Total Kalça Protezi Takılan Meme Kanserli Yaşlı Kadının Evde Bakımı

Bu çalışmada femur kırığı nedeniyle total kalça protezi takılan yaşlı bir kadının Roper Logan Tierney Günlük Yaşam Aktiviteleri Modeline göre evde bakım gereksinimlerinin değerlendirilmesi ve bu gereksinimlere yönelik uygun girişimlerin planlanması amaçlandı. Bu çalışma bir olgu sunumudur. Total kalça protezi ameliyatı sonrası günlük yaşam aktivitelerinde yarı bağımlı olan birey yalnız yaşamakta ve evde bakım gereksinimlerini karşılayamamaktadır. Yapılan değerlendirmede bireye, günlük yaşam aktivitelerini yerine getirmede yetersizlik, konstipasyon, bilgi eksikliği, akut ağrı, uyku örüntüsünde bozulma, aktivite intoleransı, beden gereksiniminden az beslenme, sosyal izolasyon, beden imajında bozulma, rol performansında değişim, düşme ve venöz tromboemboli riski hemşirelik tanıları konuldu ve bu tanılara yönelik hemşirelik girişimleri uygulandı. Olgudan elde edilen veriler doğrultusunda Roper Logan Tierney Günlük Yaşam Aktiviteleri Modeli’nin günlük yaşam aktivitelerinde zorlanan yaşlı bireyin ameliyat sonrası evde bakım gereksinimlerinin belirlenmesi ve karşılanmasında yararlı bir model olduğu belirlendi.

Anahtar Kelimeler:

Yaşlı, Evde Bakım, Total Kalça Protezi

Home Care of Elderly Women with Total Hip Prosthesis

The aim of this study was to evaluate the home care needs of an elderly woman with total hip replacement for femur fracture according to Roper Logan Tierney Daily Living Activities Model and to plan appropriate interventions for these requirements. This is a case report. After total hip replacement surgery, the individual who is half dependent on daily living activities lives alone and can’t meet home care needs. During the assessment, knowledge deficit, body image disturbance, acute pain, disturbed sleep pattern, activity intolerance, nutrition less than body requirements, social isolation, constipation, inability to maintain daily living activities, risk of fall and risk of venous thromboembolism were identified as nursing diagnoses and nursing interventions for these diagnoses were performed. Roper Logan Tierney Daily Living Activities Model was found to be a useful model in determining and meeting the postoperative home care needs of elderly people who have difficulty in daily life activities.

Keywords:

Elderly, Home Care, Total Hip Replacement,

PDF

___

World Health Organization (WHO) (2015) http://apps.who.int/iris/bitstream/handle/10665/186463/9789240694811_eng.pdf;jsessionid=C4C5EBE22DD183174AE1B1FF2AD869A5?sequence=1 Erişim Tarihi: 11.09.2018
Gürler, H., Bayraktar, N. & Erdil, F. (2017). Cerrahi Girişim Uygulanan Yaşlı Bireylerde Düşmelerin Önlenmesi, Türkiye Klinikleri J Surg Nurs-Special Topics, 3(2): 124-129.
Centers for Disease Control (CDC) and Prevention. National Center for Injury Prevention and Control (2015). Preventing Falls: A Guide to Implementing Effective Community-Based Fall Prevention Programs, 2nd Edition.
Cockayne, S., Pighills, A., Adamson, J., Fairhurst, C., Drummond, A., Hewitt, C, … & Torgerson, D.J. (2018). Can occupational therapist-led home environmental assessment prevent falls in older people? A modified cohort randomised controlled trial protocol. Send to BMJ Open, 8(9): e022488.
Sotoudeh, G.R., Mohammadi, R., Mosallanezhad, Z., Viitasara, E. & Soares, J.J.F. (2018). The Prevalence, Circumstances and Consequences of Unintentional Falls among Elderly Iranians: A Population Study. Arch Gerontol Geriatr. 79: 123-130.
Jagnoor, J., Keay, L., Jaswal, N., Kaur, M. & Ivers, R. (2014). A Qualitative Study on The Perceptions of Preventing Falls As A Health Priority Among Older People in Northern India, Injury Prevention, 20(1): 29–34.
Özkan, S. & Adanaş, C. (2018). Femur Boyun Kırıklarında Güncel Yaklaşımlar Current Approaches in Femoral Neck Fractures. Van Tıp Derg 25(1): 76-81.
Autar, R. (2011). Evidence Based Venous Thromboprophylaxis in Patients Undergoing Total Hip Replacement (THR), Total Knee Replacement (TKR) and Hip Fracture Surgery (HFS), International Journal of Orthopaedic and Trauma Nursing, 15(3), 145–154
Açıksöz, S. & Uzun, Ş. (2007). Total Kalça Protezi Uygulanan Bireylerin Günlük Yaşam Aktivitelerine Yönelik Evde Bakımda Karşılaşılan Güçlükler. C.Ü. Hemşirelik Yüksekokulu Dergisi, 11(1): 8-16.
Reay, P. A., Horner, B., & Duggan, R. (2015). The Patient's Experience of Early Discharge Following Total Hip Replacement. International journal of orthopaedic and trauma nursing, 19(3), 131-139.
Bilik, Ö. (2017). Klinikten Eve Uzanan Yolculuk: Ameliyat Olan Hastaların Evde Bakımı, Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 33(1): 114-127
Bobay, K.L., Jerokfe, T.A., Weiss, M.C. & Yakusheva, O. (2010). Age Related Differences in Perception of Quality of Discharge Teaching and Readiness for Hospital Discharge. Geriatric Nursing, 31(3): 178-187.
Roper, N., Logan, W. W, & Tierney, A. J. (2000). The Roper-Logan-Tierney Model of Nursing: Based on Activities of Living. Edinburgh: Churchill Livingstone.
Alligood, M.R. (2014). Nursing Theorists and Their Work, 8. Edition, Elsevier Inc., Riverport Lane St. Louis, Missouri
Bulut, H. & Güler Demir, S. (2017). Hemşirelik Teorileri ve Modelleri, Akademi Basın, İstanbul. Ed: Karadağ, A., Çalışkan, N., Göçmen Baykara, Z. ss: 532-573
Yao, D.H., Keswani, A., Shah, C.K., Sher, A., Koenig, K.M. & Moucha, C.S. (2017). Home Discharge After Primary Elective Total Joint Arthroplasty: Postdischarge Complication Timing and Risk Factor Analysis. J Arthroplasty, 32(2):375-380.
Neighbour, C. (2014). Improving Bowel Care after Surgery for Hip Fracture. Nurs Older People, 26(10):16-22.
Suwanpasu, S. & Pongpaew, W. (2016). Predictors of Health-Related to Quality of Life after Hip Surgery in Elderly Patients after Acute Care, Journal of Medical Research & Health Education, 1(1), 1-7.
Fielden, J.M., Scott, S. & Horne, J.G. (2003). An Investigation of Patient Satisfaction Following Discharge After Total Hip Replacement Surgery, Orthopaedic Nursing, 22(6): 429-436.
Montin, L., Suominen, T. & Leino-Kilpi, H. (2002). The Experiences of Patients Undergoing Total Hip Replacement, Journal of Ortohopedic Nursing,6: 23-29.
Saray Kılıç, H. & Taştan, S. (2017). Development of Post Hip Replacement Comfort Scale. Applied Nursing Research,38:169-174.