Aim: identify the most frequent nursing diagnoses in patients with multiple sclerosis hospitalized in a neurological unit. Method: This is a cross-sectional, quantitative study, conducted in the period from January to August 2014 with 58 patients in a teaching hospital in northeastern Brazil, following the relevant steps: data collection through validated instrument; process analysis and validation in pairs according to the nursing diagnoses; and, finally, inferential analysis. Results: 30 nursing diagnoses were identified, the most common were: impaired physical mobility; activity intolerance, impaired urinary excretion; impaired memory; impaired pattern of sleep; self-care deficit for feeding; ineffective coping; constipation; sexual dysfunction and chronic pain. Conclusion: The most common diagnoses identified are in the fields of activity/rest, disposal and exchange coping/stress tolerance, perception/cognition, comfort and sexuality.
Objetivo: Elaborar, validar, implementar e avaliar um plano de cuidados de enfermagem a uma paciente comEsclerose Múltipla. Metodologia: Trata-se de um estudo de intervenção metodológica realizado em uma paciente deum Hospital Escola na capital do Nordeste do Brasil, no período de junho de 2014. Seguiram-se as seguintes etapas:elaboração dos Diagnósticos de Enfermagem; proposta inicial de resultados e intervenções, elaboração de um planode cuidados e validação por especialista, implementação e avaliação do plano. Resultados: Elaborou-se, implementoue avaliou um plano de cuidados contendo cinco diagnósticos (mobilidade física prejudicada; dor crônica; sofrimentoespiritual; memória prejudicada; eliminação urinária prejudicada) cinco metas, cinco intervenções e 21 atividadesde enfermagem. Conclusões: Nota-se que a aplicabilidade do processo de enfermagem direciona as necessidadesprioritárias à paciente, permitindo uma linguagem homogênea e cientifica entre os profissionais de enfermagem.Palavras-chave: Esclerose Múltipla; Processos de Enfermagem; Cuidados de Enfermagem. ABSTRACTObjective: To develop, validate, implement and evaluate a plan of nursing care to a patient with multiple sclerosis.Methodology: This is a methodological intervention study in a patient of a Teaching Hospital in the capital ofNortheast Brazil, from June 2014. This was followed by the following steps: preparation of nursing diagnoses;Initial proposed outcomes and interventions, preparation of a plan of care and expert validation, implementationand plan evaluation. Results: We elaborated, implemented and evaluated a care plan with five diagnoses (impairedphysical mobility, chronic pain, spiritual pain, impaired memory, impaired urinary elimination) five goals, fiveinterventions and 21 nursing activities. Conclusions: It is clear that the application of the nursing process directsthe priority needs the patient, allowing a homogeneous and scientific language among nursing professionals.Keywords: Multiple Sclerosis; Nursing Process; Nursing Care.
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