotrahealno intubacijo. Razprava in zaključek: Zdravstvena nega bolnika je zelo zahtevna in od medicinske sestre zahteva veliko znanja in odgovornosti. Medicinska sestra je samostojna pri spremljanju vitalnih znakov in nevrološkega stanja, zato je tudi tista, ki prva opazi pomembne spremembe. Za bolnika je zgodnja prepoznava bistvena. Kljub zelo težkemu obolenju pa je potek zdravljenja običajno ugoden za bolnika, če so zapleti pravočasno prepoznani in pravilno obravnavani.

Keywords

diplomska dela;zdravstvena nega;opazovanje bolnika;prehranjevanje;disfagija;test požiranja;dihalna podpora;neinvazivna ventilacija;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [N. Intihar]
UDC: 616-083
COBISS: 5709675 Link will open in a new window
Views: 928
Downloads: 292
Average score: 0 (0 votes)
Metadata: JSON JSON-RDF JSON-LD TURTLE N-TRIPLES XML RDFA MICRODATA DC-XML DC-RDF RDF

Other data

Secondary language: English
Secondary title: Ischemic stroke in medulla oblongata - the nurses role in treating specific complications
Secondary abstract: Introduction: An ischemic stroke is a very common emergency state in neurology which requires immediate intervention. Acute care begins in an emergency neurological outpatient clinic and continues in the stroke unit, where the nurse is constantly with the patient. The nurse’s responsibility is to monitor and observe the patient with the intention of early recognition of the worsening of neurological state. Purpose: The purpose of this diploma is to present the medical treatment of a patient with an ischemic stroke in the medulla oblongata, and to highlight the role of the nurse in dealing with specific complications. The aims of the study: to present the supervision of a patient with an ischemic stroke in the medulla oblongata, to describe the diet of a patient with dysphagia, and to present the nurse’s role in the implementation of respiratory support. Method: A descriptive method of work was used with reference to scientific literature. The search for professional and scientific literature, from 2009 to 2019, was carried out using the digital library of the University of Ljubljana in the CINAHL and Medline databases. Slovenian literature was explored using the COBISS.SI mutual catalog database. Literature was researched in the period from May to June 2019. The keywords and phrases were used in Slovenian and English. Results: The nurse provides continuous monitoring of the patient’s vital functions and observes the dynamics of the neurological state. The nurse plays an important role in the detection and management of dysphagia, as it commonly occurs in ischemic stroke. In a patient with a stroke in the extended spinal cord respiratory difficulties can develop with a range of severity including also total respiratory failure. The nurse must be able to quickly recognise such an urgent state, to know the instruments, and to use the instruments for respiratory support and endotracheal intubation. Discussion and conclusion: Nursing of the patient is very demanding and requires a great deal of knowledge and responsibility from the nurse. The nurse is independent in monitoring vital signs and neurological state, and is thus the first to notice significant changes. For the patient, early recognition is crucial. Despite very serious illness, the course of treatment is usually successful for the patient, if the complications are identified and treated in time.
Secondary keywords: diploma theses;nursing care;patient monitoring;eating;dysphagia;swallowing test;respiratory support;non-invasive ventilation;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Embargo end date (OpenAIRE): 1970-01-01
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Pages: 24 str.
ID: 11242079