SISTEMATIZAÇÃO DA ASSISTÊNCIA DE ENFERMAGEM AOS PACIENTES IDOSOS DURANTE O PERÍODO PERIOPERATÓRIO DE UMA HEMICOLECTOMIA DIRETA À DIREITA: UM RELATO DE EXPERIÊNCIA. SYSTEMATIZATION OF NURSING ASSISTANCE TO ELDERLY PATIENT DURING THE PERIOPERATIVE PERIOD OF A RIGHT DIRECT HEMICOLECTOMY: REPORT OF THE EXPERIENCE
Introduction: Nursing care from the perspective of a perioperative Nursing Care Systematization supports the creation a the care plan, implementation of interventions and patients assessment. Objectives:To describe the stages of the Nursing Care Systematization to an elderly patient during the perioperative of a right hemicolectomy. Method: Report from the experience at the Antonio Pedro University Hospital. A 72-year-old patient with hypertension on her 8th day of hospitalization was diagnosed with malignant colon cancer, with a proposed surgery of right hemicolectomy.Data collection and clinical evaluation, from 05/21/2018 to 05/24/2018. Results: There was evidence of pain in the right hypochondria, previous surgery of left hemicolectomy. Flaccid abdomen and surgical scar. In the perioperative period, NANDA-I nursing diagnoses evidenced with the proposed NIC nursing interventions:PREOPERATIVE:A) Risk of impaired cardiovascular function, related to hypertension and age. Interventions are to monitor blood pressure, pulse and breathing pattern; B)Risk of falling, related to the use of antihypertensive drugs, age, and change in blood glucose level, having as interventions to monitor vital signs.TRANSOPERATIVE: C)Risk of injury due to perioperative positioning, related to immobilization and disorders resulting from anesthesia, having as intervention to monitor for sources of pressure and friction; skin monitoring. D) Risk of bleeding associated with te treatment regimen (surgery), having as intervention to monitor the amount and cause of blood loss; provide availability of blood products or whole blood for transfusion, if necessary. E) Risk of infection associated with the invasive procedure (surgery), having as interventions to use antibiotics; Check sterilization indicators, limit and control traffic. F) Risk of perioperative hypothermia associated with the surgical procedure, having as interventions to adjust the temperature; Minimize patient exposure during surgical preparation and procedure. POSTOPERATIVE: G) Risk of infection with interventions to inspect the incision site for redness, edema, signs of dehiscence or evisceration; Apply proper bandage to protect the incision.H) Risk of falling, with the intervention of monitoring vital signs before, during and after activities. I) Contamination risk, E-PÔSTER XIV Congresso Brasileiro de Cirurgia Oncológica Braz J Oncol. 2019; 15(Supl.2): 1-196 122 having as intervention:Identification of safety risks in the environment; Conclusion: The nurse is essential in patient recovery, offering safe and quality care.
SISTEMATIZAÇÃO DA ASSISTÊNCIA DE ENFERMAGEM AOS PACIENTES IDOSOS DURANTE O PERÍODO PERIOPERATÓRIO DE UMA HEMICOLECTOMIA DIRETA À DIREITA: UM RELATO DE EXPERIÊNCIA. SYSTEMATIZATION OF NURSING ASSISTANCE TO ELDERLY PATIENT DURING THE PERIOPERATIVE PERIOD OF A RIGHT DIRECT HEMICOLECTOMY: REPORT OF THE EXPERIENCE
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DOI: 10.22533/at.ed.60721081021
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Palavras-chave: Nursing, Systematization, Perioperatory
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Keywords: Systematization, Nursing, Perioperatory
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Abstract:
SISTEMATIZAÇÃO DA ASSISTÊNCIA DE ENFERMAGEM AOS PACIENTES IDOSOS DURANTE O PERÍODO PERIOPERATÓRIO DE UMA HEMICOLECTOMIA DIRETA À DIREITA: UM RELATO DE EXPERIÊNCIA.
SYSTEMATIZATION OF NURSING ASSISTANCE TO ELDERLY PATIENT DURING THE PERIOPERATIVE PERIOD OF A RIGHT DIRECT HEMICOLECTOMY: REPORT OF THE EXPERIENCE
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Número de páginas: 1
- Jamille da Silva Mohamed
- Natacha Brito de Sena Lira