(diplomsko delo)
Klavdija Paradiž (Author), Barbara Donik (Mentor)

Abstract

Namen diplomskega dela je opisati obravnavo pacienta s spondilolistezo pred in po operativnem posegu ter opisati vlogo medicinske sestre. Spondilolisteza je posledičen zdrs vretenca naprej ali nazaj, kjer lahko privede do močnih bolečin in omejitev pri vsakodnevnem gibanju. V teoretičnem delu je predstavljena spondilolisteza in vzroki za njen nastanek, vrste spondilolistez, klinični pregledi in diagnostične preiskave ter celostna obravnava pacienta pred operacijo in po njej. V raziskovalnem delu smo obravnavali pacienta s spondilolistezo pred in po operacijskem posegu. Obravnava je potekala po enajstih funkcionalnih vzorcih Marjory Gordon. Obravnavali smo pacienta v Ortopedski bolnišnici Valdoltra. Podatke smo zbrali s pomočjo intervjuja s pacientom, merjenjem vitalnih funkcij, opazovanjem in ocenjevanjem pacientovega stanja, s preučevanjem medicinske in negovalne dokumentacije pacienta in pogovorom s člani zdravstvenega in negovalnega tima. Z analizo pridobljenih podatkov smo oblikovali negovalne diagnoze, si postavili negovalne cilje in načrtovane aktivnosti zdravstvene nege ter vrednotili zdravstveno nego in počutje bolnika. Ugotovili smo, da so najpogostejše negovalne diagnoze pri pacientu s spondilolistezo: Nevarnost infekcije; Mobilnost, nepopolna telesna mobilnost (I. stopnja); Samonega, zmanjšana zmožnost za samostojno osebno higieno (I. stopnja); Samonega, zmanjšana zmožnost samostojnega oblačenja in osebnega urejanja (I. stopnja) ter bolečina (v spodnjem delu hrbtenice).

Keywords

pacienti;hrbtenica;Marjory Gordon;medicinske sestre;spondilolisteza;zdravstvena nega;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UM FZV - Faculty of Health Sciences
Publisher: [K. Paradiž]
UDC: 616.711-083(043.2)
COBISS: 1928612 Link will open in a new window
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Other data

Secondary language: English
Secondary title: NURSING CARE OF A PATIENT WITH SPONDYLOLISTHESIS
Secondary abstract: The purpose of this study is to describe the treatment of a patient with spondylolisthesis before and after the surgery as well as describe the role of a nurse in the treatment. Spondylolisthesis is a displacement of a vertebra either forward or backward, which can lead to severe pain and restraint at everyday movement. The theoretical part presents the causes of spondylolisthesis and its origin, types of spondylolisthesis, clinical examinations and diagnostic tests as well as a comprehensive care for the patient before and after the surgery. In our research work we treated a patient with spondylolisthesis before and after the surgery. The treatment was done in accordance with Gordon’s eleven functional health patterns. We treated a patient in the OB Valdoltra hospital. We gathered information through interviews with a patient, measuring vital functions, monitoring and evaluating patient’s condition, by examining medical and nursing documentation of the patient and by talking to members of the medical and nursing team. With the analysis of the acquired data we made a nursing diagnosis, we set nursing objectives and planned activities of nursing care. We also evaluated the nursing care and welfare of the patient. We found that the most frequent nursing diagnoses for a patient with spondylolisthesis is: Risk for infection; Impaired physical mobility (Level I); Self-Bathing-Hygiene Deficit (Level I); Self-Dressing-Grooming Deficit (Level I); Pain (in low back).
Secondary keywords: patient;spine;Marjory Gordon;nurse;spondylolisthesis;health care;
URN: URN:SI:UM:
Type (COBISS): Undergraduate thesis
Thesis comment: Univ. v Mariboru, Fak. za zdravstvene vede
Pages: VI, 80 f., 17 f. pril.
ID: 8726208