Abstract:

It is a disease state characterized by the inability to digest even normal foods due to the loss of the digestive gland function, one of the two functions of the pancreas, due to insufficient production of exocrine secretion produced from the pancreas. In this case report, it was aimed to provide nursing care to the individual according to the nursing diagnoses in the North American Nurses Association (NANDA) classification system. The patient was 77 years old, male, married and had four children. The case had Diabetes Mellitus in 2012, Gout, Hypertension and Chronic Arterial Disease in 2019. The patient had 5 angioplasties and had a total of 2 stents. The patient does not know the operation dates. In 2021, the patient presented to an external center with the complaint of diarrhea (7/day) and Whole Abdomen MRI+MRCP imaging was performed. As a result of imaging, it was found that there was a 1cm diameter simple parenchymal cyst in the liver. He had been taking continuous medications, a blood thinner, a stomach protector and a long-acting insulin. The patient was allergic to Teramicine cream. The patient was admitted to the Emergency Department of a university hospital in April 2022 with complaints of abdominal pain, weakness, weight loss and diarrhea (8-10/day). Detailed laboratory results of the patient were analyzed in detail. The vital signs of the patient were heart rate: 120/min, blood pressure: 130/80mm/Hg, body temperature: 36.2C (tympanic region). The patient was hospitalized in the Gastrohepatology Service for further investigation. The patient's oral intake was stopped by the physician due to hematochezia. Hemogram follow-up was performed 6*1 in order to monitor the patient closely for signs and symptoms of bleeding. Signs and symptoms of bleeding were explained to the patient. The patient was encouraged to ask questions about the process. The main role of the nurse was to support the patient and family to live a long and trouble-free life and to comply with the treatment. It was observed that the nurse's holistic approach to the individual by analyzing the case solved the patient's problems in a short time and the nursing care given to the patient was systematic.

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