| Abstract | Uvod: Karcinom kolona predstavlja vrlo veliki zdravstveni problem stanovništva Republike Hrvatske. Kod liječenja karcinoma kolona prihvaća se onkološko načelo što ranijeg liječenja jer poštedni zahvat nije moguće izvršiti ako se tumor znatno proširio. Poštedni zahvat bi značio samo micanje zahvaćenog dijela bez prisustva trajne kolonostome čime se kasnije postiže veća kvaliteta života. U prevenciji tumora valja naglasiti da prekomjerno konzumiranje alkohola, uživanje duhana i nepravilna prehrana puno crvenog mesa suhomesnatih proizvoda povećavaju rizik od obolijevanja. Pri liječenju potrebno je sudjelovanje cijelog stručnog tima kako bi se pružila kvalitetna i sveobuhvatna multidisciplinarna skrb. Sestrinska skrb je prilagođena svakom pacijentu zasebno te je usmjerena na samog pacijenta. Zadatci medicinske sestre su pravovremeno uočavanje problema, postavljanje sestrinske dijagnoze i rješavanje problema kroz određenje intervencije.
Cilj: ovog rada kroz prikaz slučaja pacijenta liječenog u OB Virovitica na odjel za unutarnje bolesti predstaviti probleme s kojima se on suočava to jest predstaviti njegov proces liječenja te prikazati sestrinske intervencije koje su pratile njegovo liječenje.
Opis slučaja: Tema zdravstvene njege bolesnika oboljelog od raka debelog crijeva obrađena je i utvrđeni su problemi iz područja zdravstvene njege. Problemi pacijenta dobili su sestrinske dijagnoze, ciljeve i intervencije s naglaskom na rješavanje. Dijagnosticirani problemi procesa zdravstvene njege su neučinkovito pridržavanje zdravstvenih uputa, bol, zabrinutost i visok rizik za dehidraciju.
Zaključak: Sestrinska skrb ne svodi se samo na pružanje zdravstvene njege pacijentu oboljelog od karcinoma kolona već je potrebno pružiti podršku i pomoć u psihološkom aspektu. Kroz niz stečenog znanja i kompetencija medicinska sestra educira i savjetuje kako bi ga što bolje obučila novonastalim izazovima i osposobila za vračanje u okruženje iz kojeg pacijent dolazi i samom tom edukacijom prevenirala komplikacije koje se mogu pojaviti. Svrha zdravstvene skrbi nije samo izlječenje nego i prevencija ponovnog vračanja bolesti koja se uz redoviti pregled vrlo lako prevenira. |
| Abstract (english) | Background: Colon cancer represents a very big health problem for the population of the Republic of Croatia. In the treatment of colon cancer, the oncological principle of early treatment is best accepted because a sparing procedure cannot be performed if the tumor has spread significantly. A sparing procedure would mean removing only the affected part without a permanent colostomy, which later results in a higher quality of life. In the prevention of tumors, it should be emphasized that excessive consumption of alcohol and tobacco, as well as an improper diet consisting of a lot of red meat and cured meat products, increases the risk of the disease. During treatment, the inclusion of the entire professional team is necessary in order to provide quality and comprehensive multidisciplinary care. Nursing care is adapted to each patient individually and is focused on the patient themselves. The nurse’s tasks are to spot problems in a timely manner, establish a nursing diagnosis and solve the problem by determining the intervention.
Objectives: The aim of this paper is to present the problems, that is, the treatment process and the nursing interventions that followed the treatment, in the case of a patient treated in General Hospital Virovitica at the Department of Internal Medicine.
Discussion: The topic of health care for a patient with colon cancer was discussed and problems in the field of health care were determined. The patient's problems were given nursing diagnoses, goals, and interventions with a focus on resolution. Diagnosed problems of the health care process are ineffective non-compliance to health instructions, pain, anxiety and high risk for dehydration.
Conclusion: Nursing care is not limited only to providing health care to a patient with colon cancer, but it is also necessary to provide support and help in the psychological aspect. Through a series of acquired knowledge and competencies, the nurse educates and advises the patient in order to train them the best they can for new challenges and adapt them to return to their environment. Also, through this education, the nurse could prevent complications that may arise. The purpose of health care is not only to cure but also to prevent the recurrence of the disease, which is easily prevented with regular check-ups. |
