Nursing diagnoses and interventions for a child after cardiac surgery in an intensive care unit

Abstract

Objective: to describe the nursing clinical judgment as a basis for ND identifi cation and development of a NIC treatment plan for a child after cardiac surgery under intensive care. Method: a case study with data retrospectively collected from charts. Results: Three nurses identifi ed NANDA-I diagnoses and NIC interventions. A 6-month-old child submitted to cardiac surgery, requiring extracorporeal membrane oxygenation in the postoperative period. Four main nursing diagnoses were identifi ed, towards which ten interventions were directed. The proposal of interventions to respond to the priority human responses of the child was optimized by the use of standard terminologies. Every nursing diagnosis was supported by diagnostic indicators; every intervention was scientifi cally supported. Conclusion: there must be an expectation that nurses address not only physiological responses, but also those within psychosocial domains. Key words: Nursing Diagnosis; Nursing Care; Controlled Vocabulary; Child; Thoracic Surgery. RESUMO Objetivo: descrever o julgamento clínico de enfermagem para identifi car diagnósticos NANDA e desenvolver um plano de tratamento NIC para uma criança em pós-operatório de cirurgia cardíaca em terapia intensiva. Método: estudo de caso com coleta de dados retrospectiva no prontuário. Resultados: três enfermeiras identifi caram diagnósticos NANDA e intervenções NIC. Criança de 6 meses, submetida a cirurgia cardíaca, necessitou oxigenação extracorpórea por membrana no pós-operatório. Foram identifi cados quatro principais diagnósticos, aos quais foram direcionadas dez intervenções. A proposta de intervenções para responder às necessidades humanas prioritárias da criança foi otimizada pelo uso das terminologias padronizadas. Todos os diagnósticos foram sustentados por indicadores diagnósticos; todas as intervenções foram cientifi camente sustentadas. Conclusão: espera-se que os enfermeiros abordem não somente as respostas fi siológicas, mas também aquelas dos domínios psicossociais. Descritores: Diagnóstico de Enfermagem; Cuidados de Enfermagem; Vocabulário controlado; Criança; Cirurgia Torácica. RESUMEN Objetivo: describir el raciocinio clínico de enfermería para identifi car diagnósticos y planear intervenciones NIC para una niña en el postoperatorio de cirugía cardíaca. Método: estudio de caso con datos recogidos de forma retrospectiva en registros. Resultados: tres enfermeras propusieron diagnósticos NANDA-I e intervenciones NIC. Niña de 6 meses de edad, sometida a cirugía cardíaca requirió oxigenación por membrana extracorpórea en el postoperatorio. Cuatro principales diagnósticos fueron identifi cados para los cuales diez intervenciones de enfermería fueron direccionadas. La propuesta de intervenciones para las respuestas humanas prioritarias de la niña fue optimizada por el uso de terminologías estándar. Todos los diagnósticos fueron apoyados por indicadores, cada intervención apoyada científi camente. Conclusión: los enfermeros deben abordar no sólo las respuestas fi siológicas, sino ...

Proposal of nursing care plan in people hospitalized with AIDS

“…In this sense, the elaboration and use of care plans implies the representation of guiding instruments for the management of nursing care, as it favors the decision-making process, assisting patients in all their complexity (13) . It is worth mentioning that the results are directed to hospitalized patients and do not apply to patients seen at the outpatient clinic.…”

Diagnósticos de Enfermagem em crianças com cardiopatias congênitas: mapeamento cruzado

“…The incidence of pediatric infection has grown in recent years, with the increase in invasive procedures, technological development, and the indiscriminate use of antimicrobials. (10) A study in Fortaleza (CE) with 270 diagnostic assessments in children with congenital heart disease found impaired gas exchange (91.5%) to be the most frequent ND, and the most prominent related factor was ventilation-perfusion imbalance (89.5%). (9) Such evidence is consistent with the data shown in this study, in which children received this diagnosis, often due to the same related factor.…”

Effect of Nursing Guidelines for Nurses on Occurrence of Selected Post Therapeutic Cardiac Catheterization Complications Among Children

“…Table (10) showed that children in study group were exposed to post CC bleeding less than children in the control group (3.3% & 16.7% in order). As regarded to child's pulse in the affected limp, it was found in the current study that vast majority (93.3%) of children in study group don't have weak or absent pulse, while half (50%) of children in control group have weak or absent pulse.…”

“…Nurses must be knowledgeable about the human responses of these children; many of their responses are physiological, yet there are a multitude of psychosocial, behavioral and family responses that are also very important for the nurse to understand, diagnose and treat. A thorough nursing assessment to identify signs and symptoms provides data critical to identifying nursing-sensitive human responses, and their etiologies; these are the clinical indicators of nursing diagnoses [10] .…”