scholarly journals Nursing Care of Patient with Acromegaly Disease — Case Report

2019 ◽  
Vol 8 (4) ◽  
pp. 162-169
Author(s):  
Seçil Melikoğlu ◽  
◽  
Yeliz Çulha ◽  
Hatice Kaya ◽  
Necmettin Tanrıöver ◽  
...  

Pituitary tumors are the most common tumors of benign brain tumors, accounting for about one-fifth of all intra cranial tumors. Pituitary tumors include; nonfunctional adenomas and prolactinomas are followed by tumors that secrete growth hormone or acromegaly. Physical changes and systemic complications caused by acromegaly have negative effects on the bio-physiological, psychological and social dimensions of individuals. Diagnosis, treatment, care and follow-up of the disease; It requires a approach to multidisciplinary from endocrine to neurosurgery. The nurse should know the signs and symptoms of the disease, treatment, side effects that may be caused by the treatment, complications and the care interventions to solve the problems that arise and should plan the individualized care to improve the psychological health and quality of life by increasing the individual’s biophysiological functions. The use of the nursing process for the scientific and systematic realization of the care, as well as the use of the nursing process to get her with a model/theory, guide the nurse in the provision of individualized care. In this context, individualized care of the patient who is planned to be operated due to acromegaly, a rare disease, is discussed by integrating with the Model of Nursing. (JNNN 2019;8(4):162–169) Key Words: acromegaly, nursing care, nursing diagnosis

Author(s):  
V. P. Matrtseniuk ◽  
I. Ye. Andrushchak ◽  
I. V. Tsikorska

The paper presents information models of the nursing process through a conceptual presentation, including assessments of the patient's overall condition (nursing interviews, physical assessment, measurement, documentation analysis), nursing diagnosis, nursing care planning, determination of expected results, nursing manipulation, care plan implementation and care results evaluation. Particular attention is drawn to the possibility of using international terminology in describing nursing practices. Analysis of solutions is carried out using the terminology of decision trees.


2011 ◽  
Vol 1 (2) ◽  
pp. 63-65 ◽  
Author(s):  
Alba Lucia Bottura Leite De Barros ◽  
Juliana De Lima Lopes

O processo de enfermagem é o método utilizado para sistematizar a assistência de enfermagem no Brasil. Dessa forma, é imprescindível que os profissionais de enfermagem conheçam e apliquem as normas regulamentadoras do exercício. A Resolução Cofen 358/2009 estabelece que o processo de enfermagem deve ser realizado de modo deliberado e sistemático em todos os ambientes públicos ou privados em que ocorre o cuidado profissional de enfermagem. Ainda destaca as cinco etapas: coleta de dados (ou histórico), diagnóstico, planejamento, implementação e avaliação.Descritores: Enfermagem, Ética de Enfermagem, Legislação de Enfermagem.The legislation and the systematization of nursing careThe nursing process is the method used to systematize the nursing care in Brazil. This way, it is necessary that the nursing professionals know and apply the rules of the actions. The resolution Cofen 358/2009 establishes that the nursing process must be carried out deliberately and systematic in all public or private environments where there is a nursing professional care. Yet, it emphasizes the five stages: nursing data collection (or history), nursing diagnosis, nursing planning, implementation and nursing evaluation.Descriptors: Nursing, Nursing Ethic, Nursing Legislation.La legislación y la sistematización de la asisténcia de enfermeríaEl proceso de enfermería es el método utilizado para sistematizar la asisténcia de enfermería en Brasil. Desta forma, es imprescindible que los profesionales de enfermería conoscan y apliquem las normas reglamentadoras del ejercício. La Resolución Cofen 358/2009 estableces que el Proceso de enfermería deba ser realizado de modo deliberado y sistemático en todos los ambientes públicos ou privados en que ocurre el cuidado profesional de enfermería. Aunque destaca las cinco etapas: colecta de datos, diagnóstico, planeamiento, implementación y evaluación de enfermería.Descriptores: Enfermería, Ética de Enfermería, Legislación de Enfermería.


