Abstract
Celiac disease is a chronic autoimmune disease of the small intestine that occurs after ingesting foods that contain gluten. In hypersensitive people, gluten from food triggers immune reactions and leads to irritation, inflammation and atrophy of the small intestinal mucosa with consequent malabsorption of nutrients. The only proven treatment for celiac disease is a strict, lifelong gluten-free diet. By following a diet, it is possible to effectively control the disease and preserve the quality of life. However, if the condition worsens, health professionals must ensure adequate nutrition during their stay in the hospital, and treatment in accordance with the identified needs. This paper presents the specifics of determining the need for care in patients with celiac disease (nursing history, determination of nutritional status and elimination data). Then, we considered the most common problems in the field of nursing care such as: knowledge deficit, diarrhea and vomiting, high risk of dehydration, malnutrition, risk of inadequate thermoregulation and inefficient health maintenance. Nursing interventions are also presented in order to solve these problems, during the hospital treatment of patients with celiac disease.
Highlights
This paper presents the specifics of determining the need for care in patients with celiac disease
Nursing interventions are presented in order to solve these problems, during the hospital treatment of patients with celiac disease
Ne treba zaboraviti na psihološke aspekte ovog doživotnog oboljenja, pružiti adekvatne savete i podršku pacijentima da istraju u promenama životnog stila i što brže postignu optimalno zdravlje, te je neophodno unaprediti i razvijati komunikacione veštine i savetodavni rad medicinskih sestara
Summary
Sanja Stojanović 1, Hajnalka Požar 2 1Opšta bolnica Subotica, Sektor za hirurške grane medicine 2 Visoka škola strukovnih studija u Subotici. SAŽETAK Celijakija je hronična autoimuna bolest tankog creva koja se javlja nakon unošenja namirnica koje u sebi sadrže gluten. Kod preosetljivih osoba gluten iz namirnica pokreće imunološke rakcije i dovodi do iritacije, upale i atrofije sluznice tankog creva sa posledičnom malapsorpcijom hranljivih materija. This paper presents the specifics of determining the need for care in patients with celiac disease (nursing history, determination of nutritional status and elimination data). Nursing interventions are presented in order to solve these problems, during the hospital treatment of patients with celiac disease. Celijakija ili glutenska enteropatija je doživotno, autoimuno oboljenje tankog creva čiji je uzrok nepodnošljivost organizma na gluten. Cilj ovog rada je da se sagledaju zadaci medicinske sestre u hospitalnom zbrinjavanju obolelih od celijakije, da se prikažu najznačajniji problemi na području zdravstvene nege, kao i sestrinske intervencije u cilju rešavanja ovih problema
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