Protocolo de assistência de enfermagem ao paciente em pré e pós-operatório de cirurgia bariátrica

Abstract

This is a methodological study of innovative technology developed which aims to build up nursing care protocol to the patient in the pre and postoperative bariatric surgery. The proposed model of care was based on the General Theory Orem Self-Care and organized from the requirements of self-care (universal, developmental and health deviation). Within each requirement, it is presented nursing diagnoses, expected outcomes and nursing interventions that were identified in a survey conducted with 31 clients suffering from morbid obesity, assisted by the Gastroenterology Outpatient Clinic of a university hospital in the period from April to June 2009. The development of the protocol is considered an important resource both to organize the guidelines provided by nurses to the bariatric patient, aiming their self-care, and to provide subsidies to systematize nursing care to be provided.

Perfil clínico, diagnósticos e cuidados de enfermagem para pacientes em pós-operatório de cirurgia bariátrica

“…Risk for imbalanced fluid volume was the ninth more frequent ND and require nursing care related to hydration and hemodynamic balance, such as monitoring of fluid intake and output and control of vital signs, as corroborated by the literature (19) . Bathing/hygiene self-care deficit, the tenth more frequent ND, required nursing care for daily activities such as bathing and performing oral hygiene, since the ability of self-care and mobilization is limited in patients with this ND.…”

Conhecimento de estudantes universitários sobre a cirurgia bariátrica (CB)

“…A CB como opção de tratamento, é indicada para pacientes com índice de massa corporal (IMC) a partir de 40 kg/ m 2 (obesidade grave) ou acima de 35 kg/m 2 na presença de morbidades associadas (FELIX;SOARES;NÓBREGA, 2012;SANTOS et al, 2012;VALEZI et al, 2008).…”

Nursing In The Pre And Postoperative Of Bariatric Surgery

“…After several unsuccessful attempts at weight loss, bariatric surgery has been one of the main treatment solutions for patients with morbid obesity, as it not only helps in weight reduction but also improves associated comorbidities [6].…”