2020 ◽  
Vol 13 (01) ◽  
pp. 12-25
Author(s):  
Nurul Evi ◽  
ImamiNur Rachmawati ◽  
Tri Budiarti

Preeclampsia is a multisystem complication that occurs after 20 weeks of pregnancy and may cause maternal and fetal morbidity and mortality. Preeclampsia is the leading cause of maternal death in many countries.A case studywith the application of Levine’s Conservation and unpleasant symptoms theory on the nursing process of pregnant women with severe preeclampsia.Levine’s conservation theory allows individuals to adapt in order to maintain their integrity with conservation as the final result. The main focus of conservation is a balance between supply and demand of energy, in order to preserve all aspects of individual wholeness.While the unpleasant symptom theory is applied in reducing the symptoms of discomfort by increasing the understanding of aset of symptoms of discomfort from various contexts and providing useful information as well asteaching about the negative effects of them. Keywords: Preeclampsia, Levine’s conservation, Unpleasant symptoms


2021 ◽  
Vol 95 (35) ◽  
Author(s):  
Maiana Evillyn Silva Santos ◽  
Luana Nunes Santos ◽  
Danielly Cardoso Mesquita ◽  
Joseilze Santos Andrade. ◽  
Lígia Mara Dulce Lemos ◽  
...  

Objetivo: sintetizar a produção científica sobre diagnósticos de enfermagem para pacientes com tuberculose. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa da literatura, sem limite temporal, realizado por meio das bases de dados:  LILACS, BDENF, IBECS, PUBMED, Portal Periódicos Capes e na Biblioteca Virtual SciELO. Utilizou-se os descritores: “tuberculosis”; “nursing diagnosis”, “nursing process” e “nursing care”. Resultados: foram identificadas 875 publicações; após o processo de seleção resultaram três artigos como amostra final. Seguida a análise dos estudos, verificou-se 60 diagnósticos de enfermagem relacionados aos pacientes com tuberculose. Em dois artigos avaliados, a Teoria das Necessidades Humanas Básicas foi o embasamento teórico do processo de enfermagem. Constatou-se que dentre as classificações de linguagens padronizadas de enfermagem, a mais utilizada foi a CIPE, seguida pela NANDA. Houve a predominância de estudos desenvolvidos em nível de assistência terciária e de estudo de caso. Considerações finais: O enfermeiro ao aplicar o seu julgamento clínico tem autonomia de levantar para os pacientes com tuberculose diversos diagnósticos de enfermagem, utilizando-se desse instrumento de trabalho para elaboração de planos de cuidados eficazes para o público-alvo em questão.


2021 ◽  
pp. 105477382110515
Author(s):  
Hale Tosun ◽  
Ayşe Tosun ◽  
Birgül Ödül Özkaya ◽  
Asiye Gül

The study was planned to determine the most common nursing diagnoses according to NANDA International (NANDA-I) taxonomy and difficulties experienced in using of nursing process in COVID-19 outbreak. The sample of the descriptive cross-sectional study consisted of nurses cared for patients with COVID-19 ( n = 114). Average age of nurses is 26.86 ± 6.68. Commonly determined nursing diagnoses according to NANDA-I taxonomy in patients with COVID-19 were imbalanced nutrition (66.7%), impaired gas exchange (40.4%), insomnia (21.1%), acute confusion (31.6%), hopelessness (96.5%), difficulty playing caregiver (84.2%), anxiety (38.6%) willingness to strengthen religious bond (71.9%), risk for infection (64.9%), nausea (49.1%). Twenty-four-years old and younger, high school graduates, caring for intubated patients, and those who stated that they did not use nursing diagnosis had more difficulty in using nursing process (<0.05). The use of nursing diagnoses and process for patients with COVID-19 is extremely important in ensuring individual and qualified nursing care.


2018 ◽  
Vol 86 (24) ◽  
Author(s):  
Ana Cristina da Silva Rangel ◽  
Adriana Gomes da Silva de Freitas ◽  
Alice Andrade Antunes ◽  
Cecilia Ferreira da Silva Borges ◽  
Cláudia Valéria Ramos Ribeiro ◽  
...  

