Nursing care process in a patient with chronic mechanical ventilation
DOI:
https://doi.org/10.20453/renh.v17i.2024.6123Keywords:
mechanical ventilation, nursing diagnoses, NANDA International, respiratory failureAbstract
Chronic mechanical ventilation is a particular situation in which a patient is assisted through an endotracheal tube or a tracheostomy tube. In this procedure, the critical care nurse provides comprehensive care based on the scientific method, using the nursing process. Objective: To establish a standardized and individualized process aimed at improving the patient's physical and psycho-emotional health status and attempting to reintegrate the patient into society under the most favorable conditions. Materials and methods: This clinical case describes a 51-year-old male patient who was hospitalized with a diagnosis of endocarditis and then admitted to the operating room for tricuspid plasty plus debridement, and surgical cleaning, with removal of the automatic internal defibrillator electrode. The patient was then admitted to the ICU with mechanical ventilation. Results: The patient experienced difficulty weaning from mechanical ventilation, with multiple failures. A care plan was implemented using the NANDA-NOC and NIC taxonomy, achieving successful weaning and subsequent transfer from intermediate care to the general hospitalization service. Conclusion: This clinical case highlights the importance of applying a standardized and individualized methodology for complex cases.
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