Planning nursing care of the geriatric patient after endoprothesoplastic surgery who lives in a home environment – case study

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Lucyna Monika Sochocka, Edyta Kędra, Patryk Gawlik

1 (67) 2018 s. 113–120
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DOI: http://dx.doi.org/10.20883/pielpol.2018.15

Fraza do cytowania: Sochocka LM, Kędra E, Gawlik P Planning nursing care of the geriatric patient after endoprothesoplastic surgery who lives in a home environment – case study. Piel Pol. 2018;1(67):113–120. DOI: http://dx.doi.org/10.20883/pielpol.2018.15

Assumptions. The aim of the research is to present an exemplary plan of the geriatric patient care after endoprothesoplastic surgery in home environment. The proposed care plan is based on the classification of the ICNP, which is the international standard for nursing terminology, recommended by the ICN, and in Poland by the PTP and the Accredited Center for Research and Development of the ICNP®. This classification organizes specialized terminology, by creating a reference dictionary of terms used in the diagnosis of nursing, action planning and performance evaluation, which are assigned to the corresponding numeric codes. As a result, it becomes a universal tool to communicate with nurses around the world and to provide adequate quality of care. Presentation of the case. J.S., a 94-year-old woman, after endoprosthetics with partial hip replacement made due to the hip fracture. After having been treated at the Trauma and Ortopaedic Surgery Ward, the patient was discharged from the hospital in a good condition. She was prescribed with pharmacotherapy and rehabilitation. The family members, district nurse and physical therapist have been taking care of Mrs J.S. The Katz’s Index (ADL) signifies the patient as very dependent; according to Lawton’s Scale (IADL) the patient is mildly dependent. Conclusions. Falls in older adults are a significant social problem due to their commonness and frequency of complications. Nursing care of the patient should be planned by making a right diagnosis based on analysis of the available medical documentation, careful observation of patient’s condition and his/her needs, as well as interviewing his/her immediate family. According to the current standards, it is based on the individualized process of nurturing prepared using the ICNP classification which constitutes a universal language of communication between the nursing staff around the world, allowing to provide continuity of care and high quality.

Key words: fracture, endoprothesoplastic surgery, geriatric patient, nursing care.



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