Femoral Nerve Injury during Neuroborreliosis — Nursing Care. Case Report
DOI:
https://doi.org/10.15225/PNN.2022.11.4.5Keywords
femoral nerve, neuroborreliosis, nursing careAbstract
Introduction. Neuroborreliosis is an insidious disease. It is often confused with other neurological diseases. Diagnosis is possible when the following are present: neurological symptoms indicative of neuroborreliosis, pleocytosis in CSF, and production of antibodies to Borrelia burgdorferi in CSF.
Aim. To assess the health situation and determine the nursing needs of a patient with femoral nerve damage during neuroborreliosis.
Case Report. A 31-year-old woman was admitted to the Department of Neurology as an elective patient. On the basis of the clinical picture, elevated levels of protein and lymphocytic cells in the examination of cerebrospinal fluid and the demonstrated intrathecal synthesis of antibodies against Borrelia diagnosed neuroborreliosis with damage to the left femoral nerve. Observation, interview, and analysis of medical records were used to identify nursing problems correctly. The scales used were: the NRS Rating Scale (pain intensity), Lovett Scale (muscle strength assessment), Hospital Anxiety and Depression Scale Questionnaire (a modified version of the HADS scale to assess anxiety and depression), AIS Scale (to assess insomnia), Baxter Scale (to monitor and assess the risk of complications associated with venous cannulation).
Conclusions. Dorothea Orem’s nursing theory is appropriate for a patient with neuroborreliosis. The patient’s main problems are: experiencing pain, difficulty in movement, and mental deterioration. The disease and related treatment and hospitalization influence bio-psycho-social deterioration. Holistic nursing management should be adapted to the patient’s changing condition. Care includes activities aimed at nullifying the effects of the disease, providing emotional support, and education regarding proper rehabilitation management and prevention of Lyme disease. (JNNN 2022;11(4):174–179)
References
Królik P. Borelioza, postać wczesna rozsiana z zajęciem nerwu okoruchowego — opis przypadku. Post Nauk Med. 2017;8:414–417.
Mygland Å., Ljøstad U., Fingerle V., Rupprecht T., Schmutzhard E., Steiner I. EFNS guidelines on the diagnosis and management of European Lyme neuroborreliosis. Eur J Neurol. 2010;17(1):8–16, e1–4.
Zbrzeźniak J., Rosolak A., Paradowska-Stankiewicz I. Lyme disease in Poland in 2019. Przegl Epidemiol. 2021;75(2):210–214.
Narodowy Instytut Zdrowia Publicznego PZH, Zakład Epidemiologii Chorób Zakaźnych i Nadzoru. Choroby zakaźne i zatrucia w Polsce w 2010–2020 roku, Warszawa 2011–2021.
Swearingen P.L. All-in-One Nursing Care Planning Resource: Medical-Surgical, Pediatric, Maternity, and Psychiatric-Mental Health (4th ed.). Elsevier/Mosby, Philadelphia 2016.
Ackley B.J., Ladwig G.B., Makic M.B.F. Nursing Diagnosis Handbook. An Evidence-Based Guide to Planning Care (11th ed.). Elsevier, Missouri 2017.
Dobrogowski J. Niefarmakologiczne metody leczenia bólu. Pol Przegl Neurol. 2007;3(4):272–278.
Szczudlik A., Dobrogowski J., Wordliczek J. i wsp. Rozpoznanie i leczenie bólu neuropatycznego: przegląd piśmiennictwa i zalecenia Polskiego Towarzystwa Badania Bólu i Towarzystwa Neurologicznego — część druga. Ból. 2014;15(3):8–21.
Giacosa A., Morazzoni P., Bombardelli E., Riva A., Bianchi Porro G., Rondanelli M. Can nausea and vomiting be treated with ginger extract? Eur Rev Med Pharmacol Sci. 2015;19(7):1291–1296.
Buddeberg B.S., Bandschapp O., Girard T. Post-dural puncture headache. Minerva Anestesiol. 2019;85(5):543–553.
Arevalo-Rodriguez I., Ciapponi A., Munoz L., Roqué i Figuls M., Bonfill Cosp X. Posture and fluids for preventing post-dural puncture headache. Cochrane Database Syst Rev. 2013;(7):CD009199.
Gulanick M., Myers J.L. Nursing Care Plans: Diagnoses, Interventions, and Outcomes (8th ed.). Elsevier/Mosby, Philadelphia 2014.
Drageset J., Eide G.E., Nygaard H.A., Bondevik M., Nortvedt M.W., Natvig G.K. The impact of social support and sense of coherence on health-related quality of life among nursing home residents — A questionnaire survey in Bergen, Norway. Int J Nurs Stud. 2009;46(1):66–76.
Jaracz K., Domitrz I. (Red.), Pielęgniarstwo neurologiczne. PZWL, Warszawa 2021.
Clark D.J. Older adults living through and with their computers. Comput Inform Nurs. 2002;20(3):117–124.
Ślusarska B., Zarzycka D., Zahradniczek K. (Red.), Podstawy pielęgniarstwa. Podręcznik dla studentów i absolwentów kierunków pielęgniarstwo i położnictwo. Tom 1: Założenia teoretyczne. PZWL, Warszawa 2013.
Jurkowska G., Łagoda K. (Red.), Pielęgniarstwo internistyczne. PZWL, Warszawa 2015.
Benedysiuk E., Wójtowicz K. Standard pielęgnacji dostępu naczyniowego jako narzędzie monitorowania infekcji łożyska naczyniowego. Forum Med Rodz. 2017;11(4):187–194.
Gorski L.A., Hadaway L., Hagle M.E. et al. Infusion Therapy Standards of Practice, 8th Edition. J Infus Nurs. 2021;44(1S Suppl 1):S1–S224.
Zajkowska J., Drozdowski W. Neuroborelioza — trudności diagnostyczne. Neurologia po Dyplomie. 2013;8(1):6–15.
Zajkowska J.M., Hermanowska-Szpakowicz T., Grygorczuk S. i wsp. Neuroborelioza. Pol Przegl Neurol. 2006;2(1):13–21.
Eikeland R., Mygland A., Herlofson K., Ljøstad U. European neuroborreliosis: quality of life 30 months after treatment. Acta Neurol Scand. 2011;124(5):349–354.
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