Assistência de enfermagem à criança com doença de Pompe: estudo de caso

2019 ◽  
Vol 17 (1) ◽  
pp. 15
Author(s):  
Eliana Roldão dos Santos Nonose ◽  
Ana Paula Keller de Matos ◽  
Rosane Meire Munhak da Silva ◽  
Ana Paula Contiero Toninato ◽  
Adriana Zilly ◽  
...  

Aim: to identify diagnoses, interventions and expected nursing outcomes for the child with Pompe disease using the International Classification for Nursing Practice® 2017. Method: case study conducted in December 2017, with a mother of child with Pompe disease. Results: seventeen nursing diagnoses were presented, distributed among the demands of medicated, technological, habitual, modified, developmental, and family care. Discussion: the nursing diagnoses were related to the treatment and complications presented by the child as a result of Pompe disease, increased by the family needs to develop the care at home. Conclusion: it was verified that the classification of the nursing practices allowed creating more specialized possibilities to elaborate and execute a care plan based on the real needs of this child, allowing the possibility of generalization for the patients with the same disease.

2018 ◽  
Vol 9 (1) ◽  
pp. 104
Author(s):  
(E) Lukmanulhakim ◽  
Winda Firdaus

Perawatan di ICU dapat menandakan ancaman bagi pasien yang dirawat di unit tersebut, besarnya ancaman kehidupan di ICU tidak hanya menimbulkan kecemasan bagi pasien namun juga bagi keluarga. Keluarga berperan penting dalam upaya penyembuhan dan pemulihan kesehatan pasien untuk itu pihak rumah sakit juga perlu memperhatikan aspek kebutuhan keluarga pasien. Penelitian ini bertujuan untuk mengetahui gambaran pemenuhan kebutuhan keluarga pasien kritis di ICU RSUD dr. Dradjat Prawiranegara Serang Tahun 2017. Desain dalam penelitian ini adalah deskriptif dengan pendekatan kuantitatif. Penelitian ini dilakukan di ICU RSUD dr. Dradjat Prawiranegara Serang dengan jumlah sampel 40 responden. Hasil penelitian ini menunjukan bahwa (55,0%) responden mengatakan kebutuhan keluarga pasien di ICU terpenuhi dan sisanya mengatakan belum terpenuhi (45,0%). Kebutuhan informasi merupakan kebutuhan keluarga yang paling banyak terpenuhi (65,0%), sedangkan kebutuhan dukungan mental merupakan kebutuhan keluarga yang paling sedikit terpenuhi (57,5%). Kesimpulannya pemenuhan kebutuhan keluarga pasien di ICU masih perlu ditingkatkan lagi utamanya pada dukungan mental. Sehingga upaya yang bisa dilakukan untuk memenuhi kebutuhan dukungan mental adalah dengan mengaplikasikan praktik keperawatan secara holistik yang dimana diperlukan pendekatan antara petugas ICU dengan keluarga dalam konteks family center care.Kata Kunci: Intensive Care Unit, Kebutuhan Keluarga, Pasien Kritis.Treatment in the ICU can signal a threat to patients treated in this unit, the magnitude of life threats in the ICU not only raises anxiety for patients but also for families. Families play an important role in healing and restore the health of patients to the hospital also need to pay attention to aspects of family needs of patients. This study aims to find out the description of the fulfillment of family needs of critical patients in ICU RSUD dr. Dradjat Prawiranegara Serang Year 2017. Design in this research is descriptive with quantitative approach. This research was conducted in ICU RSUD dr. Dradjat Prawiranegara Serang with a total sample of 40 respondents. The results showed that (55.0%) respondents said the needs of the patient's family in the ICU are met and the rest is not met (45.0%). The need for information is the most fulfilled family needs (65.0%), while the need for mental support is the most unmet family needs (57.5%). In conclusion, meeting the needs of the patient's family in ICU still needs to be improved especially on mental support. In order for the effort that can be made to meet the needs of mental support is to apply a holistic nursing practice where an approach is needed between the ICU staff and the family in the context of family care center.Keywords: Intensive Care Unit, Family Needs, Critical Patients.


