Nursing Care of a Patient Followed in the Intensive Care Unit after Burn According to the Roy Adaptation Model: A Case Study

Abstract

ABSTRACT

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.