Shaping Nursing Professional Skills with the use of the Method of Nursing Process as well as Diagnoses and Nursing Interventions According to ICNP Oriented on the Female Patient with Multiple Sclerosis

Abstract

Introduction.In order to achieve a learning success by a nurse during the pre-and post-graduate education, it is useful to apply the method of case studies using the International Classification for Nursing Practice (ICNP) or the traditional model of the nursing process. Case Report. The patient in good general condition, with overweight. Nourished orally, the patient shows a standard swallowing reflex. There are appetite disorders. Periodically, there occur constipation and urine retention. The patient shows increased risk of urinary tract infections due to self catheterization. Physical fitness limited because of the paresis of the right lower limb. Body balance impaired. The patient moves with the assistance from one person. She uses auxiliary means to move. On the Barthel Scale the patient scored 50 points, which indicates that she needs assistance in the performance of daily activities. Discussion. In the patient with multiple sclerosis there occurred nursing problems, in particular: reduction of capacity in terms of self-care and self-nursing, difficulty in performing daily activities, difficulty with communicating, urine residual in the bladder, constipation, the possibility of contractures, the possibility of eating disorders, discomfort caused by increased sweating, depressed mood, pain in bones and joints. Conclusions. Referring to diagnoses and ICNP interventions in the process of nursing it has been confirmed that the nursing care of the patient with MS is based on a holistic approach to the patient. All spheres of patient's life regarding biological, psychological, social, cultural and spiritual aspects were included in it. (JNNN 2015;4(2): 76-84) Key Words: ICNP, nursing process, individual case, MS Streszczenie Wstęp. W osiąganiu efektów kształcenia przez pielęgniarkę, w trakcie kształcenia przed-i podyplomowego, przydatne jest stosowanie metody analizy przypadków z wykorzystaniem Międzynarodowej Klasyfikacji Praktyki Pielęgniarskiej (ICNP -International Classification for Nursing Practice) lub tradycyjnego modelu procesu pielęgnowania. Opis przypadku. Pacjentka w stanie ogólnym dobrym, z nadwagą. Odżywiana drogą doustną, wykazuje prawidłowy odruch połykania. Występują zaburzenia łaknienia. Okresowo występują zaparcia oraz zaleganie moczu. Pacjentka wykazuje zwiększone ryzyko zakażenia dróg moczowych ze względu na samocewnikowanie. Sprawność fizyczna ograniczona z powodu niedowładu kończyny dolnej prawej. Równowaga ciała zaburzona. Pacjentka porusza się z pomocą jednej osoby. Korzysta ze środków pomocniczych w celu przemieszczania się. W skali Barthel pacjentka uzyskała 50 pkt. co wykazuje, że potrzebuje pomocy w wykonywaniu codziennych czynności.Dyskusja. U pacjentki ze stwardnieniem rozsianym wystąpiły problemy pielęgnacyjne, a w szczególności: ograniczenie wydolności w zakresie samoopieki i samopielęgnacji, trudności w wykonywaniu codziennych czynności, trudności w komunikowaniu się, zaleganie moczu w pęcherzu moczowym, zaparcia, możliwość wystąpienia przykurczów, możliwość wystąpienia zaburzeń ...

Subconjuntos terminológicos da Classificação Internacional para Prática de Enfermagem: uma revisão integrativa da literatura

“…The main language of these publications was Portuguese (34)(35)(36)(37)(38)(39)(40)(41)(42) (91.4%), followed by English (32)(33)43) (8.6%). From the 35 publications found, the highest number was published in the year 2014 (22)(23)(24)(25)(26)(27)(28)(29)(30) (25.71%), followed by the years 2013 (15)(16)(17)(18)(19)(20)(21) (20%) and 2016 (34)(35)(36)(37)(38)(39) (17.14%).…”

“…From the 35 publications found, the highest number was published in the year 2014 (22)(23)(24)(25)(26)(27)(28)(29)(30) (25.71%), followed by the years 2013 (15)(16)(17)(18)(19)(20)(21) (20%) and 2016 (34)(35)(36)(37)(38)(39) (17.14%). Most of the publications were academic master's dissertations (9)(10)(11)(12)(13)(14)16,23,(25)(26)29,35,38,(40)(41) (42.9%), followed by articles (17,(20)(21)(32)(33)(34)36,39,43) (25.7%), doctorate theses (22,24,(27)(28)…”

“…Clares JWB (23) ; 2014 UECE Older adults Theory of Fundamental Human Needs Furtado LG (24) ; 2014 UFPB Patients with diabetes mellitus in specialized care Theory of Basic Human Needs Oliveira JMM (25) ; 2014 UFPB Older adults Theory of Basic Human Needs Cavalheiro MA (26) ; 2014 PUC Paraná Nursing care in primary health care Theory of Basic Human Needs Albuquerque IM (27) ; 2014 USP Children -adolescents Theory of Practical Intervention of Collective Health Nursing Silva RS (28) ; 2014 UFBA Cancer patients The Dignity-Conserving Care Model Queiroz SMB (29) ; 2014 UECE Older adults Theory of Fundamental Human Needs Buchhorn SMM (30) ; 2014 USP Children -adolescents References of human development and essential needs of children Castro MCF (31) ; 2015 UFF Cancer patients Theory of Basic Human Needs Glowacka M, Kalinowska A (32) ; 2015 International Multiple sclerosis patients Not mentioned Laukvik LB, Molstad K, Fossum M (33) ; 2015 International Patients with dementia Not mentioned Castro MCF, Fuly PSC, Garcia TR, Santos MLSC (34) ; 2016…”

“…These studies were completed at the doctoral level from validating the nursing diagnoses and interventions bank and subset structuring. Regarding the validation process, it was identified that some studies did not mention it (9)(10)(11)(12)(14)(15)17,(19)(20)(21)(26)(27)29,32,36,39) .…”