Özet:

This phenomenon is planned to guide nurses to model use, using Orlando's Interaction Model in the care of a patient diagnosed with chronic kidney failure and treated with hemodialysis, to develop patient-specific nursing initiatives and systematically provide nursing care. The case is a 66 year old married and a mother with three children. At the age of 57 he is a patient with mouth dryness, frequent signs of urination and internal diseases. Diabetes mellitus has been diagnosed. The 59-year-old has been diagnosed with hypertension to the patient who returns to emergency service with a symptom of headache. At the age of 64, he was hospitalized with recurring illness, fatigue, cough and symptoms of infection. The patient with a chronic kidney failure diagnosis was followed, the treatment of hemodialysis began with the installation of a central catheter. During this process, the patient's left arm was opened and the hemodial therapy continued. During the process of treatment of hemodialysis, the patient has formed complaints of fatigue, insomnia, cramps in the hands and feet, swelling, pain, insomnia. He also pointed out that he was difficult to follow the patient’s diet, that he could not be a good spouse and that he was afraid of death. During the treatment, the patient has been constantly faced with negative symptoms. The fact that the patient has been diagnosed with CBD, the fact that he is experiencing a special and challenging treatment process brings a serious physiological and psychological need for the individual. Therefore, the individual needs a systematic nursing care and guidance along with professional communication. According to Orlando’s “theory of interaction”, the nursing process is defined as the patient’s behavior, the nursing’s reaction, and the nursing initiatives formed for the patient’s benefit affect each other. In Orlando's "theory of interaction"; a systematic nursing care is planned, developed and implemented in the process of communication established with the patient in this framework. At the end of the process, positive feedback was received on the patient's oral and non-oral behavior. As a result; Orlando’s theory of interaction can be used in the practice of communicating with the patient, understanding the patient’s reactions, determining their needs and care.

Anahtar Kelimeler:

Özet:

This case was planned with the aim of directing nurses to model use by using Orlando's Interaction Model in the care of a patient undergoing hemodialysis treatment with the diagnosis of chronic renal failure, developing patient-specific nursing interventions and systematically presenting nursing care. The case is a 66-year-old married mother with three children. The patient was admitted to the internal diseases outpatient clinic with symptoms of frequent dryness when he was 57 years old. Diabetes mellitus was diagnosed as a result of the examinations. 59 years old went to the emergency room with a symptom of headache. The patient was diagnosed with hypertension. At the age of 64 years, she was admitted to the hospital with symptoms of weakness, fatigue, cough and infection. Hemodialysis treatment was started with central catheter insertion. In this process, fistula was opened from the left arm of the patient and hemodialysis treatment was started. Hemodialysis treatment in patients with fatigue, fatigue, cramps, itching, pain, insomnia and hands occurred in the hands. She also stated that she had difficulty complying with the diet of the patient, had not been a good wife and had fear of death. During the course of the treatment, the patient had to cope with negative symptoms. The fact that the patient is diagnosed with CRF, is experiencing a special and challenging treatment process brings with it a serious physiological and psychological need for the individual. Therefore, the individual needs a systematic nursing care and professional communication and guidance. According to Orlando's ’interaction theory te, the nursing process; the behavior of the patient, nurses' response and shaped nursing interventions to benefit the patient are mentioned as affecting each other. According to Orlando's "interaction theory"; A systematic nursing care was planned, developed and implemented in the communication process established with the patient. At the end of this process, positive feedback was obtained in verbal and nonverbal behavior of the patient. As a result; Orlando’s interaction theory can be used to communicate with patients, understand patient responses, identify needs, and practice care.