NURSING PROCESS IN A PATIENT WITH SEPTIC SHOCK FROM THE PERSPECTIVE OF SELF-CARE DEFICIT

Septic shock is a state of tissue hypoperfusion defined as a subcategory of sepsis in which circulatory and cellular metabolism alterations can considerably increase mortality. Worldwide, septic shock ranks second as a cause of non-coronary death in the Intensive Care Unit (ICU), with an annual inci...

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Detalles Bibliográficos
Autores principales: Aké Canul, Didier Francisco, Tun González, Dallany Trinidad, Ortiz Gómez, Laura Dioné, Morales Rojas, Marco Esteban, Quijano Medina, Aldo Emmanuel
Formato: Artículo revista
Lenguaje:Español
Publicado: Sanatorio Allende. Departamento de enfermería 2023
Materias:
Self Care
Shock Septic
Critical Care
Nursing Process
Autocuidado
Choque Séptico
Cuidados Críticos
Proceso de Enfermería
Processo de Enfermagem
Acceso en línea:https://revistas.unc.edu.ar/index.php/notasenf/article/view/41465
Aporte de:
Notas de Enfermería de Universidad Nacional de Córdoba
Descripción
Sumario:Septic shock is a state of tissue hypoperfusion defined as a subcategory of sepsis in which circulatory and cellular metabolism alterations can considerably increase mortality. Worldwide, septic shock ranks second as a cause of non-coronary death in the Intensive Care Unit (ICU), with an annual incidence of 10%, and a hospital mortality of 18 to 35%. Objective: To describe the approach to the Nursing Care Process in patients with septic shock and from the perspective of self-care deficit. Methodology: The clinical case was based on the stages of the Nursing Care Process (PAE), on the Nursing Theory of Self-Care Deficit (TEDA) by Dorothea Orem and on taxonomic tools for the individualized approach to the care plan. Results: A 68-year-old patient, in the Adult Intensive Care service, undergoes the first postoperative hour due to left nephrectomy secondary to perirenal abscess, which conditions septic shock. The PAE was approached with the support of the TEDA, with a priority being the dignostic label reduction of cardiac output. Conclusions: The application of nursing theories and models provide a frame of reference to provide quality care in different areas of performance, including intensive care units. It is essential to use the PAE methodology that allows to give evidence of the professionalization of care, by using technical language, with the support of Orem's Theory and with taxonomic tools.

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