Estima-se que 50% a 80% dos pacientes submetidos ao transplante de células-tronco hematopoéticas (TCTH)desenvolveram mucosite oral com significativa gravidade e acentuada morbidade. As complicações e a complexidadedesta afecção exigem da equipe de enfermagem um contínuo treinamento pautado na atualização de práticas clínicasoriundas de evidências científicas. O objetivo é apresentar um estudo de caso, descrevendo os diagnósticos deenfermagem de um paciente submetido ao transplante de células-tronco hematopoiéticas autólogo que evoluiu parauma mucosite severa. Trata-se de um estudo de caso de um paciente com Linfoma de Hodgkin submetido ao TCTH. Osdados foram coletados no período de outubro a dezembro de 2015, a partir do prontuário do paciente. Foram 51 dias dehospitalização, os principais diagnósticos de enfermagem relacionados à mucosite foram: (1) náusea; (2) risco parainfecção; (3) nutrição desequilibrada; (4) deglutição prejudicada; (5) diarreia; (6) mucosa oral prejudicada; (7) dor aguda;(8) hipertermia e (9) risco de sangramento. A mucosite é uma complicação comumente encontrada nos pacientessubmetidos ao transplante. Logo, é importante que o enfermeiro desenvolva um olhar clínico apurado, a fim de detectarna sutileza dos sinais e sintomas o risco para o agravamento desta afecção.Palavras-chave: Mucosite; Transplante de Células-Tronco Hematopoéticas; Diagnóstico de Enfermagem; Processos deEnfermagem. AbstractIt is estimated that 50% to 80% of patients undergoing hematopoietic stem cells (HSCT) transplantation developed oralmucositis with significant severity and marked morbidity. The complications and complexity of this condition require thenursing team to continue training based on the updating of clinical practices stemming from scientific evidence. The aimis to present a case study, describing the nursing diagnoses of a patient submitted to autologous hematopoietic stem celltransplantation that evolved to a severe mucositis. This is a case study of a patient with Hodgkin's lymphoma undergoingHSCT. Data were collected from October to December 2015, from the patient's medical records. There werehospitalization 51 days, the main nursing diagnoses related to mucositis were: (1) nausea; (2) risk for infection; (3)unbalanced nutrition; (4) impaired swallowing; (5) diarrhea; (6) impaired oral mucosa; (7) acute pain; (8) hyperthermiaand (9) risk of bleeding. Mucositis is a complication commonly found in patients undergoing transplantation. Therefore,it is important that the nurse develops an accurate clinical view to detect in the subtlety of the signs and symptoms therisk for the affection worsening.Keywords: Mucositis; Hematopoietic Stem Cell Transplantation; Nursing Diagnosis; Nursing Process.


2021 ◽  
Vol 74 (1) ◽  
Author(s):  
Leonel Alves do Nascimento ◽  
Aline Korki Arrabal Garcia ◽  
Marilia Ferrari Conchon ◽  
Marcos Venícios de Oliveira Lopes ◽  
Lígia Fahl Fonseca

ABSTRACT Objectives: to analyze the perioperative thirst concept for the development of a new diagnostic structure according to NANDA International. Methods: a concept analysis study based on the framework proposed by Walker and Avant, instrumentalized through an integrative literature review based on SCOPUS, CINAHL, PUBMED, LILACS, and WOS. The elaboration of the diagnostic structure followed NANDA International guidelines. Results: 41 studies were analyzed revealing that perioperative thirst is prevalent and intense, having visceral and behavioral attributes as the core of the concept. Antecedents indicate that surgical patients are vulnerable to thirst; and consequents 16 signs and symptoms were organized and model cases were developed. A diagnostic structure has been developed for perioperative thirst. Final Considerations: concept analysis allowed language standardization that describes thirsty patients, helping the identification, planning of actions and communication of perioperative nursing care.


