Nurse`s tasks in the care of children with acute intestinal infections

Cilj rada: Prikazati sestrinske postupke u skrbi djeteta oboljelog od akutne crijevne infekcije pri prijemu u bolnicu, planiranju, provođenju i evaluiranju sestrinske skrbi na temelju utvrđenih potreba iz područja zdravstvene njege. Opis slučaja: Prikaz slučaja opisuje dijete u dobi od 1 godine i 9 mjeseci oboljelo od crijevne rotavirusne infekcije koje boravi na Odjelu za dječju gastroeneterologiju, hepatologiju, pulmologiju, alergologiju i imunologiju u pratnji majke. Tijekom procesa sestrinske skrbi utvrđeno joj je sedam sestrinskih dijagnoza od kojih je od najveće važnosti dijagnoza: dehidracija u/s povišenom tjelesnom temperaturom, proljevom i povraćanjem što se očituje blijedom kožom, smanjenim turgorom kože i gubitkom elektrolita. Na temelju utvrđenih problema, isplanirane su i provedene sestrinske intervencije namijenjene smanjenju ili uklanjanju problema te je pacijentica nakon poboljšanog stanja otpuštena iz bolnice na majčin zahtjev. Zaključak: Akutne crijevne infekcije zahtijevaju posebnu pažnju medicinskih sestara u njihovu liječenju jer se ne mogu jednostavno otkloniti određenim lijekovima. Potreban je profesionalan pristup medicinskih sestara kako u radu s djetetom, tako i s njegovim roditeljima/skrbnicima. Medicinske sestre istovremeno promatraju stanje djeteta, komuniciraju s liječnicima, provode simptomatsko liječenje i prate uspješnost liječenja. Tijekom pružanja sestrinske skrbi trebaju biti stručne kako bi ono što roditelji kroz njih spoznaju bilo adekvatno za njihovu edukaciju, a sve u svrhu izlječenja i zaustavljanja širenja ovakvih bolesti.Objectives: To show nursing procedures in the care of a child suffering from an acute intestinal infection during admission to the hospital, planning, implementation, and evaluation of nursing care based on established needs in the field of health care. Case study: The case report describes a child at the age of one year and nine months who was admitted to the Department of Pediatric Gastroenterology, Hepatology, Pulmonology, Allergology, and Immunology accompanied by her mother and who was suffering from an intestinal rotavirus infection. During the nursing process, she was diagnosed with seven nursing diagnoses of which the most important were the following: dehydration related to increased body temperature, diarrhea and vomiting, as evidenced by pale skin, reduced skin turgor, and loss of electrolytes. After identifying the problems, nursing interventions designed to reduce or eliminate them were planned and implemented and the patient was discharged from the hospital after improved condition at the mother's request. Conclusion: The treatment of acute intestinal infections requires special attention from nurses because those infections cannot be easily eliminated with certain drugs. A professional approach by nurses is needed both in working with the child and with his parents/guardians. At the same time, nurses observe the child's condition, communicate with doctors, carry out symptomatic treatment, and monitor their success. While providing nursing care, nurses should be professional so that parents observing and listening to them are also properly educated, all for the purpose of curing and stopping the spread of such diseases