Nursing process in neonate with delay in the surgical recovery for duodenal atresia
Introduction: Duodenal atresia is a congenital malformation where a functional or anatomic abnormality causes normal intestinal motility’s disorders. The definitive treatment includes a surgical repair, whose main goal is to recover the intestinal continuity. Neonates treated with this kind of proce...
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| التنسيق: | Online |
| اللغة: | spa eng |
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Universidad de Sonora
2021
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| الوصول للمادة أونلاين: | https://sanus.unison.mx/index.php/Sanus/article/view/189 |
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oai:https:--sanus.unison.mx:article-189 |
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Sanus |
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spa eng |
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Online |
| author |
Sánchez-Juárez, Itzel Andrea de Ávila-Arroyo, María Luz Tenahua-Quitl, Inés Torres-Reyes, Alejandro |
| spellingShingle |
Sánchez-Juárez, Itzel Andrea de Ávila-Arroyo, María Luz Tenahua-Quitl, Inés Torres-Reyes, Alejandro Nursing process in neonate with delay in the surgical recovery for duodenal atresia |
| author_facet |
Sánchez-Juárez, Itzel Andrea de Ávila-Arroyo, María Luz Tenahua-Quitl, Inés Torres-Reyes, Alejandro |
| author_sort |
Sánchez-Juárez, Itzel Andrea |
| title |
Nursing process in neonate with delay in the surgical recovery for duodenal atresia |
| title_short |
Nursing process in neonate with delay in the surgical recovery for duodenal atresia |
| title_full |
Nursing process in neonate with delay in the surgical recovery for duodenal atresia |
| title_fullStr |
Nursing process in neonate with delay in the surgical recovery for duodenal atresia |
| title_full_unstemmed |
Nursing process in neonate with delay in the surgical recovery for duodenal atresia |
| title_sort |
nursing process in neonate with delay in the surgical recovery for duodenal atresia |
| description |
Introduction: Duodenal atresia is a congenital malformation where a functional or anatomic abnormality causes normal intestinal motility’s disorders. The definitive treatment includes a surgical repair, whose main goal is to recover the intestinal continuity. Neonates treated with this kind of procedures have a high morbidity associated to surgical complications, sepsis, and dehiscence of surgical wound. Objective: Implement the nursing process by using the NANDA, NOC, NIC, and GPC taxonomies in order to contribute to the management of the newborn with delayed surgical recovery from duodenal atresia. Methodology: It was addressed through a case study in which the stages of the nursing process were implemented; the assessment was done by patterns functional health of Marjory Gordon, the altered patterns were prioritized and diagnosis labels were identified. Case presentation: 22-day old neonate extrauterine, was born from 38.5 SDG in a public hospital, post operated on intestinal plasty; the neonate had a dehiscent and infected surgical wound. The neonate showed signs of acute pain and gastrointestinal motility complications such as bloating and gastric residue. Auxiliary diagnosis results showed thrombocytopenia and increased C reactive protein. Conclusion: The hierarchical organization of the affected functional patterns allowed executing a care plan and taking care of the needs of the neonate, all of that through interventions sustained on scientific evidence. |
| publisher |
Universidad de Sonora |
| publishDate |
2021 |
| url |
https://sanus.unison.mx/index.php/Sanus/article/view/189 |
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oai:https:--sanus.unison.mx:article-1892022-01-07T19:49:40Z Nursing process in neonate with delay in the surgical recovery for duodenal atresia Proceso enfermero en neonato con retraso en la recuperación quirúrgica por atresia duodenal Processo de enfermagem do neonato com atraso na recuperação cirúrgica por atresia duodenal Sánchez-Juárez, Itzel Andrea de Ávila-Arroyo, María Luz Tenahua-Quitl, Inés Torres-Reyes, Alejandro Proceso de enfermería Recién Nácido Anomalías Congénitas Atresia Intestinal Herida quirúrgica Nursing process Newborb Congenital abnomalities Intestinal atresia Surgical wound Proceso de enfermagem Recém-nascido Anormalidades congênitas Atresia intestinal Ferida cirúrgica Dor aguda Introduction: Duodenal atresia is a congenital malformation where a functional or anatomic abnormality causes normal intestinal motility’s disorders. The definitive treatment includes a surgical repair, whose main goal is to recover the intestinal continuity. Neonates treated with this kind of procedures have a high morbidity associated to surgical complications, sepsis, and