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Proceso de atención de enfermería en paciente femenino de 58 años con diagnóstico adenocarcinoma de endometrio con invasión al miometrio.
| dc.contributor.advisor | Sellan Icaza, Víctor Manuel | |
| dc.contributor.author | Veas Zambrano, María Gabriela | |
| dc.date.accessioned | 2023-11-08T19:44:04Z | |
| dc.date.available | 2023-11-08T19:44:04Z | |
| dc.date.issued | 2023 | |
| dc.identifier.uri | http://dspace.utb.edu.ec/handle/49000/15133 | |
| dc.description | Endometrial adenocarcinoma is a common pathology; it is defined as an alteration in cell growth generating a series of mutations that can affect a single cell or all of them. As we know, the uterus is a hollow organ that resembles a pear in shape. It consists of three layers, the outer layer of the myometrium, the inner layer of the endometrium, and a serosa that covers the outside of the uterus. There are multiple risk factors such as obesity, late menopause, nulliparity, high levels of estrogen, family history, among others, but it has been seen that a relevant percentage is hereditary, others are sporadic mutations. The signs and symptoms manifested by this condition are abnormal genital bleeding, more particularly in postmenopausal women, purulent discharge; In elderly women, abdominal pain or distension, altered gastrointestinal transit, respiratory symptoms, and constitutional syndrome may be present. Among the diagnostic methods is transvaginal ultrasound as a sensitive and specific method, in others a biopsy or hysteroscopy will be required. In their classification, they are divided into type I or endometrioid carcinomas, which are grouped with high levels of estrogen and types II. The nursing care process allows us to provide personalized care, the care provided to our patient was to encourage the patient to carry out normal activities of daily living adjusted to the level of capacity, establish a sequence of daily care activities to enhance the effects of specific exercise therapy, identify the intensity of pain during movements in recovery activities, monitor pain using a valid and reliable measurement tool appropriate to age and communication ability, try to understand the patient's perspective on a stressful situation, stay with the patient to promote safety and reduce fear, to achieve the achievement of our expected results. In our patient, the goals are to recognize the consequences of immobility: physiological, Pain Level Management, Control anxiety. As seen in the following case, a 58-year-old female patient with a diagnosis of endometrial adenocarcinoma, based on the altered functional patterns of exercise activity, perceptual cognitive, role/relationships, adaptation and tolerance to stress, the Physical Mobility needs were evident. deterioration, acute pain, risk of tension in the caregiver's role, anxiety that the patient had, nursing interventions were also identified. | es_ES |
| dc.description | Endometrial adenocarcinoma is a common pathology; it is defined as an alteration in cell growth generating a series of mutations that can affect a single cell or all of them. As we know, the uterus is a hollow organ that resembles a pear in shape. It consists of three layers, the outer layer of the myometrium, the inner layer of the endometrium, and a serosa that covers the outside of the uterus. There are multiple risk factors such as obesity, late menopause, nulliparity, high levels of estrogen, family history, among others, but it has been seen that a relevant percentage is hereditary, others are sporadic mutations. The signs and symptoms manifested by this condition are abnormal genital bleeding, more particularly in postmenopausal women, purulent discharge; In elderly women, abdominal pain or distension, altered gastrointestinal transit, respiratory symptoms, and constitutional syndrome may be present. Among the diagnostic methods is transvaginal ultrasound as a sensitive and specific method, in others a biopsy or hysteroscopy will be required. In their classification, they are divided into type I or endometrioid carcinomas, which are grouped with high levels of estrogen and types II. The nursing care process allows us to provide personalized care, the care provided to our patient was to encourage the patient to carry out normal activities of daily living adjusted to the level of capacity, establish