2016 ◽  
Vol 15 (3) ◽  
pp. 39-42
Author(s):  
Hanna Grabowska ◽  
Magdalena Katanowska

Abstract Introduction. Cardiovascular diseases still remain the chief life-threatening condition in Poland. They are one of the main causes of sickness absences at work, as well as reasons for hospitalization and disabilities. The professionals responsible for providing nursing services to people suffering from cardiovascular diseases should take into account the activities addressing all spheres of patient’s life. Most attention should be paid to preventing complications, as well as interventions enabling both the patients to perform selfmonitoring and self-care and their relatives to provide unprofessional care.Aim. The aim of this work was to formulate a nursing care plan for a patient suffering from cardiovascular diseases, using the International Classification for Nursing Practice.Material and methods. For the purpose of this article, an individual case study method and literature analysis were used. The research was conducted in November 2015 at the Clinic of Hypertension and Diabetes of the University Clinical Centre at the Medical University of Gdańsk. Written consents were obtained from every patient.Results. In the process of providing nursing care to the patients, phrases describing “ready” diagnoses and nursing interventions included in the International Classification for Nursing Practice (ICNP®) were used. The care plans included the following nursing diagnoses: impaired cardiovascular system, altered blood pressure, pain, functional dyspnea, peripheral edema, impaired sleep, risk of infection, obesity, lack of knowledge about the disease/ poor self-control.Conclusions. The plan of nursing care for patients with cardiovascular diseases was based on the ICNP® reference terminology that fully reflects the key problems of the patient and the scope of interventions made by nurses.


Modern management of computerization of health services provided by nursing care in developed countries is based on an extensive system of the International Classification of Nursing Practices. The international classification of nursing diagnoses has been classified in the World Health Organization classification by the International Council of Nurses (ICN-International Council of Nurses), which encourages European Union countries to introduce the system created to standardize nursing diagnoses used in nursing [1, 2].


2020 ◽  
Author(s):  
Samad Karkhah ◽  
Mohammad Javad Ghazanfari ◽  
Masoumeh Norouzi ◽  
Tahereh Khaleghdoust ◽  
Samane Mirzaie Dahka ◽  
...  

Abstract BACKGROUND Nurses can diagnose patients' problems using Johnson's pattern of behavior. This model is applicable and nurses can design and implement patient-based care in a clinical setting based on this model. This study was designed to use Johnson's behavioral model in the care of a middle-aged woman suffering from pain, edema and severe left wrist hematoma. Methods This study was conducted with the aim of determine the nursing care plan based on Johnson's behavioral model in patient with wrist joint hematoma in Iran since December 27, 2019 to January 4, 2020, on a case referred to Poursina Hospital in Rasht, Guilan Province, Iran. After assessing the patient, we propound seven main nursing diagnoses and planned them in 9 days according to the model. Results After evaluating the patient, the care program was implemented based on Johnson's behavioral model. We achieved caring goals after the intervention. Her appetite and sleep were better, and she became aware of the side effects of her lack of diet and care. She made more efforts to self-care. By using Johnson's care system after 9 days of inpatient care, she has improved her sense of independence, range of motion, self-esteem, sleep quality, increased desire for food, improved excretion and constipation, and we adjusted to reduce libido and use complementary therapies to improve it. Conclusion This model can be used as a general framework in the hospital to diagnose problems, evaluate and design a care program.


2021 ◽  
Vol 1 (01) ◽  
Author(s):  
Nurul Ainul Shifa ◽  
Aisyah Safitri

Introduction: Perilaku kekerasan adalah suatu keadaan seseorang melakukan tindakan yang dapat membahayakan secara fisik baik terhadap diri sendiri, orang lain dan lingkungan. Dampak atau perubahan yang terjadi dapat berupa perasaan tidak sabar, cepat marah, dari segi sosial kasar, menarik diri, dan agresif. Objectives: The purpose of this study was to determine the appropriate nursing care and intervention in patients with a diagnosis of violent behavior. Method: The design in this study is a case study design using a nursing process approach. The sample in this study was Mr. J. The sampling technique used was simple random sampling. The research was conducted at X Hospital in April 2021. Data was collected by means of interviews, observations, and documentation studies. The research instrument is using the mental nursing care format and the SOP on Implementation Strategy (SP). The nursing process approach carried out by researchers includes the following stages: Assessment Researchers collect data, both from respondents/patients. Nursing diagnoses, make nursing interventions, carry out implementation and then carry out nursing evaluations. Result: The client was escorted by his family on the grounds of fighting with his friends, feeling humiliated for not working, drugs being hidden and not being taken, being angry at home, speaking rudely and throwing tantrums, having trouble sleeping, the patient dropped out of medicine for approximately 4 weeks Mr. J had previously been admitted to the hospital with the same case, namely violent behavior. There are no families with mental disorders, the patient's communication pattern is closed with the family and the parenting pattern of the client's family is authoritarian. Conclusion: The main nursing problem is violent behavior


