A comprehensive nursing care for patient with lung tumor post-thoracotomy and Water Seal Drainage: a case study utilizing Roy’s Adaptation Theory

Abstract

Lung tumors present a complex clinical challenge due to their potential for both benign and malignant manifestations. The physiological disruption caused by these tumors, particularly in the context of pleural effusion, necessitates meticulous nursing intervention. Specifically, the impairment of fluid reabsorption within the pleural cavity demands the implementation of Water Seal Drainage (WSD) as a critical therapeutic measure. In this context, nurses assume a pivotal role in delivering care and managing the intricate daily care requirements. Given the critical nature of this case, a detailed case study becomes essential to illuminate the nuanced aspects of nursing practice. This case study aimed to provide a descriptive analysis of the nurse’s role in caring for a patient with left lung tumors and left pleural effusion following a thoracotomy. What distinguishes this case is the deliberate application of Roy's Adaptation Theory, recognizing the patient's heightened need for adaptive responses to the physiological and psychological stressors associated with their condition. This article outlines the fundamental responsibilities of nurses in managing patients with lung tumors including maintenance of the WSD system, pain management, and patient education. The nurse's role is not limited to physical care but extends to facilitating the patient's emotional, and psychological adjustment along with adaptation.

Keywords: Case study; lung tumor; nursing care; thoracotomy; Water Seal Drainage