Nursing Diagnosis/Outcomes and Interventions for Critically Ill Patients Affected by Covid-19 and Sepsis

Abstract

Objective: to relate nursing diagnoses/outcomes and interventions for critically ill patients affected by COVID-19 and sepsis in the Intensive Care Unit, according to the International Classification for Nursing Practice (ICNP®). Method: a documentary study conducted in March and April 2020 from the ICNP® terminology subset for adult patients with sepsis. The documentary corpus was composed of the list of nursing diagnoses/outcomes and interventions based on Horta's Theory of Basic Human Needs; on the 7-Axis Model of the International Classification for Nursing Practice, version 2017; on the Pathophysiological model of sepsis; as well as relying on the authors' expertise in direct care for suspected or confirmed critically ill patients affected by COVID-19. Outcomes: a total of 58 nursing diagnoses/outcomes were identified that belong to the psychobiological needs of oxygenation (13-22.4%), vascular regulation (12-20.7%), neurological regulation (10-17.2%), hydration (08-13.8%), elimination (08-13.8%), immunological regulation (04-6.9%) and thermal regulation (03-5.2%), evidencing a total of 172 nursing interventions with a mean of 03 for each nursing diagnosis/outcome. Conclusion: data analysis provided greater knowledge about the disease and the nursing process in the ICU setting, serving as a guide for the professional practice for critically ill patients hospitalized with COVID-19 and sepsis.

Diagnóstico de enfermagem para pacientes portadores do COVID-19

“…Bem como, as intervenções compatíveis com a atividade laboral de enfermagem, inerentes ao quadro clínico e sintomatologia evidenciada nestes pacientes e de acordo com a Intervention Classification -NIC, permitindo avaliar e nortear estratégias para os enfermeiros implementarem ações efetivas que auxiliem avançar com sucesso do resultado almejado. Além da Nursing Intervention Classification -NOC que trata dos objetivos esperados (Bulechek, 2010;Pereira, 2010;Johnson et al,2012;Neto et al, 2020…”

“…Ambas constituem uma linguagem padrão quanto à preconização do uso de determinados termos do processo de Enfermagem, qualificação cuidados e classificação da eficiência da assistência de enfermagem prestada a pacientes, famílias e comunidade. A fim de conhecer melhor as respostas físicas e emocionais reveladas durante o desenvolvimento do processo de trabalho do Enfermeiro (Neto et al, 2020 Research, Society andDevelopment, v. 10, n. 2, e26410212384, 2021 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v10i2.12384 Fonte: Autores (2020).…”

Sociodemographic and clinical characteristics of hospital admissions for COVID-19: A retrospective cohort of patients in two hospitals in the south of Brazil

“…Belo Horizonte: Folium; 2017. 2 The information available can be accessed by researchers who are interested in better understanding health policies, planning health actions, and estimating costs and demands in emergency situations. Database studies of this nature are important as they contribute to improving the effectiveness of health promotion and prevention actions.…”

“…The coronavirus disease 2019 (COVID-19) pandemic has been considered the greatest challenge of the present time, associated with the unprecedented crisis in the health area, due to the expressive demand for hospital beds by patients with severe coronavirus conditions, which resulted in the collapse of health systems worldwide. [1][2][3] Patients affected by COVID-19 have shown clinical and sociodemographic variations, with a mortality rate around 2% in cases where there is massive alveolar damage and progressive respiratory failure. [4][5][6][7] Sex and gender variables also influenced COVID-19 epidemiology.…”

Dilemas vividos pela equipe de enfermagem no cuidado ao paciente com COVID-19 na UTI: Revisão integrativa

“…Em geral, os pacientes sintomáticos de COVID-19 apresentam: tosse, febre, fadiga, dispneia e mialgia, contudo, cerca de 20% deles manifestam a forma grave podendo apresentar: Insuficiência Respiratória Aguda Hipoxêmica (IRpA), SARS, Síndrome do Desconforto Respiratório Agudo (SDRA) e Insuficiência Renal Aguda (IRA) tais quadros clínicos levam à necessidade de admissão em UTI. Há de se considerar que idosos e portadores de doenças de base têm maior risco de ter disfunção de múltiplos órgãos e de vir a óbito (Ramalho et al, 2020).…”