Examination of the Patient Undergoing Hemodialysis According to Ida Jean Orlando s Interaction Model and Nursing Care: A Case

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, developing patient-specific nursing interventions and systematically presenting nursing care.The case is a 66-year-old woman who has been married, has 3 children, has been diagnosed with Diabetes Mellitus for 9 years, Chronic kidney failure for 2 years and undergoes hemodialysis treatment. In this process, fistula was opened from the patient s left arm, and hemodialysis treatment continued.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, 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 Chronic kidney failure, 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, 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.