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dc.contributor.advisorSellan Icaza, Víctor Manuel
dc.contributor.authorGuamán Avilés, Ginger Katiusca
dc.date.accessioned2023-11-08T15:34:58Z
dc.date.available2023-11-08T15:34:58Z
dc.date.issued2023
dc.identifier.urihttp://dspace.utb.edu.ec/handle/49000/15110
dc.descriptionDiabetes mellitus is a metabolic pathology that, if not treated or controlled, can become chronic and complex, characterized by absolute or relative deficiency of insulin production in the body. This pathology is characterized by chronic hyperglycemia and other disorders of carbohydrate and lipid metabolism, on the other hand, diabetic foot is a complication that occurs in patients with a history of diabetes that causes damage to blood vessels. The present clinical case shows the care provided to an elderly female patient of 72 years of age, with a pathological history of diabetes mellitus grade II plus diabetic foot, whose main objective is to apply the nursing care process, and provide individualized care according to the patient's requirements, a comprehensive assessment of the patient was carried out using the functional patterns of the theorist Marjory Gordon, where 3 altered patterns were determined in the older adult, which are: Health Perception/Management, Nutritional and Metabolic, Adaptation/Stress Tolerance. Using the taxonomy of NANDA, NIC and NOC, priority nursing diagnoses will be developed consisting of Impairment of tissue integration, Risk of Infection, Risk of unstable glycemic level and optimal nursing interventions for the patient were established, which are presented below: Control of the patient's vital signs.- Inspect the skin for erythema, color or exudate.- Carry out correct asepsis of the area that is affected.- Blood glucose control.- Educate the patient about diabetic foot infections.- Maintain an intravenous line.- Administer medications prescribed by the doctor.- During his hospital stay, improvement was evident in the patient's state of health, control was maintained of both his blood glucose level and the state of the ulcer presented on the skin, daily asepsis of the affected area was performed and at the same time The patient was educated to promote self-care and maintain control of her pathology. Furthermore, a fundamental factor for the evolution of patients is the support from the family and in this case it was no exception, since the older adult had the support of the family from the first day of hospitalization, which I created a positive impact on his recovery. The nursing staff is the fundamental pillar in this care, based on the promotion and prevention of the disease. Her evolution was optimal until the day of her medical discharge and she was referred to the nearest health center to control her pathology.es_ES
dc.descriptionDiabetes mellitus is a metabolic pathology that, if not treated or controlled, can become chronic and complex, characterized by absolute or relative deficiency of insulin production in the body. This pathology is characterized by chronic hyperglycemia and other disorders of carbohydrate and lipid metabolism, on the other hand, diabetic foot is a complication that occurs in patients with a history of diabetes that causes damage to blood vessels. The present clinical case shows the care provided to an elderly female patient of 72 years of age, with a pathological history of diabetes mellitus grade II plus diabetic foot, whose main objective is to apply the nursing care process, and provide individualized care according to the patient's requirements, a comprehensive assessment of the patient was carried out using the functional patterns of the theorist Marjory Gordon, where 3 altered patterns were determined in the older adult, which are: Health Perception/Management, Nutritional and Metabolic, Adaptation/Stress Tolerance. Using the taxonomy of NANDA, NIC and NOC, priority nursing diagnoses will be developed consisting of Impairment of tissue integration, Risk of Infection, Risk of unstable glycemic level and optimal nursing interventions for the patient were established, which are presented below: Control of the patient's vital signs.- Inspect the skin for erythema, color or exudate.- Carry out correct asepsis of the area that is affected.- Blood glucose control.- Educate the patient about diabetic foot infections.- Maintain an intravenous line.- Administer medications prescribed by the doctor.- During his hospital stay, improvement was evident in the patient's state of health, control was maintained of both his blood glucose level and the state of the ulcer presented on the skin, daily asepsis of the affected area was performed and at the same time The patient was educated to promote self-care and maintain control of her pathology. Furthermore, a fundamental factor for the evolution of patients is the support from the family and in this case it was no exception, since the older adult had the support of the family from the first day of hospitalization, which I created a positive impact on his recovery. The nursing staff is the fundamental pillar in this care, based on the promotion and prevention of the disease. Her evolution was optimal until the day of her medical discharge and she was referred to the nearest health center to control her pathology.es_ES
dc.description.abstractLa diabetes mellitus es una patología a nivel metabólico que si no se trata o se controla puede llegar a ser crónica y compleja, caracterizada por deficiencia absoluta o relativa de la producción de insulina en el organismo, esta patología se caracteriza por presentar hiperglucemia crónica y otros trastornos del metabolismo de los carbohidratos y lípidos, por otro lado, el pie diabético es una complicación que se presenta en pacientes con antecedentes de diabetes que causa daño a los vasos sanguíneos. El presente caso clínico evidencia la atención brindada a un paciente adulto mayor de sexo femenino de 72 años de edad, con antecedentes patológico de diabetes mellitus grado II más pie diabético, el cual, tiene como objetivo principal aplicar el proceso de atención de enfermería, y brindar cuidados individualizados según el requerimiento de la paciente, se realizó una valoración exhaustiva de la paciente mediante los patrones funcionales de la teorizante Marjory Gordon, donde se determinaron 3 patrones alterados en la adulta mayor, los cuales son: Percepción/ Manejo de Salud, Nutricional y Metabólico, Adaptación/ Tolerancia al Estrés. Utilizando la taxonomía del NANDA, NIC y NOC se elaborará diagnósticos de enfermería prioritarios conformados por Deterioro de la integración tisular, Riesgo de Infección, Riesgo de nivel de glucemia inestable y se establecieron intervenciones de enfermería óptimos para el paciente, las cuales se presentan a continuación: Control de signos vitales del paciente.- Inspeccionar la existencia de eritema, color o exudado en la piel.- Realizar una correcta asepsia de la zona que se encuentra afectada.- Control de glucemia.- Educar al paciente sobre las infecciones en pie diabético.- Mantener una vía endovenosa.- Administrar medicamentos prescritos por el médico.- En su estadía hospitalaria se evidenció mejoría en el estado de salud del paciente, se mantenía un control tanto de su nivel de glucosa en la sangre y del estado de la ulcera presentada en la piel, se realizó asepsia diaria de la zona afectada y a su vez se educó a la paciente para fomentar el autocuidado y mantener un control de su patología. Además, un factor fundamental para la evolución de los pacientes es el apoyo por parte de la familia y en este caso no fue la excepción, ya que la adulta mayor desde el primer día de hospitalización contó con el apoyo por parte de la familia lo cual creo un impacto positivo en su recuperación. El personal de enfermería es el pilar fundamental en dichos cuidados, basado en la promoción y prevención de la enfermedad, su evolución fue optima hasta el día del alta médica y se la refirió al centro de salud más cercano para control de su patología.es_ES
dc.format.extent67 p.es_ES
dc.language.isoeses_ES
dc.publisherBabahoyo: UTB-FCS, 2023es_ES
dc.rightsAtribución-NoComercial-SinDerivadas 3.0 Ecuador*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/ec/*
dc.subjectProceso de Atención de Enfermeríaes_ES
dc.subjectPatrones funcionaleses_ES
dc.subjectGlicemiaes_ES
dc.subjectPie Diabéticoes_ES
dc.titleProceso atención de enfermería en adulto mayor con pie diabético.es_ES
dc.typebachelorThesises_ES


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