J Psy Nurs. 2020; 11(2): 154-162 | DOI: 10.14744/phd.2019.80774

Nursing care for a patient with bipolar disorder (mixed attack) based on the Neuman Systems Model: A case report

Ebru Akbaþ¹, Gülay Taþdemir Yiðitoðlu^2
1Department of Psychiatric Nursing, Pamukkale University Health Sciences Institute, Denizli, Turkey
²Department of Psychiatric, Pamukkale University Sciences Faculty School of Nursing, Denizli, Turkey

Bipolar disorder is a chronic mental illness that can involve manic and depressive episodes, as well as mixed episodes that involve both manic and depressive episodes. It can lead to significant psychosocial impairment and disability and can adversely affect the social relations, education, and professional success of the individual throughout life. Bipolar disorder causes stress for both the patient and family members. In this period, when intense support is needed, informing the patient and his/her family about illness and treatment is important. The Neuman Systems Model focuses on the optimal wellbeing of the individual and holistic management of treatment. In its holistic approach, the Neuman System defines nursing as the only profession that deals with all the factors that can affect an individual's response to possible and true stressors. Neuman attributes the uniqueness of nursing to its use of information and its regular unification with treatment approaches. From this point of view, Neuman believes that nurses should act as health care coordinators for individuals. In this case report, nursing care was planned and applied based on the Neuman System Model for a forty-year-old adult female diagnosed with bipolar disorder. A nursing care plan was prepared, and nursing interventions were applied to the patient aligned with the North American Nursing Diagnosis Association nursing diagnosis. In conclusion, applied nursing care was effective for the patient’s needs; however, there is a need for more model-based studies with larger samples.

Keywords: Bipolar disorder, Neuman Systems Model, nursing; nursing care.

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Neuman Sistemler Modeli’ne göre bipolar bozukluk (karma atak) olan hastaya hemþirelik bakýmý: Olgu sunumu

Ebru Akbaþ¹, Gülay Taþdemir Yiðitoðlu^2
1Pamukkale Üniversitesi Saðlýk Bilimleri Enstitüsü, Psikiyatri Hemþireliði Anabilim Dalý, Denizli
²Pamukkale Üniversitesi Saðlýk Bilimleri Fakültesi, Hemþirelik Bölümü, Psikiyatri Hemþireliði Anabilim Dalý, Denizli

Bipolar bozukluk manik, depresif veya karma epizotlarla ilerleyen, belirgin psikososyal bozulmaya ve yeti yitimine sebep olabilen bireyin hayatý boyunca sosyal iliþkilerini, eðitimini ve mesleki baþarýsýný olumsuz yönde etkileyebilen kronik seyirli ruhsal bir hastalýktýr. Bipolar bozukluk, hem hasta hem de aile üyeleri için stres yaratmaktadýr. Yoðun destek vermek gereken bu dönemde hasta ve ailesinin hastalýk süreciyle ve tedavisiyle ilgili bilgilendirilmesi oldukça önemlidir. Neuman Sistemler Modeli, bireyin optimal iyilik haline ve bütüncül olarak ele alýnmasýna odaklanmýþtýr. Neuman hemþireliði, kiþinin olasý ve gerçek stresörlere yanýtýna etki edebilecek tüm faktörleriyle ilgilenen tek ve eþsiz bir meslek þeklinde tanýmlamýþtýr. Neuman hemþireliðin eþsizliðini, bilginin kullanýlmasýna ve düzenli bir þekilde birleþtirilmesine baðlar. Bu bakýþ açýsýyla Neuman hemþirelerin kiþiler için saðlýk bakým koordinatörleri olarak faaliyet göstermesi gerektiðine inanýr. Bu olguda bipolar bozukluk tanýsý alan kýrk yaþýndaki bir yetiþkine Neuman Sistemler Modeli’ne göre hemþirelik bakýmý sunulmaktadýr. Bu modele göre hastaya NANDA hemþirelik tanýlarý doðrultusunda bakým planý hazýrlanmýþ ve hemþirelik giriþimleri uygulanmýþtýr. Sonuçta model doðrultusunda uygulanan hemþirelik bakýmýnýn hastanýn gereksinimlerinde etkili olduðu düþünülmekte ve örneklem sayýsýnýn geniþ olduðu model temelli çalýþmalarýn yapýlmasý önerilmektedir.

Anahtar Kelimeler: Bipolar bozukluk, hemþirelik; hemþirelik bakýmý; Neuman Sistemler Modeli.

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