Author/Editor		Ahec, Lidija
Title		Vloga medicinske sestre pri obravnavi hospitaliziranega bolnika s kroničnim srčnim popuščanjem
Translated title		The role of the nurse in dealing with hospitalised patients suffering from chronic heart failure
Type		članek
Source		Zdrav Vars
Vol. and No.		Letnik 40, št. 3-6
Publication year		2001
Volume		str. 165-8
Language		slo
Abstract		Article deals with the role of nursing care (NC) in dealing with hospitalised patients suffering from chronic heart failure (CHF) during hospital treatment. The method of nursing care (MNC) is used in contemporary nursing care. In everyday treatment, traditional nursingl care is still intertwined with the use of MNC. Nurse (MN) is a vital member of medical team dealing with patients suffering from CHF. CHF is a disease which seriously affects the quality of patient's life. In majority of patients, heart failure is a disease in progress. Patients often return to hospital at different stages of the disease, mainly in cases of deterioration. The frequency of coming back depends on the quality of the entire treatment. NC of patient with CHF is adjusted to each patient. During hospitalisation it varies from the acute state of the disease, when the patient's daily activities,totally depend on the help of others, to the stage when the patient is being taught to be able to live on his own. The content of NC in CHF stresses the importance of observation of changes in patient's symptoms and his reaction to the medication in the case of introducing new medicines, such as lž blockers, angiotensin convening enzyme inhibitors. It is essential to measure accurately diuresis, blood pressure, heart rate, adjustment of the doses of diuretics, together with daily measurements of body weight and accurate daily intake of medicines (why, when, side effects). N regularly informs the patient about all previewed medicotechnical procedures, especially about those for which the agreement, signed by the patient, is necessary. N registers the data in to medical and nursing care documentation, forms which are a part of hospital documentation. Article presents the most frequent nursing care problems of patients with CHF during their hospitalization. (Abstract truncated at 2000 characters)
Summary		Prispevek obravnava naloge zdravstvene nege (ZN) pri obravnavi bolnika s kroničnim srčnim popuščanjem (KSP) v času zdravljenja v bolnišnici. Sodobna zdravstvena nega uporablja metodo dela po procesu zdravstvene nege (PZN). V praksi se še prepletata tradicionalna zdravstvena nega in PZN, kar pa ni nič nenavadnega, saj je uvajanje sodobne ZN proces, ki potrebuje svoj čas. KSP je bolezensko stanje, ki pomembno prizadene kakovost bolnikovega življenja. Pri večini bolnikov je srčno popuščanje napredujoča bolezen. Bolniki se pogosto vračajo v bolnišnico, v različnih fazah bolezni predvsem ob poslabšanjih. ZN bolnika s KSP je individualna. V času hospitalizacije se spreminja in poteka od akutne faze, ko je bolnik popolnoma odvisen od pomoči pri opravljanju življenjskih aktivnosti, do usposabljanja za samooskrbo. Vsebina ZN pri KSP izpostavlja opazovanje bolnika ob naraščajočih težavah, spremembah simptomov, ugotavlja, kako se je bolnik odzval na zdravila, na uvedbo novih zdravil, predvsem beta blokatorjev in zaviralcev angiotenzinske konvertaze. Ob tem pa ni nič manj pomembno točno merjenje diureze, krvnega tlaka, telesne teže, način prilagajanja diuretikov pri vsakodnevni kontroli telesne teže in pravilno jemanje zdravil (kdaj, stranski učinki). Medicinska sestra podatke beleži na medicinsko in negovalno dokumentacijo, ki je ob administrativni, sestavni del bolnišnične dokumentacije. Prispevek predstavlja najpogostejše negovalne probleme bolnika s KSP med zdravljenjem v bolnišnici. Pri načrtovanju in izvajanju ZN je pomembno sodelovanje zdravstvenih deiavcev z bolnikom, svojci ali z osebo, pomembno za bolnika. Bolnika spremljamo kot celostno osebnost, upoštevajoč njegovo telesno, duševno in socialno stanje.
Descriptors		HEART FAILURE, CONGESTIVE HOSPITALIZATION