COVID-19 Tanılı Diyabetik Ayak Transtibial Amputasyonlu Hastanın Fonksiyonel Sağlık Örüntüleri Modeline Göre Hemşirelik Bakımı: Olgu Sunumu

Abstract

The COVID-19 pandemic, which was first seen in Wuhan, China, caused by the virus named SARS-CoV-2, causes serious, economic and social problems with the deaths of nearly 1.5 million people all over the world. Although initially diagnosed with COVID-19, only mild/moderate cold/flu-like symptoms were seen in the vast majority of cases, COVID-19 results in severe respiratory failure in individuals with advanced age and chronic disease. Because the infection is very contagious, it makes the prognosis of the patients worse by switching to other patients. It plays an important key role in the healthcare team in breaking the nurses’ chain of infection and minimizing disease and treatment-related complications. Therefore, nurses are expected to take precautions to minimize the transmission of COVID-19 and at the same time meet their care needs with a holistic perspective. This situation is only possible with a qualified and holistic nursing care. It is a necessity for patients who have undergone amputation to receive qualified care both physically and mentally in terms of developing a favorable prognosis. Systematized data collection models, internationally accepted nursing diagnoses and interventions should be used in order to provide optimal and standardized nursing care in patient groups where comorbid conditions such as COVID-19 develop with amputation. In this case report, the nursing care of a transtibially amputated COVID-19 patient is presented using the Functional Health Patterns Model (FSO) and the North American Association of Nursing Diagnostics (NANDA) nursing diagnoses. The case in the study included nursing diagnoses that require the care of physiological problems such as hyperthermia, less than necessary nutrition, risk of fluid electrolyte imbalance, disruption in gas exchange, as well as nursing diagnoses aiming to care for emotional problems such as anxiety and body image deterioration. Thus, it was aimed to meet physiological, emotional and social care needs as a requirement of holistic care in nursing philosophy. Positive care outcomes were determined as a result of the holistic nursing care for the patient. Keywords: diabetic foot, amputation, COVID-19, nursing care, functional health patterns