Transplantacija pri otrocih in mladostnikih je izjemno zahteven način zdravljenja. Aktivno vključevanje medicinske sestre v delo multidisciplinarnega tima prispeva k bolj kakovostni obravnavi ...bolnika. Dobro multidisciplinarno sodelovanje lahko zmanjša pogostnost možnih zapletov in skrajša dobo hospitalizacije. Bolniki se pogosto soočajo s strahom in socialno osamitvijo. Zaradi osnovne bolezni se pojavljajo še dodatne težave, ki zdravstveno stanje otežijo ali poslabšajo. Medicinska sestra igra pomembno vlogo tudi na področju zdravstvene vzgoje. Ta se praviloma začne že med samo pripravo bolnika na transplantacijo oz. takrat, ko je bolnik uvrščen na čakalni seznam. Bolniku in njegovim staršem se morajo ponuditi izčrpne in resnične informacije, pomembne za ugoden izid zdravljenja.
OBRAVNAVA OTROKA Z NUJNIM STANJEM Vrankar, Ana; Primec, Maja; Fujs, Nada ...
Slovenska pediatrija,
12/2021, Letnik:
28, Številka:
4
Journal Article
Recenzirano
Odprti dostop
Nujna stanja se pri otroku kažejo kot odpovedovanje ene ali več življenjskih funkcij in bi brez takojšnjega ukrepanja vodila v hujšo prizadetost ali celo v smrt. Pomembni nalogi medicinske ...sestre/zdravstvenega tehnika sta prepoznavanje življenjsko ogrožujočega stanja ter hitro in pravilno ukrepa-nje. Na Pediatrični kliniki Univerzitetnega Kliničnega centra Ljubljana od leta 2010 deluje Oddelek urgentne pediatrije kot 24-urni sprejemni center klinike. Otrok, ki pride v urgentno ambulanto brez napotnice ali z napotnico zdravnika druge specialnosti, se zglasi v sprejemni ambulanti, kjer poteka triaža. Triažo po načelih Manchesterskega triažnega sistema v urgentni pediatriji izvajajo medicinske sestre/zdravstveni tehniki s posebnimi znanji. Nujna stanja v pediatriji so številna. V prispevku predstavljamo najpogostejša življenje ogrožajoča stanja, kot so epileptični status, akutna dihalna stiska, paroksizmalna supravetrikularna tahikardija in diabetična ketoacidoza. Predstavljamo vlogo medicinske sestre/zdravstvenega tehnika pri obravnavi otroka z nujnim stanjem, lestvice za ocenjevanje bolečine in vlogo medicinske sestre/zdravstvenega tehnika pri obravnavi otroka z bolečino. Obravnava nujnih stanj je velik izziv za vsak zdravstveni tim ter zahteva od medicinskih sester/zdravstvenih tehnikov nenehno izobraževanje in obnavljanje pridobljenih veščin.
Transplantation in children and adolescents is a highly complex treatment method. The nurse‘s active involvement in the multidisciplinary team‘s work contributes to a higher quality of patient care. ...Good multidisciplinary cooperation can reduce the frequency of potential complications can be reduced and hospitalization duration shortened. Patients often face fear and social isolation. Additional difficulties arise due to the underlying disease complicating or worsening the health condition. The nurse also plays a significant role in health education. Health education typically begins during the patient‘s preparation for transplantation or when the patient is placed on the waiting list. As a rule, medical education begins already during the preparation of the patient for transplantation or when the patient is placed on the waiting list. Patients and parents must receive comprehensive and truthful information for favourable treatment outcomes.
Emergency conditions in a child manifest themselves as a failure of one or more vital functions and would, without emergency intervention, lead to severe impairment or dis-ability in the child or ...even death. A very important task of the nurse is to identify the child’s life-threatening condition and to act quickly and appropriately. Since 2010, the Department of Emergency Paediatrics has been operating at the Children’s Hospital, University Medical Centre Ljubljana. It acts as a 24-hour admission centre for the Hospital. A child who comes to the emergency room without a referral or with a referral from a doctor in another speciality, reports to the admission clinic, where triage takes place. Triage, which is performed by nurses with special knowledge, is based on the principles of the Manchester Triage System in Emergency Paediatrics. There are many emergencies in paediatrics. This paper presents the most common life-threatening conditions such as status epilepticus, acute respiratory distress, paroxysmal supraventricular tachycardia and diabetic ketoacidosis. The role of the nurse in treating a child with an emergency condition, the scales for pain assessment and the role of the nurse in the treatment of the child with pain, are presented. Dealing with emergencies is a major challenge for every medical team. It requires nurses to undergo continuing education and to renew acquired skills.
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