Processo de Enfermagem para pacientes com Anorexia Nervosa

Abstract

Experience report on the application of the nursing process (NP) to a female patient with Anorexia Nervosa patient, using patient history, diagnoses, nursing interventions and outcomes. The interventions were based on the nursing diagnoses: body image disturbance, altered nutrition less than body requirements, anxiety, chronic low self-esteem, activity intolerance, ineffective management of therapeutic regimen, risk for infection, fluid volume deficit and social isolation. Based on the application of the Nursing Process, the planned results were achieved, favoring a better quality of life during the patient's hospitalization time. Mental, neurological, endocrine and immunological factors, which are peculiar in anorexia nervosa cases, permitted the elaboration of an Nursing Process, which positively contributed to complement the patient's health rehabilitation.

The applicability of the nursing process in caring for psychiatric patients: an integrative review

“…2015;11 (4): treatment and retake their place in society (2)(3)(4) . Thus, the psychiatric nurse as an agent of treatment, using the Nursing Process (NP) to support their professional activity, is able to systematize nursing activities and contribute to developing an individualized care plan for each patient, this being an instrument which assists in qualified care, one of the objectives of which is to motivate the patient to adhere to the proposed treatment (5)(6) . As NP is a model for organizing nursing care, collecting patient data and thus allowing the care needs, health problems or vital processes contained in their responses to be identified, heling to define the need for professional action, the results of which are evaluated, with the Systematization of Nursing Care used as a way of organizing and operationalizing NP (5,7) .…”

“…Thus, the psychiatric nurse as an agent of treatment, using the Nursing Process (NP) to support their professional activity, is able to systematize nursing activities and contribute to developing an individualized care plan for each patient, this being an instrument which assists in qualified care, one of the objectives of which is to motivate the patient to adhere to the proposed treatment (5)(6) . As NP is a model for organizing nursing care, collecting patient data and thus allowing the care needs, health problems or vital processes contained in their responses to be identified, heling to define the need for professional action, the results of which are evaluated, with the Systematization of Nursing Care used as a way of organizing and operationalizing NP (5,7) . NP is organized into five stages: patient history and diagnosis, planning, implementation and evaluation, which must be recorded in the patient's medical records and which, when used properly, encourages better communication between the health care team members, enabling them to identify alterations in the patient's state of health (7)(8)(9) .…”

“…NP is organized into five stages: patient history and diagnosis, planning, implementation and evaluation, which must be recorded in the patient's medical records and which, when used properly, encourages better communication between the health care team members, enabling them to identify alterations in the patient's state of health (7)(8)(9) . In the context of psychiatric nursing, the treatment relationship established between the nurse and patient encourages application of the NP, enabling a treatment project to be constructed by the nurse and patient, contributing to outlining the nurse's field of action and aiding in decision making, care planning and evaluating the care provided (5)(6) . Another aspect of developing NP to be highlighted is the use of taxonomies so as to standardize the language used among the nursing professionals for a more dynamic interaction between them (5) .…”

“…In the context of psychiatric nursing, the treatment relationship established between the nurse and patient encourages application of the NP, enabling a treatment project to be constructed by the nurse and patient, contributing to outlining the nurse's field of action and aiding in decision making, care planning and evaluating the care provided (5)(6) . Another aspect of developing NP to be highlighted is the use of taxonomies so as to standardize the language used among the nursing professionals for a more dynamic interaction between them (5) . This study is, then, justified given the importance of the use of NP in clinical practice in psychiatric nursing, providing qualified care and conveying autonomy on psychiatric nurses in their work, enabling care to be organized so as to consider the subjectivity of the patients, differing from psychiatric care in the lunatic asylum model (1)(2)(4)(5)(6) …”

“…Another aspect of developing NP to be highlighted is the use of taxonomies so as to standardize the language used among the nursing professionals for a more dynamic interaction between them (5) . This study is, then, justified given the importance of the use of NP in clinical practice in psychiatric nursing, providing qualified care and conveying autonomy on psychiatric nurses in their work, enabling care to be organized so as to consider the subjectivity of the patients, differing from psychiatric care in the lunatic asylum model (1)(2)(4)(5)(6) …”