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Ciddi Yanıklı Hastanın Acil Dönemdeki Bakımı

Year 2016, Volume: 24 Issue: 1, 49 - 58, 18.05.2016

Abstract

Yanıklar, nekroz ve sistemik hasarların geliştiği, insanların acı çekmesine, sakat kalmasına ve ölmesine neden olan, ülke ekonomisine ciddi yükler getiren önemli travmalardan biridir. Acil dönem, yanığın oluşması ile birlikte sıvı kaybı ve ödem gelişimini izleyen, sıvı tedavisinin tamamlanmasına ve diürezin başlamasına kadar devam eden, yaklaşık 24- 48 saat süren dönemdir. Bu dönemde doğru, eksiksiz, hızlı tanılama yapılarak, yaşam kurtarıcı acil girimlerin hemen başlatılması gerekmektedir. Uygulanacak bakım girişimleri havayolu açıklığını, solunumu, dolaşımı sağlama ve sürdürme, sıvı tedavisi, yara bakımı ve beslenme desteğine temellenir. Yanıklı hastaya bakım veren hemşire, yanık sonrası oluşan fizyolojik değişikliklere ilişkin güncel ve kapsamlı bilgiye ve hastanın durumundaki ani değişiklikleri fark edebilecek kritik değerlendirme becerisine sahip olmalıdır. Ayrıca hemşire, yaşam riskinin yanında ciddi travma nedeniyle psikososyal sorun yaşayan hasta ve ailesine duyarlı, nazik ve şefkatli bir tutum içinde, gereksinimleri temelinde bakım sağlayabilmelidir.

Anahtar Kelimeler: Acil servis, hemşirelik bakımı, yanıklar.

The Care of Patient with Major Burn in the Emergency Period

Year 2016, Volume: 24 Issue: 1, 49 - 58, 18.05.2016

Abstract

Burns are one of the important traumas which cause to necrosis and systemic damages, to lead people to suff er, to become disabled and even to death, and to bring severe burdens on the country’s economy. The emergency period is the time of about 24-48 hours that begins with the formation of burn, followed by loss of fl uid and developing of oedema, continues until completing the treatment of fl uid and beginning the diuresis. Within this period, the life-saving emergency interventions are required to be started immediately by performing an accurate, complete and rapid diagnosis. Care interventions to be applied are based on ensuring and sustaining the intact airway passage, respiration and circulation, fl uid-electrolyte balance and wound care as well as on nutritional support. The nurse who provides care to the patient with burn should have the actual and comprehensive knowledge regarding the physiological changes occurred post-burn period and the skill of critical evaluation to realize the sudden changes in the patient’s condition. In addition to this, the nurse should be able to provide care to the patient who experiences psychosocial problem due to trauma besides the risk of life and their family, in a sensitive, gentle and caring attitude, based on their requirements.

Keywords: Emergency service, nursing care, burns

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Details

Journal Section Reviews
Authors

Didem Öztürk

Neriman Akyolcu

Publication Date May 18, 2016
Published in Issue Year 2016 Volume: 24 Issue: 1

Cite

APA Öztürk, D., & Akyolcu, N. (2016). The Care of Patient with Major Burn in the Emergency Period. Florence Nightingale Journal of Nursing, 24(1), 49-58. https://doi.org/10.17672/fnhd.26160
AMA Öztürk D, Akyolcu N. The Care of Patient with Major Burn in the Emergency Period. Florence Nightingale Journal of Nursing. May 2016;24(1):49-58. doi:10.17672/fnhd.26160
Chicago Öztürk, Didem, and Neriman Akyolcu. “The Care of Patient With Major Burn in the Emergency Period”. Florence Nightingale Journal of Nursing 24, no. 1 (May 2016): 49-58. https://doi.org/10.17672/fnhd.26160.
EndNote Öztürk D, Akyolcu N (May 1, 2016) The Care of Patient with Major Burn in the Emergency Period. Florence Nightingale Journal of Nursing 24 1 49–58.
IEEE D. Öztürk and N. Akyolcu, “The Care of Patient with Major Burn in the Emergency Period”, Florence Nightingale Journal of Nursing, vol. 24, no. 1, pp. 49–58, 2016, doi: 10.17672/fnhd.26160.
ISNAD Öztürk, Didem - Akyolcu, Neriman. “The Care of Patient With Major Burn in the Emergency Period”. Florence Nightingale Journal of Nursing 24/1 (May 2016), 49-58. https://doi.org/10.17672/fnhd.26160.
JAMA Öztürk D, Akyolcu N. The Care of Patient with Major Burn in the Emergency Period. Florence Nightingale Journal of Nursing. 2016;24:49–58.
MLA Öztürk, Didem and Neriman Akyolcu. “The Care of Patient With Major Burn in the Emergency Period”. Florence Nightingale Journal of Nursing, vol. 24, no. 1, 2016, pp. 49-58, doi:10.17672/fnhd.26160.
Vancouver Öztürk D, Akyolcu N. The Care of Patient with Major Burn in the Emergency Period. Florence Nightingale Journal of Nursing. 2016;24(1):49-58.