LIFE OF PATIENTS BEFORE AND AFTER PLEURAL PUNCTURE

Teoretična izhodišča: V diplomskem delu smo predstavili dihanje in spremembe dihanja. Pri spremembah dihanja smo se posebej posvetili dispneji, ki je eden vodilnih simptomov pri plevralnem izlivu.. Plevralni izliv se pojavi zaradi prekomernega kopičenja tekočine v plevralnem prostoru. Simptomi, ki jih povzroča plevralni izliv so ostra plevritična bolečina, kašelj in dispneja, ki so bili vodilni tudi pri našem pacientu. Diagnostika plevralnega izliva zahteva skrbno anamnezo. Namen raziskave je predstaviti življenje pacienta s plevralnim izlivom ter s študijo primera ugotoviti težave, s katerimi se je soočil pacient pred in po plevralni punkciji. Raziskovalna metodologija: V raziskovalnem delu smo izvedli študijo primera pacienta s plevralnim izlivom. Podatke in informacije smo pridobili od primarnega vira – pacienta, z metodo opazovanja, merjenja in z intervjujem oz. pogovorom, ki smo ga opravili na dan sprejema v Splošno bolnišnico Celje in en teden po opravljeni plevralni punkciji. Rezultati: Rezultati raziskave so pokazali, da plevralni izliv omejuje pacienta pri življenjskih aktivnostih kot so: dihanje, prehranjevanje in pitje, gibanje in ustrezna lega, spanje in počitek, osebna higiena in urejenost, izogibanje nevarnosti v okolju in komuniciranje. Življenje pacienta se je po plevralni punkciji bistveno izboljšalo. Razprava in sklep: Pri pacientu s plevralnim izlivom je potrebna interdisciplinarna obravnava, predvsem internistična, včasih tudi kirurška. Pri tem ima pomembno vlogo tudi medicinska sestraBacground: this bachelor thesis deals with breathing and changes in breathing. As far as changes in breathing are concerned, dyspnea-one the leading symptoms of pleural effusion, is explained in detail. The cause of pleural effusion is an abnormal accumulation of fluid in pleural space and it causes symptoms such as pleuritic pain, cough and dyspnea. The patient included in the case study developed similar symptoms. The diagnosis of pleural effusion demands a proper medical history. The purpose of the research is to present a patient with a pleural effusion and carry out a case study to define any problems encountered by a patient undergoing pleural puncture. Research methodology : in the empirical part of the thesis we carried out case study of a patient with a pleural effusion. The data was gathered from a primary source (a patient) by means of observation, physical examination and interview at two points in time – when admitting a patient with a pleural effusion in the General Hospital of Celje and a week after thoracentesis procedure. Results : the results showed that pleural effusion restricted the patient in everyday activities such as breathing, eating, drinking, movement and lying down, sleeping and resting, personal hygiene practice and tidiness, communicating and avoiding dangers in the environment. The quality of the patient\u27s life significantly improved after the puncture. Discussion and conclusion : a patient with a pleural effusion needs good interdisciplinary care, mostly by a specialist in internal medicine and sometimes by a surgeon. Nevertheless, a nurse also plays an important role therei