Meningitis and Nursing Care According to the Model of Nursing Based on Activities of Living: a Case Report

Şengül Korkmaz Binay, Umut Devrim Binay, Ebru Yıldız Karadeniz
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Abstract

Introduction. Meningitis is an infectious disease that seriously affects the health of the individual, can cause mortality and can be treated with emergency intervention. Aim. The aim of this study is to evaluate the holistic and systematic nursing care process of the patient with the diagnosis of meningitis on the basis of the described case, in line with the nursing model. Case Report. This is the case study of a male patient who was treated with the diagnosis of meningitis in the infectious diseases and clinical microbiology clinic. Nursing problems were determined and a care plan was created by interviewing the patient and his physician, observing and assessment with Model of Nursing Based on Activities of Living. Results. The patient, who has fever, chills, nausea, headache, neck stiffness and left ear discharge, was admitted to the Infectious Diseases and Clinical Microbiology clinic and treated. NANDA-I (North American Nursing Diagnosis Association-International) nursing diagnoses determined specifically for the patient by using the Activities of Living Model developed by Roper, Logan and Tierney are acute pain, fever, nausea, lack of knowledge, fatigue, sleep pattern disruption and risk of falling. Conclusions. Accurate and complete data were collected using the nursing model/theory. Nursing interventions applied specifically to the patient were found to be effective. The patient’s problems were improved. Thanks to the interdisciplinary collaboration, a medical diagnosis of meningitis was made and appropriate medical treatment and nursing care was administered. The patient was discharged with recommendations for outpatient control. (JNNN 2022;11(3):130–136)
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基于生活活动护理模式的脑膜炎与护理:1例报告
介绍。脑膜炎是一种严重影响个人健康的传染病,可导致死亡,可通过紧急干预进行治疗。的目标。本研究的目的是在描述病例的基础上,根据护理模式,评估诊断为脑膜炎的患者的整体系统护理过程。病例报告。这是一个在传染病和临床微生物学诊所被诊断为脑膜炎的男性病人的病例研究。通过对患者及其医生的访谈,观察和评估基于生活活动的护理模式,确定护理问题并制定护理计划。结果。患者出现发热、寒战、恶心、头痛、颈部僵硬、左耳漏液等症状,被送至传染病与临床微生物学门诊接受治疗。NANDA-I(北美护理诊断协会-国际)通过使用Roper, Logan和Tierney开发的生活活动模型专门为患者确定的护理诊断为急性疼痛,发烧,恶心,缺乏知识,疲劳,睡眠模式中断和跌倒风险。结论。采用护理模型/理论收集准确完整的数据。护理干预措施适用于具体的病人被发现是有效的。病人的问题得到了改善。由于多学科合作,对脑膜炎作出了医学诊断,并给予了适当的治疗和护理。患者出院时建议进行门诊控制。(JNNN 2022; 11 (3): 130 - 136)
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