| Sažetak | Cilj rada: Cilj rada je kroz proces zdravstvene njege prikazati pacijenta oboljelog od moždanog
udara u njegovom domu.
Prikaz slučaja: Bolesnik rođen 1958., umirovljenik, oženjen, te otac dvoje djece, a živi sam sa
suprugom. Nakon hospitalizacije na Klinici za neurologiju zbog ishemijskog moždanog udara
otpušten kući prije 2 dana. Uvidom u dokumentaciju, otpusno pismo zdravstvene njege te kroz
promatranje i razgovor sa bolesnikom i njegovom obitelji patronažna sestra detektira prisutne
probleme i definira sestrinske dijagnoze, ciljeve i planira intervencije. Kod bolesnika su
detektirani problemi: smanjena mogućnost brige o sebi (osobna higijena i odijevanje),visok
rizik za pad, visok rizika za socijalnu izolaciju dok je kod njegovateljice uočen visok rizik za
poteškoće u obavljanju uloge obiteljske njegovateljice.
Rasprava: Nakon prvotnog šoka i bolesnik i supruga uz podršku svoje djece brzo su svladali
brojna znanja i vještine. Promijenili su životne navike i prilagodili životni prostor. Ostvarena je
suradnja sa patronažnom sestrom, a bolesnik je ustrajno provodio preporučene vježbe te odlazio
na tretmane kod logopeda. Posljedično moždanom udaru zaostaju samo usporeniji govor te
slabost šake uz koje je bolesnik ostvario potpunu samostalnost što mu omogućava kvalitetan i
ispunjen život.
Zaključak: Za oporavak bolesnika nakon incidenta kao što je moždani udar i za ponovnu
integraciju u zajednicu, neophodna je suradnja bolesnika, njegove obitelji, patronažne sestre,
ali i cijelog multidisciplinarnog tima koji sudjeluje u rehabilitaciji i habilitaciji bolesnika nakon
moždanog udara. |
| Sažetak (engleski) | Objectives: The objective of the paper is to present a patient suffering from a stroke in his
home through the process of health care.
Case report: The patient was born in 1958, he is retired, married, the father of two, and lives
alone with his wife. After being hospitalized at the Neurology Clinic due to an ischemic stroke,
he has been discharged 2 days ago. By inspecting the documentation, the nursing care discharge
letter, and through observation and conversation with the patient and his family, the visiting
nurse detects the present problems and defines the nursing diagnoses, goals and plans
interventions. Detected problems in patient: reduced ability to take care of himself (personal
hygiene and dressing), high risk of falling, high risk of social isolation, while a high risk of
difficulties in performing the role of family caregiver was observed in the caregiver.
Discussion: After the initial shock, both the patient and his wife, with the support of their
children, quickly mastered new knowledge and skills. They changed their lifestyle and adapted
their living space. Cooperation with the visiting nurse was achieved, and the patient persistently
carried out the recommended exercises and went to speech therapy. As a result, only slower
speech and weakness of the hand lag behind the stroke, with which the patient has achieved
complete independence, and which enables him to live a high-quality and fulfilling life.
Conclusion: For the recovery of a patient after an incident such as a stroke and for reintegration
into the community, the cooperation of the patient, their family, the attending nurse, but also
the entire multidisciplinary team that participates in the rehabilitation and habilitation of the
patients after a stroke is necessary. |
