Journals / Sakarya Üniversitesi Holistik Sağlık Dergisi / 2022 / Cilt: 5 - Sayı: 1

Nursing Care of a Patient With Ileostomy Total Colonic Aganglionosis According to Gordon's Functional Health Patterns Model: A Case Report

İleostomili Total Kolonik Aganglionozisli Hastanın Gordon’un Fonksiyonel Sağlık Örüntüleri Modeline Göre Hemşirelik Bakımı: Olgu Sunumu

Pages
91–105
Publication Date
2022-04-15
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In our case, which was evaluated with a systematic approach, the patient and patient’s family were evaluated biopsychosocially and nursing diagnoses and interventions were explained with a holistic perspective.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:This case report was conducted present the nursing care plan of the baby who underwent ileostomy, because the suspicion of Total Colonic Aganglionosis, which is a rare type of Hirschsprung's Disease.
📊
Key Findings & Data:Gordon's Functional Health Patterns Model was applied in data collection.
💡
Conclusion & Impact:In our case, which was evaluated with a systematic approach, the patient and patient’s family were evaluated biopsychosocially and nursing diagnoses and interventions were explained with a holistic perspective.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Fonksiyonel sağlık örüntüleri · Hirschsprung hastalığı · hemşirelik bakımı

Abstract

This case report was conducted present the nursing care plan of the baby who underwent ileostomy, because the suspicion of Total Colonic Aganglionosis, which is a rare type of Hirschsprung's Disease. Gordon's Functional Health Patterns Model was applied in data collection. Data, hospital information system records, medical treatment and nurse observation records were collected by one-to-one interviews with parents. Therefore care was planned, implemented and evaluated according to the model. In the care process according to the needs of the baby and its mother; Nursing diagnoses were made for difficulties in the caregiver role, impaired verbal communication, poor nutrition / malnutrition, activity intolerance, electrolyte imbalance, risk of tissue integrity, fluid electrolyte deficiency and infection risk. In our case, which was evaluated with a systematic approach, the patient and patient’s family were evaluated biopsychosocially and nursing diagnoses and interventions were explained with a holistic perspective.

Özet

Bu olgu sunumu Hirschsprung Hastalığı’nın nadir görülen bir çeşidi olan Total Kolonik Aganglionozis şüphesi nedeniyle ileostomi açılan bebeğin hemşirelik bakım planının sunulması amacıyla yapılmıştır. Veri toplamada Gordon’un Fonksiyonel Sağlık Örüntüleri Modeli kullanılmıştır. Veriler, hastane bilgi sistem kayıtları, tıbbi tedavi ve hemşire gözlem kayıtları, ebeveynlerle birebir görüşme yöntemi ile toplandı, modele göre bakımı planlandı, uygulandı ve değerlendirildi. Bebek ve annesinin gereksinimine göre bakım sürecinde; bakım verici rolünde zorlanma, aile içi süreçlerde bozulma, sözel iletişimde bozulma, beden gereksiniminden az beslenme/ malnütrisyon, aktivite intoleransı, elektrolit dengesizliği, doku bütünlüğünde bozulma riski, sıvı elektrolit eksikliği riski ve enfeksiyon riski hemşirelik tanıları konulmuştur. Sistematik bir yaklaşımla değerlendirilen olgumuzda, hasta ve ailesi biyopsikososyal olarak değerlendirilmiş ve bütüncül bir bakış açısıyla hemşirelik tanıları ile girişimler açıklanmıştır.

🔖

Cite This Article

YILDIZ, T. A., KARADAĞ, M. (2022). Nursing Care of a Patient With Ileostomy Total Colonic Aganglionosis According to Gordon's Functional Health Patterns Model: A Case Report. Sakarya Üniversitesi Holistik Sağlık Dergisi, Cilt: 5 - Sayı: 1, 91–105. https://ajindex.com/articles/798933

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Wesson DE, Lopez ME. Congenital aganglionic megacolon (Hirschsprung disease). https://www.uptodate.com/contents/congenital-aganglionic-megacolon-hirschsprung-disease#H11266174. (Erişim tarihi: 20 Aralık 2021
  2. Bilir Göksügür S, Bekdaş M, Kara B, Tarakçı N, Altunhan H, Öztürk H, Demircioğlu F. Yenidoğan kabızlığında unutulmaması gereken bir tablo; Hirschprung Hastalığı. Abant Tıp Dergisi. 2015; 4(1): 70-72
  3. Ikeda K, Goto S. Diagnosis and treatment of Hirschsprung’s disease in Japan: An analysis of 1628 patients. Ann Surg. 1984; 199(4): 400-405
  4. Graneli C, Dahlin E, Börjesson A, Arnbjörnsson E, Stenström. Diagnosis, symptoms, and outcomes of Hirschsprung’s disease from the perspective of gender. Surg Res Pract. 2017; 2017: 9274940
  5. Suita S, Taguchi T, Kamimura T, Yanai K. Total colonic aganglionosis with or without small bowel involvement: A changing profile. Journal of Pediatric Surgery. 1997; 32(11): 1537-1541
  6. Sarin YK, Raj P, Thakkar N. Perils of total colonic aganglionosis presenting in neonatal age. J Neonatal Surg. 2014; 3(3): 28
  7. Urla C, Lieber J, Obermayr F, Busch A, Schweizer R, Warmann SW, Kirschner HA, Fuchs J. Surgical treatment of children with total colonic aganglionosis: functional and metabolic long-term outcome. BMC Surg. 2018; 18(1): 58
  8. Singh SJ, Croaker GDH, Manglick P, Wong CL, Athanasakos H, Elliott E, Cass D. Hirschsprung's disease: the Australian Paediatric Surveillance Unit's experience. Pediatric Surgery International. 2003; 19(4); 247–250
  9. Doğruyol H. Hirschsprung hastalığı varyantları. Çocuk Cerrahisi Dergisi. 2018; 32(3); 152-160
  10. Dere Günal Y, Aslan MK, Karaman A, Karaman İ, Erdoğan D, Çavuşoğlu YH. Hirschsprung hastalığında Transanal Endorektal Pull-through ve Martin-modifiye Duhamel ameliyatlarının sonuçlarının karşılaştırılması. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2019; 72(3): 349-355
  11. Kurtash O. Colonic stoma creation as the first stage of surgical correction of total colonic aganglionosis in children. Archive of Clinical Medicine. 2020; 26(2): 4-8
  12. Cincinnati Chilren’s. Total colonic hirschsprung disease. https://www.cincinnatichildrens.org/health/t/total-colonic-hirschsprung-disease. (Erişim Tarihi 02 Aralık 2021)
  13. Vujnovich A. Pre and post-operative assessment of patients with a stoma. Nursing Standard. 2008; 22(19): 50- 56
  14. TC Sağlık Bakanlığı. Bebek ve çocuk izlem protokolü. https://shgmkalitedb.saglik.gov.tr/Eklenti/6406/0/bebek-ve-cocuk-izlem-protokolleripdf.pdf.