Case study of a user with diagnosis: post-operated decompresive craniotomy, probable subdural empyema

Introduction: The case study focuses on a user with post operative medical diagnosis of decompressive craniotomy, probable subdural empyema, hospitalized in the Internal Medicine service in a public hospital institution in the state of Sonora. Methodology: A focused nursing assessment was carried ou...

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Autores principales:	Sandoval-Gutierrez, Karla Abigail, Rojas-Vega, María Emma
Formato:	Online
Lenguaje:	spa
Publicado:	Universidad de Sonora 2019
Acceso en línea:	https://sanus.unison.mx/index.php/Sanus/article/view/80
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spelling	oai:https:--sanus.unison.mx:article-802021-07-22T02:18:40Z Case study of a user with diagnosis: post-operated decompresive craniotomy, probable subdural empyema Estudio de caso a un usuario con diagnóstico: post operado de creaneotomía descompresiva, probable empiema subdural Sandoval-Gutierrez, Karla Abigail Rojas-Vega, María Emma Proceso de enfermería Estudio de caso Hematoma subdural Epilepsia Empiema subdural Craneotomía Nursing process Case studies Subdural hematoma Epilepsy Subdural empyema Craniotomy Introduction: The case study focuses on a user with post operative medical diagnosis of decompressive craniotomy, probable subdural empyema, hospitalized in the Internal Medicine service in a public hospital institution in the state of Sonora. Methodology: A focused nursing assessment was carried out, implementing the nursing assessment guide according to the functional health pattern of Marjory Gordon. Nursing diagnoses were identified based on the unique responses of the user, using the NANDA I taxonomy II; later the interventions were planned, implementing individualized care plans with the NOC NIC taxonomies, focused on the persons needs. Results: Eight nursing diagnoses were identified from the focused assessment carried out, of which four are real diagnoses and four are risk diagnoses. Conclusions: the nursing assessment allows us to identify the unique users needs and it is the nursing staff responsibility to have the necessary knowledge to be able to offer a warmth and quality human care to the users with different pathoolgies. Introducción: el estudio de caso se centra en un usuario con diagnóstico médico post operado de craneotomía descompresiva, probable empiema subdural, hospitalizado en el servicio de Medicina interna en una institución hospitalaria pública del estado de Sonora. Metodología: se le realizó una valoración focalizada de enfermería implementado la guía de valoración de enfermería según tipología de patrones funcionales de salud de Marjory Gordon. Se identificaron los diagnósticos de enfermería a partir de las respuestas únicas del usuario, empelando la taxonomía II de la NANDA Internacional y posteriormente se planearon las intervenciones, implementado planes de cuidado individualizados con las taxonomías NOC NIC, enfocados a las necesidades del usuario. Resultados: se identificaron 8 diagnósticos de enfermería a partir de la valoración focalizada llevada a cabo, de los cuales cuatro son diagnósticos reales y cuatro son diagnósticos de riesgo. Conclusiones: la valoración de enfermería nos permite identificar las necesidades únicas de los usuarios y es responsabilidad del personal de enfermería tener los conocimientos necesario para poder brindar un cuidado humano con calidez y calidad a los usuarios con distintas patologías. Universidad de Sonora 2019-08-11 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artículo evaluado por pares Texto application/pdf https://sanus.unison.mx/index.php/Sanus/article/view/80 10.36789/sanus.vi4.80 SANUS; No. 4 (2017): Julio-Diciembre; 32-40 REVISTA SANUS; Núm. 4 (2017): Julio-Diciembre; 32-40 SANUS; n. 4 (2017): Julio-Diciembre; 32-40 2448-6094 spa https://sanus.unison.mx/index.php/Sanus/article/view/80/61 Derechos de autor 2017 SANUS
institution	Sanus
collection	OJS
language	spa
format	Online
author	Sandoval-Gutierrez, Karla Abigail Rojas-Vega, María Emma
spellingShingle	Sandoval-Gutierrez, Karla Abigail Rojas-Vega, María Emma Case study of a user with diagnosis: post-operated decompresive craniotomy, probable subdural empyema
author_facet	Sandoval-Gutierrez, Karla Abigail Rojas-Vega, María Emma
author_sort	Sandoval-Gutierrez, Karla Abigail
title	Case study of a user with diagnosis: post-operated decompresive craniotomy, probable subdural empyema
title_short	Case study of a user with diagnosis: post-operated decompresive craniotomy, probable subdural empyema
title_full	Case study of a user with diagnosis: post-operated decompresive craniotomy, probable subdural empyema
title_fullStr	Case study of a user with diagnosis: post-operated decompresive craniotomy, probable subdural empyema
title_full_unstemmed	Case study of a user with diagnosis: post-operated decompresive craniotomy, probable subdural empyema
title_sort	case study of a user with diagnosis: post-operated decompresive craniotomy, probable subdural empyema
description	Introduction: The case study focuses on a user with post operative medical diagnosis of decompressive craniotomy, probable subdural empyema, hospitalized in the Internal Medicine service in a public hospital institution in the state of Sonora. Methodology: A focused nursing assessment was carried out, implementing the nursing assessment guide according to the functional health pattern of Marjory Gordon. Nursing diagnoses were identified based on the unique responses of the user, using the NANDA I taxonomy II; later the interventions were planned, implementing individualized care plans with the NOC NIC taxonomies, focused on the persons needs. Results: Eight nursing diagnoses were identified from the focused assessment carried out, of which four are real diagnoses and four are risk diagnoses. Conclusions: the nursing assessment allows us to identify the unique users needs and it is the nursing staff responsibility to have the necessary knowledge to be able to offer a warmth and quality human care to the users with different pathoolgies.
publisher	Universidad de Sonora
publishDate	2019
url	https://sanus.unison.mx/index.php/Sanus/article/view/80
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Case study of a user with diagnosis: post-operated decompresive craniotomy, probable subdural empyema

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