Rev Rene ◽  
2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Marina Moralles Caldeira de Andrada ◽  
Marlon França ◽  
Angela Maria Alvarez ◽  
Karina Silveira de Almeida Hammerschmidt

Objective: to identify the nursing diagnoses characteristic of hospitalized elderly at the Medical Clinic of a university hospitalin southern Brazil, according to the International Classification of Nursing Practice, version 1.0. Methods: it is a descriptive,cross-sectional study involving 24 elderly. Results: 158 nursing diagnoses were obtained gathered in 23 groups, groupedinto 14 macro-groups presented by similarities: cardiovascular system, impaired self-care, compromised respiratory system,impaired locomotion system, risk of infection, altered dietary patterns and body weight, impaired endocrine system, alteredgastrointestinal system, committed genitourinary system, altered neurological system, compromised perceptive system,sensorial system, altered cutaneous and hydric system and affected thermal regulatory system. Conclusion: the hospitalizedelderly experienced physiological and pathological alterations and the gerontologist nurse can contribute with the planningaimed at maintaining the physical integrity of the elderly in an individualized and complete manner.


2019 ◽  
Vol 28 ◽  
Author(s):  
Fátima Denise Padilha Baran ◽  
Nen Nalu Alves das Mercês ◽  
Leila Maria Mansano Sarquis ◽  
Luciana Martins da Rosa ◽  
Carolina Mensi ◽  
...  

ABSTRACT Objective: to describe the therapeutic itinerary revealed by the relatives of individuals with mesothelioma. Method: a multiple case study with a qualitative approach. Six family members of the cases occurred in the state of Paraná (Brazil). Data was collected from medical records and interviews between January and July 2016 and submitted to comparative and content analysis, supported by the Health Care System framework. Results: seven categories emerged from the data: Acknowledgment of the illness; Popular care and the attempt to escape from the illness; The popular subsystem directs to the professional subsystem; Professional subsystem: unraveling the mystery of the disease; Family: care supremacy; Religion: hope and encouragement; and Disease due to mesothelioma from the perspective of the family member. Conclusion: the therapeutic itinerary was built from early symptoms detection and common sense practices. The family was the central unit of care; the professional subsystem, with the challenge of diagnosing the disease, and religion, which represented the person’s and family members’ hope. Studying the topic can contribute to improve the planning of the health actions promoted to individuals with mesothelioma, from the diagnosis process, treatment to death.


2018 ◽  
Vol 12 (12) ◽  
pp. 3181
Author(s):  
Maria Naiane Rolim Nascimento ◽  
Nuno Damácio de Carvalho Félix ◽  
Simone Soares Damasceno ◽  
Ana Maria Parente Garcia Alencar ◽  
Célida Juliana de Oliveira ◽  
...  