2018 ◽  
Vol 12 (1) ◽  
pp. 247 ◽  
Author(s):  
Renata Soares Passinho ◽  
Cândida Caniçali Primo ◽  
Walckiria Garcia Romero Sipolatti ◽  
Mirian Fioresi

RESUMOObjetivo: analisar as produções científicas a respeito da frequência dos sinais, sintomas e complicações do infarto agudo do miocárdio. Método: revisão integrativa, com busca publicações entre 2010 a 2014 nas bases de dados LILACS, MEDLINE e CINAHL. O processo de análise dos 122 artigos selecionados deu-se por meio da leitura exploratória e crítica dos títulos, resumos e dos resultados das pesquisas, onde se buscaram os fenômenos relacionados ao IAM (sinais, sintomas e complicações). Resultados: A dor no peito (N = 75), a insuficiência cardíaca (N = 52), a dispneia (N= 24) e a arritmia (N= 20) foram os sinais e sintomas mais encontrados. Conclusão: a dor no peito é o sintoma mais frequente da doença. O reconhecimento precoce desses fenômenos irá contribuir para a melhoria do prognóstico da pessoa acometida. Descritores: Cuidados de Enfermagem; Diagnóstico de Enfermagem; Infarto Agudo do Miocárdio; Classificação; Enfermeiras e Enfermeiros; Cardiologia.ABSTRACTObjective: to analyze the scientific productions regarding the frequency of signs, symptoms and complications of acute myocardial infarction. Method: integrative review, with search publications between 2010 to 2014, in the databases LILACS, MEDLINE and CINAHL. The process of analysis of the 122 articles selected was based on the exploratory and critical reading of the titles, abstracts and results of the research, in which the AMI-related phenomena (signs, symptoms and complications) were searched. Results: chest pain (N = 75), heart failure (N = 52), dyspnea (N = 24) and arrhythmia (N = 20) were the most common signs and symptoms. Conclusion: chest pain is the most frequent symptom of the disease. The early recognition of these phenomena will contribute to the improvement of the prognosis of the affected person. Descriptors: Nursing Care; Nursing diagnosis; Acute Myocardial Infarction; Classification; Nurses and Nurses; Cardiology.RESUMENObjetivo: analizar las producciones científicas acerca de la frecuencia de los signos, síntomas y complicaciones del infarto agudo de miocardio. Método: revisión integrativa, con búsqueda publicaciones entre 2010 a 2014, en las bases de datos LILACS, MEDLINE y CINAHL. El proceso de análisis de los 122 artículos seleccionados se dio por medio de la lectura exploratoria y crítica de los títulos, resúmenes y de los resultados de las investigaciones, donde se buscaron los fenómenos relacionados al IAM (signos, síntomas y complicaciones). Resultados: el dolor en el pecho (N = 75), la insuficiencia cardiaca (N = 52), la disnea (N = 24) y la arritmia (N = 20) fueron los signos y síntomas más encontrados. Conclusión: el dolor en el pecho es el síntoma más frecuente de la enfermedad. El reconocimiento precoz de estos fenómenos contribuirá a la mejora del pronóstico de la persona acometida. Descriptores: Cuidados de Enfermería; Diagnóstico de Enfermería; Infarto Agudo de Miocardio; Clasificación; Enfermeras y Enfermeras; Cardiología.


2021 ◽  
Vol 2 (2) ◽  
pp. 105
Author(s):  
Anestasia Pangestu Mei Tyas ◽  
Siti Aisyah Nurvianti ◽  
Amellia Mardhika ◽  
Riris Medawati ◽  
Cherlys Tin Lutfiandini ◽  
...  