a sequence of daily care activities to enhance the effects of specific exercise therapy, identify the intensity of pain during movements in recovery activities, monitor pain using a valid and reliable measurement tool appropriate to age and communication ability, try to understand the patient's perspective on a stressful situation, stay with the patient to promote safety and reduce fear, to achieve the achievement of our expected results. In our patient, the goals are to recognize the consequences of immobility: physiological, Pain Level Management, Control anxiety. As seen in the following case, a 58-year-old female patient with a diagnosis of endometrial adenocarcinoma, based on the altered functional patterns of exercise activity, perceptual cognitive, role/relationships, adaptation and tolerance to stress, the Physical Mobility needs were evident. deterioration, acute pain, risk of tension in the caregiver's role, anxiety that the patient had, nursing interventions were also identified. | es_ES |
| dc.description.abstract | El adenocarcinoma de endometrio es una patología frecuente, se define como una alteración en crecimiento celular generando una serie de mutaciones que puede afectar a una sola célula o todas. Como sabemos el útero es un órgano hueco que se asemeja su forma a la de una pera, consta de tres capas, miometrio capa externa, endometrio capa interna, y una serosa que recubre el exterior del útero. Existen múltiples factores de riesgo como la obesidad, menopausia tardía, Nuliparidad, altos niveles de estrógenos, antecedentes familiares, entre otros, pero se ha visto que un porcentaje relevante son hereditarias, otras son mutaciones esporádicas. Los signos y síntomas que manifiesta este cuadro son sangrado genital anormal, con mayor particularidad en mujeres postmenopáusicas, secreción purulenta; en mujeres de edad avanzada el dolor o distensión abdominal, alteración transito gastrointestinal, clínica respiratoria y síndrome constitucional pueden estar presentes. Entre los métodos de diagnóstico está la ecografía transvaginal como método sensible y especifico, en otros se necesitará de biopsia o histeroscopia. En su clasificación se dividen en carcinomas tipo I o endometrioides esto se agrupan a los niveles elevados de estrógenos y los tipos II. El proceso de atención de enfermería nos permite brindar cuidados personalizados, los cuidados brindados a nuestra paciente fueron animar al paciente a realizar las actividades normales de la vida diaria ajustadas al nivel de capacidad, establecer una secuencia de actividades diarias de cuidados para potenciar los efectos de la terapia especifica de ejercicios, identificar la intensidad del dolor durante los movimientos en las actividades de recuperación, monitorizar el dolor utilizando una herramienta de medición validad y fiable apropiada a la edad y a la capacidad de comunicación, tratar de comprender la perspectiva del paciente sobre una situación estresante, permanecer con el paciente para promover la seguridad y reducir el miedo, para conseguir el logro de nuestros resultados esperados que en nuestro paciente las metas son que reconozca las consecuencias de la inmovilidad: fisiológicas, Manejo del Nivel dolor, Controlar la ansiedad. Como se ve en el siguiente caso paciente de sexo femenino de 58 años con diagnóstico de adenocarcinoma de endometrio, a partir de los patrones funcionales alterados actividad ejercicio, cognitivo perceptivo, rol / relaciones, adaptación y tolerancia al estrés, se evidencio las necesidades Movilidad Física deteriorada, dolor agudo, riesgo de tensión en el rol del cuidador, ansiedad que tenía la paciente, así mismo se identificó las intervenciones de enfermería. | es_ES |
| dc.format.extent | 53 p. | es_ES |
| dc.language.iso | es | es_ES |
| dc.publisher | Babahoyo: UTB-FCS, 2023 | es_ES |
| dc.rights | Atribución-NoComercial-SinDerivadas 3.0 Ecuador | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/ec/ | * |
| dc.subject | Adenocarcinoma | es_ES |
| dc.subject | Endometrio | es_ES |
| dc.subject | Nivel del dolor | es_ES |
| dc.subject | Útero | es_ES |
| dc.subject | Ansiedad | es_ES |
| dc.title | Proceso de atención de enfermería en paciente femenino de 58 años con diagnóstico adenocarcinoma de endometrio con invasión al miometrio. | es_ES |
| dc.type | bachelorThesis | es_ES |
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