Title Prevencija komplikacija dugotrajnog ležanja kod starijih osoba
Author Marijana Važanić
Mentor Melita Sajko (mentor)
Committee member Marijana Neuberg (predsjednik povjerenstva)
Committee member Irena Canjuga (član povjerenstva)
Committee member Melita Sajko (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Nursing) Koprivnica
Defense date and country 2015-10-07, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Djelokrug rada medicinskih sestara ima širok obujam no temeljni dio njihovog
svakodnevnog rada je zadovoljavanje osnovnih ljudskih potreba. Kada te potrebe nisu
zadovoljene ili su nestručno pružene dolazi do komplikacija kao što su komplikacije
dugotrajnog ležanja. Upravo su komplikacije dugotrajnog ležanja najveći strah medicinskih
sestara, a koje i nisu tako rijetke. Komplikacije dugotrajnog ležanja su: dekubitus, respiratorne
komplikacije, tromboza, kontrakture, nesvjestica. One se javljaju zbog dugotrajnog mirovanja
u krevetu te smanjene ili nikakve pokretljivosti bolesnika. Zadaća medicinskih sestara je
prepoznati rizične čimbenike koji pogoduju njihovom nastanku te primijeniti mjere
sprečavanja. Kako bi prevenirali i spriječili komplikacije dugotrajnog ležanja potrebno je
svakodnevno provoditi njegu bolesnika, a posebnu pažnju posvetiti nepokretnim bolesnicima.
Bitan čimbenik u sprečavanju ovih komplikacija je kretanje, odnosno poticanje bolesnika na
mobilnost i provođenje što manje vremena u krevetu. Kod nekih bolesnika ne može se izbjeći
ležanje u krevetu jer njihovo stanje to zahtjeva, no možemo tome doskočiti sa aktivnim i
pasivnim vježbama ekstremiteta te disanja. Ove vježbe bolesnik može provoditi u krevetu sam
uz prethodne upute ili uz pomoć medicinske sestre te fizioterapeuta. Osim vježbanja još se
brojne intervencije mogu primijeniti u svrhu sprečavanja komplikacija dugotrajnog ležanja, a
koje su detaljnije opisane u radu. U ovom radu opisati će se svaka komplikacija dugotrajnog
ležanja no najveća pažnja će se posvetiti prevenciji, odnosno kako da do ovih komplikacija ne
dođe. Opisati će se postupci i intervencije koji se mogu primijenit kako bi se spriječio mogući
nastanak komplikacija dugotrajnog ležanja.
Abstract (english) The scope of a nurse work is very wide, but fundamental part of their daily labour is to
please and satisfy basic human needs.When those needs are not fulfilled or they are not
properly given, this can lead to complications, such as prolonged recumbency. In fact, that is
the biggest fear of a nurse and unfortunately it is not so rare. Complications of prolonged
recumbency are: bedsore, respiratory complications, contractures and unconsciousness. They
can occur due to long-term resting in bed and reduced or none locomotion. A task of a nurse
is to recognize risk factors which can lead to complications and apply measures which will
succesfully stop them. If we want to prevent them, we should daily implement nursing. We
should give special attention to patients that are immobile. An important factor in prenvention
of this complications is to encourage patients to move and to stay as litle as time in bed it is
possible. In some cases, we can not avoid long-term resting, because it is required, but we can
help with active and passive exercises of the extremities and breathing. A patient can carry
out those exercises himself in bed, or with help of a nurse or physiotherapist. There are
numerous interventions that can be done in order to prevent complications of long-term
resting, and which are described with more details in my paper. Furthermore, I will describe
every complication separately, but most attention will be paid to prevention – possible
methods that can prevent complications. Also, I will describe procedures and interventions
that can be helpful to prevent possible complications.
Keywords
komplikacije
dekubitus
respiratorne komplikacije
duboka venska tromboza
kontrakture
nesvjestica
prevencija
medicinska sestra
bolesnik
Keywords (english)
complications
bedsore
respiratory complications
thrombosis
contractures
unconsciousness
prevention
nurse
patient
Language croatian
URN:NBN urn:nbn:hr:122:924272
Study programme Title: Nursing Study programme type: professional Study level: undergraduate Academic / professional title: stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva (stručni/a prvostupnik/prvostupnica (baccalaureus/baccalaurea) sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2016-03-17 13:46:50