Professional Nursing Care Applied to The Individual Diagnosed with Crohn's Disease: A Case Report
DOI:
https://doi.org/10.53713/htechj.v2i1.111Keywords:
nurse, Crohn's disease, North American Nurses Diagnosis Association (NANDA), care planAbstract
Crohn's disease, which is one of the inflammatory bowel diseases, is an intestinal disease with acute exacerbations and can involve any part from the mouth to the anus. The objective of this case report was to prepare a nursing care plan for a patient diagnosed with 'Crohn's Disease' by using the nursing diagnoses in the North American Nurses Diagnosis Association (NANDA) classification system. The patient was a female, married, a high school graduate, and a 36-year-old housewife. The patient was diagnosed with Crohn's disease as a result of laboratory and radiologic imaging in a hospital where she applied with severe abdominal pain in 2006. The patient received medical treatment for about two years and overcame the attack period of the disease. On April 11, 2022, the patient went to the Emergency Department of a university hospital with abdominal pain and fatigue. The patient's detailed laboratory findings and radiologic imaging were obtained, and she was admitted to the Gastroenterohepatology Service. It is very important that quality health care services are provided to individuals with poor health status by nurses, who are among the leading health professionals. It was observed that planning the patient's care according to the North American Nurses Diagnosis Association (NANDA) Classification System and analyzing the data according to the sub-dimensions of the model provided quick solutions for the patient's problems and systematic nursing care for the patient.
References
Ames NJ, Sulima P, Yates JM, McCullagh L, Gollins SL, Soeken K, et al. (2011). Effects of Systematic Oral Care in Critically Ill Patients: A Multicenter Study. American Journal of Critical Care, 20(5), 103-114.
Ananthakrishnan AN, Khalili H, Higuchi LM, Bao Y, Korzenik JR, Giovannucci EL, et al. (2012). Higher predicted vitamin D status is associated with reduced risk of Crohn's disease. Gastroenterology, 142(3), 482-489.
Ayello E., & Braden B. (2002). How and why to do pressure ulcer risk assesment. Adv Skin Wound Care, 15(3), 125-131.
Bernstein ML, & McDonald JS. (1978). Oral lesions in Crohn's disease: report of two cases and update of the literature. Oral Surg Ağız Med Ağız Pathol, 46, 234-245.
Chande N, Tsoulıs Dj, & Macdonald Jk. (2013). Azathioprine or 6-mercaptopurine for induction of remission in Crohn's disease. Cochrane database of systematic reviews, 10(10), CD000545.
Cosnes J, Cattan S, Blain A, Beaugerie L, Carbonnel F, Parc R, et al. (2002). Long‐term evolution of disease behavior of Crohn's disease. Inflammatory Bowel Diseases, 8(4), 244-50.
Cushıng K, & Hıggıns Pd. (2021). Management of Crohn Disease: A Review. JAMA, 325(1), 69-80.
Del Pinto R, Pietropaoli D, Chandar AK, Ferri C, & Cominelli F. (2015). Association Between Inflammatory Bowel Disease and Vitamin D Deficiency: A Systematic Review and Meta-analysis. Inflamm Bowel Dis, 21(11), 2708-2717.
De Souza Hs, & Fıocchı C. (2016). Immunopathogenesis of IBD: current state of the art. Nature Reviews Gastroenterology & Hepatology, 13(1), 13-27.
Dudeney TP, & Todd IP. (1969). Crohn’s disease of the mouth. Proc R Soc Med, 62, 1237.
Eilers J, Berger A, & Petersen M. (1988). Development, Testing and Application of the Oral Assessment Guide. Oncology Nursing Forum, 15(3), 325-330.
Feuersteın Jd, & Cheıfetz As. (2017). Crohn disease: epidemiology, diagnosis, and management. In Mayo Clinic Proceedings, 92(7), 1088-1103.
Higuchi LM, Khalili H, Chan AT, Richter JM, Bousvaros A, & Fuchs CS. (2012). A prospective study of cigarette smoking and the risk of inflammatory bowel disease in women. Am J Gastroenterol [Internet], 107(9), 1399–1406.
Hou J., Lee D., & Lewis J. (2014). Diet and Inflammatory Bowel Disease: Review of PatientTargeted Recommendations. Clin Gastroenterol Hepatol, 12(10), 1592–1600.
Ginzburg L. (1986). Regional enteritis: historical perspective (B. Crohn and L. Ginzburg). Gastroenterology, 90(5 Pt 1), 1310-1. Epub 1986/05/01.
Gomollón F, Dıgnass A, Annese V, Tılg H, Van Assch, G, Lındsay Jo, Peyrın Bıroulet L, Cullen Gj, Daperno M. Kucharzik T, Rieder F, 74 Almer S, Armuzzi A, Harbord M, Langhorst J, Sans M, Chowers Y, Fiorino G, Juillerat P, Mantzaris Gj, Rizzello F, Vavricka S, Gionchetti P, & Ecco. (2017). 3rd European Evidence-Based Consensus on The Diagnosis and Management of Crohn’s Disease 2016: part 1: diagnosis and medical management. Journal of Crohn's and Colitis, 11(1), 3-25.
ICN. (1972). Definition of Nurse, https://www.icn.ch/.18.11.2022 adresinden alındı son erişim tarihi: 18.11.2022
Khalili H, Ananthakrishnan AN, Konijeti GG, Liao X, Higuchi LM, Fuchs CS, et al. (2013). Physical activity and risk of inflammatory bowel disease: prospective study from the Nurses' Health Study cohorts. Bmj, 347, f6633.
