| Abstract [eng] |
SUMMARY Author: Kačėnaitė I. Title: Needs and Peculiarities of Nursing Polytraumatic Patients at Reception Department Work on completion of the nursing specialty Work supervisor: D. m. sc. G. Laužikas Vilnius University Medical Faculty Department of General Medicine Practice and Nursing, Antakalnio 57,Vilnius, Lithuania 2006 06 14 Number of pages – 65 Aim: To analyse the main nursing aspects as well as nursing optimisation while providing aid at the reception department to patients who suffer from polytrauma. Objectives: 1. To analyse body’s vital activity disorders which have impact upon nursing patients who have experienced polytrauma. 2. To establish the most common problems while nursing patients with polytrauma. 3. To establish the most common accomplished nursing activities while providing aid at the reception department to patients who have experienced polytrauma. 4. To analyse the causes, which determine the nursing term at the reception department of a patient with polytrauma. During the course of investigation case records as well as examination reports of 99 patients who arrived at the Ambulance and Consultation Department of the Reception Department of Vilnius Ambulance University Hospital with the diagnosis of polytrauma from 2005 11 01 to 2005 12 31 have been analysed. Besides, the nurses working at the reception departments of Vilnius Ambulance University Hospital (26 nurses), Santariskiu Clinics Branch of Vilnius University Hospital (10 nurses) as well as Kaunas City University Clinics (16 nurses) was interviewed. 1. Breathing, blood circulation, moving, and safe environment personal hygiene vital activities influence nursing of a patient with polytrauma. Nursing of polytraumic patients also depends on patients’ consciousness degree and trauma degree. 2. The most usual nursing problems of polytraumatic patients are breath disorders, bleeding problem, pain and movement disorders. A more unusual problem is complicated communication as well as patient’s feeling of insecurity and fear. While working with polytraumatic patients having lack of various specialists is a very common problem. Sometimes it is difficult to identify the patient. 3. A nurse at the reception department, while working with polytraumatic patients, informs the doctor on the newly arrived patients, watches patients, takes part in diagnostic procedures, takes patients’ blood and urine tests for different analyses, installs catheters into peripheral venous as well as subordinates infusion systems, installs catheters into urinary cyst, ensures the necessary body position of a patient, performs the dressing, applies oxigenotheraphy. She also has to assist the doctor with patient’s intubation, installation of catheters into central venous, pleura drainage, lumbalic puncture, initial treatment of wounds and plastering, takes part in patients’ specialised reanimation, prepares patients for urgent surgeries, accomplishes tetanus prophylaxis and performs patients’ sanitary clean. 4. The nursing term at the reception department depends on patient’s consciousness degree: the more complicated the consciousness disorder, the faster he/she is moved to another department. The number of performed laboratory, X-ray and instrumental analyses, as well as the number of performed nursing activities also influences the nursing term at the reception department. The more various analyses and nursing activities are performed, the longer the term of patient’s presence at the reception department is. |