Introduction: Jaundice is a condition that is often found in the 24 hours after the birth of the baby due to hyperbilirubinemia. Hyperbilirubinemia can cause various complications and death if not treated properly and immediately. The knowledge and ability of nurses in providing nursing care for neonatal jaundice still need to be improved. This study aims to describe nursing care for neonatal jaundice in hyperbilirubinemia infants. Methods: This study uses a case study approach design through the nursing process with a sample of a hyperbilirubinemia baby with neonatal jaundice nursing problems. Data collection techniques were carried out through interviews, observations, physical examinations and documentation studies. Data analysis in this study uses narrative analysis. Results: The case report found jaundice on the skin, sclera, and mucosa. The nursing diagnosis in this study was neonatal jaundice associated with less than 7 days of age. The intervention provided in the form of phototherapy and breastfeeding education showed the result was not found jaundice on the skin, sclera, and mucosa after three days. Conclusion: The provision of phototherapy and breastfeeding education is effective in solving neonatal jaundice.


2020 ◽  
Vol 10 (31) ◽  
pp. 105-113
Author(s):  
Raquel Teixeira de Araújo Costa ◽  
Maria Luiza Araújo Guedes ◽  
Rayonara Medeiros de Azevedo ◽  
Nívia Samara Dantas de Medeiros ◽  
Jéssica Dantas de Sá Tinôco ◽  
...  

O Infarto Agudo do Miocárdio é uma das condições de saúde/doença mais prevalentes nos atendimentos de urgência e emergência, tornando-se necessário conhecer as respostas de cada indivíduo e seus principais diagnósticos de enfermagem existentes. Este estudo objetiva identificar um perfil de diagnósticos de enfermagem presente em pacientes com Infarto Agudo do Miocárdio atendidos na urgência/emergência. Trata-se de estudo descritivo, operacionalizado a partir de uma revisão integrativa de literatura. A coleta de dados foi realizada em junho de 2019, obteve 11 artigos, traçando 12 diagnósticos de enfermagem, a partir de 20 sinais e sintomas identificados. Concluiu-se que pacientes acometidos com infarto possuem diversos diagnósticos de enfermagem, relacionados principalmente aos processos fisiológicos, sistema respiratório, cardiovascular, hidratação, além do psicológico, devendo o enfermeiro atentar-se para esses aspectos, subsidiando um cuidar holístico.Descritores: Diagnósticos de enfermagem. Infarto do miocárdio. Cuidados de enfermagem. Nursing diagnosis in patients with acute myocardium disorderAbstract: Acute Myocardial Infarction is one of the most prevalent health/disease conditions in urgent and emergency care, making it necessary to know the responses of each individual and their main existing nursing diagnoses. This study aims to identify a profile of nursing diagnoses present in patients with Acute Myocardial Infarction treated at the urgency/emergency. This is a descriptive study, operationalized from an integrative literature review. Data collection was performed in June 2019 obtained 11 articles, tracing 12 nursing diagnoses, based on 20 identified signs and symptoms. It was concluded that patients with Acute Myocardial Infarction have several nursing diagnoses, mainly related to physiological processes, respiratory system, cardiovascular, hydration, and psychological, and the nurse should pay attention to these aspects, subsidizing holistic care.Descriptors: Nursing Diagnoses, Myocardial Infarction, Nursing Care. Diagnóstico de enfermería en pacientes con trastorno de miocardio agudoResumen: El Infarto agudo de miocardio es una de las afecciones de salud/enfermedades más prevalentes en la atención urgente y de emergencia, por lo que es necesario conocer las respuestas de cada individuo y sus principales diagnósticos de enfermería existentes. Este estudio tiene como objetivo identificar un perfil de diagnósticos de enfermería presentes en pacientes con Infarto agudo de miocardio tratados en la urgencia/emergencia. Este es un estudio descriptivo, operacionalizado a partir de una revisión bibliográfica integradora. La recolección de datos realizada en junio de 2019, obtuvo 11 artículos, rastreando 12 diagnósticos de enfermería, basados en 20 signos y síntomas identificados. Se concluyó que los pacientes con Infarto agudo de miocardio tienen varios diagnósticos de enfermería, principalmente relacionados con procesos fisiológicos, sistema respiratorio, cardiovascular, hidratación y psicología, y la enfermera debe prestar atención a estos aspectos, subsidiando la atención integral.Descriptores: Diagnósticos de enfermería. Infarto de miocardio. Cuidados de enfermería.


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