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Revista Cubana de Enfermería

On-line version ISSN 1561-2961

Abstract

BERNAL CORRALES, Fátima Del Carmen; FLORES GUEVARA, Daylin Linet  and  FLORES TENORIO, Keyda Araceli. Nursing care process for a patient with COVID -19 in a level I hospital. Rev Cubana Enfermer [online]. 2023, vol.39  Epub June 10, 2023. ISSN 1561-2961.

Introduction:

COVID-19 infection, in many cases, leads to the development of severe respiratory failure, which has caused a high mortality rate in the world, nursing care was vital for the recovery of patients.

Objective:

Design a nursing care plan for patients with respiratory failure due to COVID-19.

Methods:

Clinical case in a 71-year-old older adult admitted to the COVID-19 hospitalization area in a level I hospital, during the year 2021, the nursing process methodology was used. The assessment was based on the functional patterns of Marjory Gordon and the NANDA taxonomy to prepare nursing diagnoses, NOC taxonomy (results), NIC taxonomy (interventions).

Results:

4 main diagnoses were identified: Impaired gas exchange, ineffective protection, insomnia, death anxiety; an individualized care plan based on the results (NOC) was developed Respiratory status: gas exchange, immune status, level of anxiety. Among the Nursing Interventions (NIC): Respiratory monitoring, protection against infections, anxiety reduction, which were implemented in the execution phase with satisfactory results that allowed improving the patient's health status and achieving discharge.

Conclusions:

The use of the NANDA, NOC, NIC taxonomies and the assessment based on the functional patterns of Marjory Gordon allowed the elaboration of a care plan to improve the patient's health status and provide holistic nursing care.

Keywords : Nursing Care; Elderly; COVID-19; Nursing Diagnosis; Nursing Process; Standardized Nursing Terminology.

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