Khor B, Gardet A, & Xavier RJ. (2011). Genetics and pathogenesis of inflammatory bowel disease. Nature, 474, 307.
Kondo Y, Abe T, Kohshi K, Tokuda Y, Francis Cook E, & Kukita I. (2011). Revised trauma scoring system to predict in-hospital mortality in the emergency department: Glasgow Coma Scale, Age, and Systolic Blood Pressure score. Critical Care, 15, R191.
Li G., Ren J., Wang G., Wu Q., Gu G., Ren H., Liu S., Hong Z., Li R., Li Y., Guo K., Wu X., & Li J. (2015). Prevalence and Risk Factors of Acute Lower Gastrointestinal Bleeding in Crohn Disease. Medicine, 94(19).
Mcdonald Jw, Wang Y, Tsoulıs Dj, Macdonald Jk, & Feagan Bg. (2014). Methotrexate for induction of remission in refractory Crohn's disease. Cochrane Database of Systematic Reviews, 8, CD003459.
Molodecky NA, Soon IS, Rabi DM, A.Ghali W, Ferris M, Chernoff G, et al. (2012). Increasing incidence and prevalence of the inflammatory bowel diseases with time, based on systematic review. Gastroenterology, 142(46), e30.
Pituch-Zdanowska A., Banaszkiewicz A., & Albrecht P. (2015). The role of dietary fibre in inflammatory bowel disease. Przeglad Gastroenterologiczny, 10(3), 135–141.
Prideaux L, De Cruz P, Ng SC, & Kamm MA. (2012). Serological antibodies in inflammatory bowel disease: a systematic review. Inflamm Bowel Dis, 18, 1340.
Sağlık Hizmetleri Genel Müdürlüğü Sağlıkta Kalite, Akreditasyon Ve Çalışan Hakları Dairesi Başkanlığı. (2021). İtaki Düşme Riski Ölçeği, Https://Shgmkalitedb.Saglik.Gov.Tr/Tr-13486/İtaki-İi-Dusme-Riski-Olcegi.Html. adresinden alınmıştır. Son Erişim Tarihi:22.11.2022
Sandborn Wj, Hanauer Sb, Rutgeerts P, Fedorak Rn, Lukas M, Macıntosh, Dg, Panaccıone R, Wolf D, Kent Jd, Bittle B, & Pollack Pf. (2007). Adalimumab for maintenance treatment of Crohn’s disease: results of the CLASSIC II trial. Gut, 56(9), 1232-1239.
Sebastıan S, Black C, Puglıese D, Armuzzı A, Sahnan K, Elkady Sm, ... Fearnhead Ns. (2018). The role of multimodal treatment in Crohn′ s disease patients with perianal fistula: a multicentre retrospective cohort study. Alimentary Pharmacology & Therapeutics, 48(9), 941-950.
Soydan, D., Çam, Yanık, T., & Çelebioğlu, A. (2020). Nursing Care According to the Care-Self-Treatment Model of an Individual Diagnosed with Lung Mass and Pneumonia: A Case Report. Balikesir Journal of Health Sciences, 9(2), 127-132.
The Office of National Coordinator for Health Information Technology. Standard Nursing Terminologies: A Landscape Analysis [Internet]: MBL Technologies, Clinovations, 15.05.2017 [updated 2022 Oct 18]. Available from: https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf
Tysk C, Lindberg E, Jarnerot G, et al. (1988). Ulserative colitis and Crohn's disease in an unselected population of monozigotic and dizigotic twins: A study of heritability and the influence of smoking. Gut, 29, 990-996.
Tomoko S, Kimberly LC, & David Ve. (2017). An update on İnflammatory Bowel Disease. Prim Care, 44(4), 673-692. doi: 10.1016/j.pop.2017.07.010.
Tozun N, Atug O, Imeryuz N, Hamzaoglu HO, Tiftikci A, Parlak E, et al. (2009). Clinical characteristics of inflammatory bowel disease in Turkey: a multicenter epidemiologic survey. Journal of Clinical Gastroenterology, 43, 51-57.
Özden A. (2013). Türkiye’de İltihabi Bağırsak Hastalığı Tarihine Kısa Bakış, 17(4), 294–301.
Van Dijk FMJ. Kappen HT. van Wijk AJM. Kalkman C., & Schuurmans JM. (2012). The diagnostic value of the numeric pain rating scale in older postoperative patients. Journal of Clinical Nursing, 21, 3018-3024. doi:10.1111/j.1365- 2702.2012.04288.x
Velioğlu, P. (2012). Hemşirelikte kavram ve kuramlar. (1. Baskı) Alaş Ofset.
Yücel İ., Aydın Sayılan A., & Salhaoğlu M. (2020). Case Report: Evaluation of the Individual with Esophageal Varicose Hemorrhage According to Marjoy Gordon's Functional Health Patterns Model. International Hippocrates Congress on Medical And Health Science, 18-19.
Wanner M, Martin BW, Autenrieth CS, Schaffner E, Meier F, Brombach C, et al. (2016) Associations between domains of physical activity, sitting time, and different measures of overweight and obesity. Prev Med Rep, 3, 177-184.
Wedrychowicz A et al. (2016). Advances in nutritional therapy in inflammatory bowel diseases. World J Gastroenterol, 22(3), 1045-1066.
WHO. (2019). Cough and cold remedies for the treatment of acute respiratory infections in young children. World Health Organization. http://apps.who.int/iris/bitstream/10665/66856 /1/WHO_FCH_ CAH_01.02.pdf?ua=1&ua=1 adresinden alındı son erişim tarihi : 18.11.2022
