Construction and validation of nursing diagnoses for people in palliative care

Abstract

Objective:to construct and validate nursing diagnoses for people in palliative care based on the Dignity-Conserving Care Model and the International Classification for Nursing Practice. Method:a two-stage methodological study: 1) construction of the database of clinically and culturally relevant terms for the nursing care for people in palliative care and 2) construction of nursing diagnoses from the database of terms, based on the guidelines of the International Council of Nurses. Results:the 262 terms validated constituted a database of terms from which 56 nursing diagnoses were developed. Of these, 33 were validated by a group of 26 experts, and classified in the three categories of the Dignity-Conserving Care Model: illness-related concerns (21); dignity-conserving repertoire (9); and social dignity inventory (3). Conclusion:of the 33 validated diagnoses, 18 of them could be included in the update of the Catalog of the International Classification for Nursing Practice - palliative care for a dignified death. The study contributes to support the clinical reasoning and decision making of the nurse.

Profissionais de enfermagem: compreensão sobre cuidados paliativos pediátricos

“…It is also necessary to respect the autonomy, individuality, dignity and desires of the patient. 5 The following care modalities stand out: hospital admission; outpatient care; home care; the emergency room service, hospice and day hospital. 6 The first Palliative Care Service was created in 1983 in Rio Grande do Sul, but the Brazilian Association of Palliative Care (BAPC) was founded in São Paulo in 1997 alone.…”

Brazilian Nursing Process Research Network contributions for assistance in the COVID-19 pandemic

“…Thus, based on the care field selection, which, in the case of this manuscript, is a communicable disease of a pandemic character, nurses will make clinical decisions centered on NP aiming at: a) enhancing the community's response capacity (20) , which has as examples nursing diagnoses, outcomes and interventions aimed at coping; b) supporting the finitude of life and grieving (21)(22) , which has as an example the diagnoses, outcomes and nursing interventions focused on the grieving process; c) reducing the risk for community contamination; d) supporting adaptive processes and their consequences. These objectives are in line with the NOC outcomes presented in RePPE's document.…”

“…Among the signs and symptoms, pain, cough, sputum, anorexia, hyposmia, hypogeusia, nasal obstruction, rhinorrhea, diarrhea and fatigue stand out (23,(26)(27)(28) . Moderate and severe cases still have dyspnea, fever and hypoxemia (20)(21) . Although limited, the evidence has pointed out that the presence of signs that reflect respiratory function, such as dyspnea and hypoxemia, have been related to the clinical deterioration of patients, especially in those with advanced age and comorbidities (29)(30)(31) .…”

The death and die process for nursing team of intensive therapy center

“…The nursing staff is continuously present providing the most of the care delivered to patients. 29 Such experience can affect their members' relationship with death, considering the condition of being human, and their professional performance toward the patient in the process of death and dying. 9,5 It is understood that the way people see/understand death certainly influences one's way of living.…”