dehiscence of surgical wound. Objective: Implement the nursing process by using the NANDA, NOC, NIC, and GPC taxonomies in order to contribute to the management of the newborn with delayed surgical recovery from duodenal atresia. Methodology: It was addressed through a case study in which the stages of the nursing process were implemented; the assessment was done by patterns functional health of Marjory Gordon, the altered patterns were prioritized and diagnosis labels were identified. Case presentation: 22-day old neonate extrauterine, was born from 38.5 SDG in a public hospital, post operated on intestinal plasty; the neonate had a dehiscent and infected surgical wound. The neonate showed signs of acute pain and gastrointestinal motility complications such as bloating and gastric residue. Auxiliary diagnosis results showed thrombocytopenia and increased C reactive protein. Conclusion: The hierarchical organization of the affected functional patterns allowed executing a care plan and taking care of the needs of the neonate, all of that through interventions sustained on scientific evidence. Introducción: La atresia duodenal, es una malformación congénita donde una anormalidad anatómica o funcional ocasiona la falla del tránsito intestinal normal. El tratamiento de elección es la reparación quirúrgica, que tiene como objetivo restablecer la continuidad intestinal. Los neonatos sometidos a este tipo de procedimientos tienen alta morbilidad asociada a complicaciones quirúrgicas, sepsis y dehiscencia de herida quirúrgica. Objetivo: Implementar el proceso enfermero mediante el uso de las Taxonomías NANDA, NOC, NIC y GPC para contribuir al manejo del neonato con retraso en la recuperación quirúrgica por atresia duodenal. Metodología: Se abordó a través de un estudio de caso en el que se implementaron las etapas del proceso enfermero, la valoración se realizó por patrones funcionales de salud de Marjory Gordon, se priorizaron los patrones alterados e identificaron etiquetas diagnósticas. Presentación del caso: Neonato de 22 días de vida extrauterina, nació de 38.5 SDG de un hospital público, post-operada de plastia intestinal, tenía una herida quirúrgica dehiscente e infectada. Presentó signos de dolor agudo y complicaciones en la motilidad gastrointestinal como distención abdominal y residuo gástrico. Los resultados auxiliares de diagnóstico mostraron trombocitopenia y aumento de la proteína C reactiva. Conclusión: La jerarquización de los patrones funcionales afectados, permitió realizar la ejecución de un plan de cuidados y atender las respuestas humanas que el neonato presentó, a través de intervenciones sustentadas en evidencia científica. Introdução: A atresia duodenal é uma malformação congênita onde uma anormalida de anatômicaou funcional causa a falha do trânsito intestinal normal. O tratamento de escolha é o reparo cirúrgico, que visa restaurar a continuidade intestinal. Os recém-nascidos submetidos a esse tipo de procedimento a presentam alta morbidade associada a complicações cirúrgicas, sepse e deiscência da ferida cirúrgica. Objetivo: Implementar o processo de enfermagem mediante o uso das Taxonomias NANDA, NOC, NIC e GPC que contribua a o manejo do recém-nascido com atraso narecuperação cirúrgica por atresia duodenal. Metodologia:Foi abordada por meio de umestudo de caso no qual o processo de enfermagemfoi aplicado, á avaliaçãofoi realizada pelos padrõesfuncionais de saúde de Marjory Gordon, foram priorizados os padrões alterados e foram identificadas ás etiquetas de diagnóstico. Apresentação do caso: Neonato de 22 dias de vida extra-uterina, nesceu de 38.5 SDG de um hospital público, pós-operatória de plastia intestinal, tinhauma ferida cirúrgicadeiscente e infetada. Apresentousinais de dor aguda e complicaçõesnamotilidade gastrointestinal como a distensão abdominal e resíduo gástrico. Os resultados do diagnóstico auxiliar mostraram trombocitopenia e aumento da proteína C reativa. Conclusão: A hierarquia dos padrõesfuncionaisafetados, permitiu realizar á execução de um plano de cuidados e atender àsrespostas humanas que o neonato apresentou, através de intervençõesbaseadas em evidências científicas. Universidad de Sonora 2021-07-20 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Text Artículo evaluado por pares Texto Texto application/pdf application/pdf text/xml https://sanus.unison.mx/index.php/Sanus/article/view/189 10.36789/sanus.vi1.189 SANUS; Vol. 6 (2021): January-December; e189 SANUS; Vol. 6 (2021): Enero-Diciembre; e189 SANUS; v. 6 (2021): Enero-Diciembre; e189 2448-6094 spa eng https://sanus.unison.mx/index.php/Sanus/article/view/189/244 https://sanus.unison.mx/index.php/Sanus/article/view/189/245 https://sanus.unison.mx/index.php/Sanus/article/view/189/252 Derechos de autor 2021 https://creativecommons.org/licenses/by-nc-nd/4.0 |
