Avtor/Urednik		Tičar, Zdenka
Naslov		Nega bolnika po možganski kapi na domu
Prevedeni naslov		Care for the patient with stroke and community nursing
Tip		članek
Vir		Zdrav Vars
Vol. in št.		Letnik 38, št. 9-10
Leto izdaje		1999
Obseg		str. 319-21
Jezik		slo
Abstrakt		Stroke presents one of the most severe diseases so for the patient as for the relatives and society. Its treatment is long and can last several years. Improvement comes in waves, partly depending from the restoration of the involved brain structures, and partly from the healthy structures that assume the function of the affected brain area. Severely affected patients should be hospitalized, but much could be done by relatives at home and under professional guidance. Care for patient after stroke depends on the degree and involvement of affected functions. Approach to patient should be made individual and considering his/hers particularities he/she should be included in his/hers environment. After discharge from hospital in home care, patients and their relatives are left to the gen- eral practitioner and first of all to the community nurses. Unfortunately, the connection between neurologist, who treated the patient in the hospital and the community nurse is mostly non-existent. In order to provide for the patient a good home care, his hers return home should be planned, which is in given circumstances impossible. For the planning of patient home care the data about way of life, possibilities for home care and most important of all - the data about patients health state, impossibility of self care, incontinence, nutrition, decubitus ulcerations and communicating, are necessary Criteria for life quality difier in individual patients. An adequate dwelling environment should be prepared with the help of relatives. For as good as possible life quality of the patient after stroke a reha- bilitation is needed not only for the patient but also for the immediate and broader environment. With the discharge of patient from hospital, the programme of primary care and rehabilitation is finished. (ABSTRACT TRUNCATED AT 2000 CHARACTERS.)
Izvleček		Možganska kap je ena najtežjih bolezni tako za bolnika kot tudi za svojce in družbo. Zavedati se moramo, da je zdravljenje dolgotrajno in traja lahko tudi nekaj let. Izboljšanje prihaja v valovih, deloma je odvisno od okrevanja prizadetega dela možganov, deloma od zdravih predelov, ki prevzemajo funkcijo bolnega. V bolnišnico sodijo predvsem težje prizadeti bolniki, največ pa lahko storijo svojci, ki bolnika rehabilitirajo doma, seveda pod strokovnim vodstvom. Nega bolnika po preboleli možganski kapi je odvisna od tega, katere funkcije in v kolikšni meri so prizadete. Upoštevati moramo, da je vsak bolnik enkratna oseba, zato je naš pristop do njega individualen, upoštevati moramo njegove posebnosti in ga vključiti v njegovo okolje. Po odpustu v domačo oskrbo so bolniki in svojci največkrat prepuščeni osebnemu zdravniku in predvsem patronažnim sestram. Žal povezava med zdravnikom nevrologom, ki je bolnika obravnaval v bolnišnici, in patronažno sestro največkrat ne obstaja. Če želimo omogočiti bolniku dobro nego na domu in pomagati svojcem, bi bilo potrebno načrtovati prihod bolnika domov, kar pa je v danih razmerah nemogoče. Za načrtovanje nege bolnika na domu potrebujemo podatke o načinu življenja, o možnostih za nego na domu, najbolj pomembni pa so podatki o bolnikovem zdravstvenem stanju, o nezmožnosti samooskrbe inkontinenci, hranjenju, preležaninah, komuniciranju. Merilo za kakovost življenja so pri posameznikih različni. Da bi bivalno okolje primerno pripravili, se moramo povezati s svojci.V prizadevanju, da bi dosegli čim primernejšo kakovost življenja za človeka, ki je prebolel možgansko kap, moramo rehabilitirati ne samo bolnika, pač pa tudi ožje in širše okolje. (Izvleček prekinjen pri 2000 znakih).
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