Başkent Üniversitesi Yayınları
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Item Nursing Care of a Patient Followed in the Intensive Care Unit after Burn According to the Roy Adaptation Model: A Case Study(Başkent Üniversitesi, 2021-12) Aylin Günay; Ebru Akgün ÇıtakABSTRACT OBJECTIVES: Burn injuries are an important health problem that affects not only the physiology of patients but also their psychosocial and socioeconomic life. Deformities and disabilities caused by burns result in stigmatization and rejection, and long-term care requirements with burn treatment have negative economic effects. Here, we evaluated the suitability of the Roy Adaptation Model for a burn patient ’s nursing care process. MATERIALS AND METHODS: Our case patient was a 27-year-old man who was a building worker, newly engaged, and living in a single family house with his parents, along with 2 siblings. He presented to our hospital as a result of an explosion of a thinner canister standing next to a stove. Both upper extremities, head, neck, trunk, perineum, and both lower extremities had 55% second-degree deep and third-degree burns in total area. The patient underwent debridement and skin graft surgeries. The patient’s nursing care was integrated in the Roy Adaptation Model. RESULTS: Nursing care was planned according to physiological mode (according to impaired skin integrity, impaired physical mobility, acute pain, fluid-electrolyte imbalance, risk of infection diagnoses), self-concept mode (according to disturbed body image diagnosis), role performance mode (according to ineffective role performance diagnosis), and interdependence mode (according to change in family processes) processes. For all areas, interventions were applied and evaluations were made. CONCLUSIONS: Nursing care of our patient receiving burn treatment was conducted in accordance with the 6 steps of adaptation as defined in the Roy Adaptation Model. We found this model suitable for use in patients who are receiving burn treatment.Item Nursing Care of a Patient After Burn According to Orem’s Self-Care Theory: A Case Report(Başkent Üniversitesi, 2021-12) Elif Ünlü; Fatma Şeyda Ökdem; Nigar Türkmen; Aylin Günay; Cem AydoğanABSTRACT OBJECTIVES: Burn injuries result in lifelong physical and psychological scars, cause pain, and affect mental health, quality of life, ability to return to work, and death. Although the medical point of view is important for the burn nurse to contribute to patient care, theoretical nursing care should be encouraged. In this case report, we describe a patient with severe burns who received nursing care according to Orem ’s Self-Care Insufficiency Theory. MATERIALS AND METHODS: The 18-year-old male patient received second-degree and third-degree burns of 75% of total body surface area while using thinner to light a heater at work. Burn injuries covered his legs, arms, front body, back body, and certain parts of the face. The patient was transferred to Ankara Baskent University Hospital Burn Intensive Care Unit where he was hospitalized for 85 days. During this period, the patient underwent many surgical treatments, including escharotomy, debridement, and graft surgeries. RESULTS: Thirteen nursing diagnoses were made during his hospital stay. These diagnoses were risk of infection, fear, self-care deficit, risk of bleeding, acute pain, anxiety, impaired physical mobility, disturbed body image, deficient knowledge, impaired skin integrity, sleep pattern disturbance, deficient fluid volume, and imbalanced nutrition of less than body requirements. Contractures developed in the patient ’s legs, preventing him from walking upright. The patient was discharged with continuation of physical therapy, which included pain control during training, maintenance of movement and exercise, giving information about outpatient follow-up, skin care, protection from sun, and nutrition. CONCLUSIONS: With the nursing care applied and in accordance with Orem’s Self-Care Insufficiency Theory, apart from the surgical treatments, the patient ’s lack of knowledge was eliminated, his anxiety level was reduced, his fear was eliminated, his diet was adjusted, and his self-confidence was increased. At discharge, the patient was confident of his care.