| Years of hospitalization |
Diagnosis and treatment |
Selected problems of nursing care |
| 1994, 1995 UCK |
•The emergence of severe chest pain.
•Outpatient treatment. The X-ray examination of the chest - thickening of the clavicle bones and ribs on the left side was found.
|
•Anxiety caused by the onset of disease symptoms.
|
1995
PCT & UCK |
•The resection of the fragment of the clavicle on the left side.
•Resection of parasternal fragments of ribs II-III on the left side.
•Histopathological examination revealed fibrous dysplasia of clavicle and ribs I, II, and III.
|
•Anxiety caused by
prolonged diagnostic process.
•Knowledge deficit of the surgical site care.
•Fear as a result of the diagnosis of FD.
|
2001 PCT
&
2002 OSK |
•Excision of dysplasia focus in the proximal left clavicle.
•Partial resection of the right clavicle.
|
•Emotional problems as a result of marriage breakdwn.
|
2004
PCT |
•Resection of the fragment of sternum, clavicle,
•rib I and II on the left side.
|
|
2004
UCK |
•Teletherapy - Cliniac linear accelerator 6 MeV photons on the chest area with the technique of 2 parallel opposed fields of dimensions 11x15 cm Dgref. = 6Gy/1FR.
|
•Knowledge deficit due to the inclusion of a new therapy.
•The risk of complications after teletherapy.
|
2006
UCK |
•Removal of the right clavicle and partial resection of rib I on the right side.
•Consultation in chronic pain clinic. Suspected addiction to analgesics.
|
•Chronic pain.
•Possibility of complications resulting from smoking habit.
|
2008
UCK |
•The intensification of pain and radiological changes of the chest.
•Resection of the clavicle and the fragment of the chest wall with mesh implantation.
•Resection of ribs II and III on the right side.
|
•Anxiety caused by chronic wound treatment.
|
2008
UCK |
•Postoperative wound suppuration.
•Thoracomioplastic operation.
|
•Disorders in the correct health behaviors.
•Anti-smoking education
|
2009
UCK |
•Treatment for chronic skin/mediastinal fistula.
•Resection of fistula and skin/muscle plastic surgery
|
|
2010
UCK |
•Resection of skin/mediastinal fistula
•Wound revision
|
|
2011
UCK |
•Plastic surgery and postoperative wound closure.
•In the course of postoperative care the wound was opened and treatment was continued with the use of the vacuum based dressings method.
•Fear as a result of the diagnosis of FD.
|
•Knowledge deficit of the care of surgical site.
•Discomfort due to chronic infection of the wound.
|
| 2012 |
•Outpatient treatment
|
•The progressive body weight loss.
|
2013
Specialist Hospital in Prabuty |
•Surgery of suppurative fistula at the upper part of the sternum.
•Resection of the mesh and the chest wall.
|
•Difficult financial situation.
•Loneliness.
•Anxiety caused by chronic wound treatment.
|
Source: author’s own analysis.
Description: 1. UCK: University Clinical Centre in Gdansk, 2. PCT: PomeranianCentre of Traumatology in Gdansk. (Copernicus), 3. OSK: District Railway Hospital in Gdansk. |