{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T12:37:24Z","timestamp":1780922244499,"version":"3.54.1"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,2,10]],"date-time":"2021-02-10T00:00:00Z","timestamp":1612915200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This paper reports the presentation and management of an older female patient who was diagnosed with Coronavirus disease (COVID\u201019) and discharged from an intensive care unit (ICU) after prolonged hospitalization. The patient's COVID\u201019 test was negative; therefore, she was monitored in the COVID\u201019 general clinic with normal levels of oxygen saturation (SpO<jats:sub>2<\/jats:sub>). The patient had been taking Plaquenil for rheumatoid arthritis for a long time. Azithromycin was administered first, and then, the treatment continued with favipiravir according to the national treatment protocol in Turkey. On the third day in the COVID\u201019 general clinic, she was transferred to the ICU because of decreased saturation levels. Owing to worsening respiratory status and SpO<jats:sub>2<\/jats:sub> &lt;70%, the patient was intubated on the sixth day in the ICU, and every day, she was nursed in a prone position for &gt;16\u2009hours. We believe that the treatment and care activities under qualified and effective nursing care, such as providing appropriate respiratory support at the right time, early initiation and maintenance of anticoagulant therapy, long\u2010term prone positioning, maintaining sufficient fluid resuscitation, and early commencement of balanced enteral nutrition, contributed to the successful discharge of the patient from the ICU. The patient was finally extubated on the 23rd day. Respiratory support was continued with oxygen administered at 2\u00a0lt\/min through a nasal canula with SpO<jats:sub>2<\/jats:sub> at 94%. We believe that by combining all these factors, the patient's results improved. She was discharged from the ICU after 25\u2009days without any organ dysfunction. During the 25\u2009days of care in the ICU, infectious disease protection and isolation rules were strictly adhered to, and personal protective equipment was worn.<\/jats:p>","DOI":"10.1111\/nicc.12602","type":"journal-article","created":{"date-parts":[[2021,2,11]],"date-time":"2021-02-11T06:50:33Z","timestamp":1613026233000},"page":"628-634","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Case study: An older <scp>COVID<\/scp>\u201019 patient in a Turkish intensive care unit with prolonged stay"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4549-0846","authenticated-orcid":false,"given":"Ayda","family":"Kebapc\u0131","sequence":"first","affiliation":[{"name":"Ko\u00e7 University School of Nursing  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K\u00fcbra","family":"K\u00fct\u00fck","sequence":"additional","affiliation":[{"name":"Ko\u00e7 University Hospital, Adult Intensive Care Unit  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emine","family":"Eker","sequence":"additional","affiliation":[{"name":"Ko\u00e7 University Hospital, Adult Intensive Care Unit  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,2,10]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"Republic of Turkey Ministry of Health General Directorate of Public Health. 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