AMPUTASYON ENDIKASYONU OLAN İSKEMIK ÜLSERLI AYAĞIN PALYATIF BAKIM SONUCU İYILEŞMESI: OLGU SUNUMU

Ali Ramazan Benli; Aybala Cebecik; Ufuk Turan Kürşat Korkmaz; Malik Abacı; Didem Sunay

EN TR

Palliative Care Resulting in the Recovery of an İschaemic, Ulcerated Foot With İndications for Amputation: Case Report

Abstract

Aim: The home healthcare services and palliative care services are co-ordinated in our hospital by the Family Medicine Department. With this case presentation, it was aimed to emphasise the importance of co-ordination of the palliative care unit with home healthcare services in the treatment and care of selected patients. Case: A 78-year old female was evaluated by the home healthcare services because of a wound in the left foot which had not recovered for 2 years and was then admitted to the palliative care unit with an infected wound 4 x 5 cm in the distal of the left ankle extending laterally. Amputation of the injured foot had been recommended to the patient but she had refused that option. At the end of the 3rd week of palliative care, the foot wound was seen to have improved and the patient was discharged with follow-ups to be made by home healthcare services. Discussion: Palliative care is a branch which aims to help patients who are not fully recovered because of a chronic disease or who require end-of-life support. In the case presented here, a 78-year old female patient was monitored by home healthcare services but routine dressing changes were not applied and further treatment was required. The patient was referred to the palliative care unit, was admitted and recovered with the appropriate treatment.

Keywords

Palliative care,home healthcare,coordination,wound

AMPUTASYON ENDIKASYONU OLAN İSKEMIK ÜLSERLI AYAĞIN PALYATIF BAKIM SONUCU İYILEŞMESI: OLGU SUNUMU

Öz

Giriş: Palyatif bakım servisi ve evde sağlık hizmetlerinin koordineli bir şekilde çalışması hastaların takip ve tedavisinde önemli rol oynamaktadır. Bu olgu sunumu ile seçilmiş hastalarda birimler arasındaki koordinasyonun tedavideki etkisini göstermeyi amaçladık.Olgu: Evde sağlık hizmetlerinin evinde ziyaret ettiği 78 yaşında bayan hastanın sağ ayakta 2 yıl devam eden kronik yarası mevcut. Yara sağ ayak bileği laterale doğru uzanan, 4X5 cm. genişliğinde enfekte görünümlü idi. Amputasyon kararı verilmesine rağmen hastanın bu durumu reddettiği öğrenildi. Palyatif bakım servisinde 3 haftalık takip ve tedavisi sonrası yarası düzeldi. Evde sağlık hizmetlerinin kontrolünde olacak şekilde taburcu edildi

Anahtar Kelimeler

Palyatif bakım,evde sağlık hizmetleri,koordinasyon,yara

References

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Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Ali Ramazan Benli

Aybala Cebecik

Ufuk Turan Kürşat Korkmaz

Malik Abacı

Didem Sunay

Publication Date

June 1, 2019

Submission Date

-

Acceptance Date

-

Published in Issue

Year 2019 Number: 2

IZ

https://izlik.org/JA54EJ56RH

Cite

RIS / Bibtex

EndNote

Benli AR, Cebecik A, Korkmaz UTK, Abacı M, Sunay D (June 1, 2019) AMPUTASYON ENDIKASYONU OLAN İSKEMIK ÜLSERLI AYAĞIN PALYATIF BAKIM SONUCU İYILEŞMESI: OLGU SUNUMU. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2 306–310.