RESUMOObjetivo: construir enunciados de diagnósticos de enfermagem direcionados às necessidades psicoespirituais de pessoas com síndrome metabólica. Método: trata-se de um estudo quantitativo, descritivo, documental, contemplando as seguintes etapas de identificação e validação por consenso (100%) dos termos relevantes para o cuidado com a prioridade de saúde; mapeamento cruzado dos termos identificados com os da versão 2017 da classificação; construção dos enunciados de diagnósticos de Enfermagem; mapeamento cruzado dos enunciados construídos com os da Classificação Internacional para a Prática de Enfermagem (CIPE®), e os resultados apresentam-se em forma de figura. Resultados: classificaram-se 135 termos no âmbito das necessidades psicoespirituais, dos quais 24 foram excluídos por envolverem as necessidades psicobiológicas e psicossociais, totalizando 111 termos. Validaram-se, então, 61 termos, permitindo a elaboração de oito enunciados diagnósticos contemplando as necessidades psicoespirituais, sendo que 50% não constavam da classificação. Conclusão: construíram-se os enunciados dos quais metade apresentou-se como não constante na CIPE® 2017 colaborando, assim, para o seu desenvolvimento e para a inclusão na dimensão psicoespiritual no cuidado de Enfermagem integral direcionado ao público-alvo e para o avanço da Classificação de Enfermagem. Descritores: Enfermagem; Diagnóstico de Enfermagem; Terminologia Padronizada em Enfermagem; Síndrome Metabólica; Espiritualidade; Religião.ABSTRACT Objective: to build listed nursing diagnoses directed to psychospiritual needs of people with metabolic syndrome. Method: this is a quantitative, descriptive and documentary study contemplating the following stages for the identification and validation by consensus (100%) of the relevant terms to the care with the priority of health; cross-mapping of terms identified with the 2017 version of the classification; construction of the statements of nursing diagnoses; cross-mapping of the statements constructed with the International Classification for Nursing Practice (ICNP®), and the results are presented in the form of a figure. Results: rated to 135 terms in the context of psychospiritual needs, from which 24 were excluded because they involve the psychobiological and psychosocial needs, totaling 111 terms. Validated, then, 61 terms, allowing the establishment of eight listed diagnoses contemplating the psychospiritual needs, being that 50% were not classified. Conclusion: there were built the propositions of which half was not listed in the ICNP® 2017, thus contributing to their development and for inclusion in the psychospiritual dimension in full nursing care directed to the audience and to the advancement of the Classification of Nursing. Descriptors: Nursing; Nursing Diagnosis; Standardized Nursing Terminology; Metabolic Syndrome; Spirituality; Religion.RESUMENObjetivo: generar diagnósticos de enfermería enumerados dirigidos a las necesidades psico-espirituales de las personas con el síndrome metabólico. Método: se trata de un estudio cuantitativo, descriptivo y documental, contemplando los siguientes pasos para la identificación y validación por consenso (100%) de los términos pertinentes al cuidado con la prioridad de la salud; cross-correlación de términos identificados con la versión 2017 de la clasificación; construcción de las declaraciones de diagnósticos de enfermería; cross-correlación de las declaraciones construidos con la Clasificación Internacional para la Práctica de Enfermería (ICNP®), y los resultados se presentan en forma de una figura. Resultados: clasificación de 135 términos en el contexto de necesidades psico-espirituales, de los cuales 24 fueron excluidos porque implican la psicobiología y las necesidades psicosociales, por un total de 111 términos. Validado, entonces, 61 términos, permitiendo la creación de ocho diagnósticos enumerados contemplando las necesidades psico-espirituales, siendo que el 50% no estaban clasificados. Conclusión: construido si las proposiciones de las cuales la mitad no estaba incluida en la ICNP® 2017, contribuyendo así a su desarrollo y para la inclusión en la dimensión psico-espiritual en plena atención de enfermería dirigida al público y a la promoción de la Clasificación de la Enfermería. Descriptores: Enfermería; Diagnósticos de Enfermería; Terminología Normalizada de Enfermería; Síndrome Metabólico; Espiritualidad; Religión.


2017 ◽  
Vol 70 (6) ◽  
pp. 1129-1136 ◽  
Author(s):  
Larissa Guanaes dos Santos ◽  
Andréia Cascaes Cruz ◽  
Francine Fernandes Pires Mekitarian ◽  
Margareth Angelo

ABSTRACT Objective: describe the skills of nurses to conduct family interviews based on the Family Care Guide for Nursing Clinical Practice. Method: exploratory case study that analyzed the content of 16 guides applied to a child emergency service by a novice nurse from the family nursing area. Results: the records indicated the presence of perceptual, conceptual, and executive skills required to conduct family interviews, in particular skills for the development of genograms, therapeutic relationships, and actions to fulfill family needs. Final considerations: the Family Care Guide for Nursing Clinical Practice is a useful tool to guide the training processes, promote the development of family interview skills in novice nurses, and allow the cognitive consolidation of essential elements of patient- and family-centered care.


2014 ◽  
Vol 48 (2) ◽  
pp. 250-256 ◽  
Author(s):  
Thaís Savini Luciano ◽  
Maria Miriam Lima da Nóbrega ◽  
Eliana Campos Leite Saparolli ◽  
Alba Lucia Bottura Leite de Barros

This was a descriptive, retrospective study, with a quantitative method, with the aim of analyzing the nursing diagnoses contained in the records of children of 0 to 36 months of age who attended infant health nursing consults. A documentary analysis and the cross-mapping technique were used. One hundred eighty-eight different nursing diagnoses were encountered, of which 33 (58.9%) corresponded to diagnoses contained in the Nomenclature of Nursing Diagnoses and Interventions and 23 (41.1%) were derived from ICNP® Version 1.0. Of the 56 nursing diagnoses, 43 (76.8%) were considered to be deviations from normalcy. It was concluded that the infant health nursing consults enabled the identification of situations of normalcy and abnormality, with an emphasis on the diagnoses of deviations from normalcy. Standardized language favors nursing documentation, contributing to the care of the patient and facilitating communication between nurses and other health professionals.



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