| Abstract | Cilj rada: Cilj rada je opisati osobitosti slučaja zdravstvene njege bolesnice oboljele od
sistemske skleroze.
Opis slučaja: Prikazan je slučaj bolesnice oboljele od sistemske skleroze koja se godinama liječi
na Klinici za reumatologiju, kliničku imunologiju i alergologiju KBC-a Osijek. Bolesnica je u
nekoliko navrata hospitalizirana pri pogoršanju simptoma, a sada se zaprima zbog naglog
gubitka težine, gastričnih smetnji te kliničke slike depresije. Kroz razgovor s bolesnicom,
pregledom i promatranjem, statusom i anamnezom uočene su sljedeće sestrinske dijagnoze kod
bolesnice: poremećaj spavanja, smanjena socijalna interakcija, anksioznost, bol, visok rizik za
pad, pothranjenost te visok rizik za oštećenje sluznice usne šupljine. Nakon definiranja
problema izrađeni su planovi koji su nakon provedenih intervencija evaluirani.
Zaključak: Sistemska skleroza rijetka je kompleksa i ozbiljna bolest koju prati nepredvidljiv
tijek. Progresivnost bolesti i nastanak oštećenja organa su individualni pa tako i liječenje i
zdravstvena skrb zahtijevaju individualni pristup prilagođen bolesniku. Osim na fizičko
zdravlje sistemska skleroza u ovom slučaju utječe značajno na emocionalno funkcioniranje
bolesnice, čime je dodatno narušena kvaliteta života. Medicinska sestra koja skrbi o bolesnici
oboljeloj od sistemske skleroze mora biti profesionalna, empatična, ali izrazito educirana i
stručna kako bi mogla pratiti sve promjene te u skladu s njima prilagođavati proces zdravstvene
njege individualno svakom bolesniku imajući u vidu kako fizičke tako i psihičke tegobe s
kojima se bolesnica u svakom trenutku nosi. |
| Abstract (english) | Objective: The aim of this case report is to describe the specifics of care for a patient with
systemic sclerosis.
Case: This report presents the case of a patient with systemic sclerosis, who has been treated
for years at the Department of Rheumatology, Clinical Immunology and Allergology of the
University Hospital Center Osijek. The patient was hospitalized several times when her
symptoms worsened, and now she was admitted for sudden weight loss, stomach disorders, and
clinical signs of depression. Through interview with the patient, examination and observation,
general health status, and history, the patient was found to have the following nursing
diagnoses: sleep disturbance, limited social interaction, anxiety, pain, high risk of falls,
malnutrition, and high risk of oral mucosal damage. After defining the problem, plans were
created and evaluated according to the interventions implemented.
Conclusion: Systemic sclerosis is a rare, complex, and serious disease with an unpredictable
course. The progression of the disease and the occurrence of organ damage is individualized,
so all treatment and health care require an individualized approach tailored to the patient. In
addition to physical health, systemic sclerosis in this case also significantly affects the patient's
emotional functioning, further impacting quality of life. A nurse caring for a patient suffering
from systemic sclerosis must be professional and compassionate, but also have a high level of
training and expertise to be able to monitor any changes and tailor the healthcare process to
each patient individually, considering both the physical and psychological discomfort the
patient is struggling with at any given time. |
