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  • Author: Hanna Grabowska x
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Can ICNP® be used in the nursing care of a patient with pneumonia?

Abstract

Introduction. The international standard for nursing terminology included in the ICNP®, recommended by many organizations and associations, can be used in the daily professional practice to facilitate the nurses’ selection of appropriate diagnoses and nursing interventions.

Aim. The aim of the study is an attempt to show the possibilities of using the International Classification for Nursing Practice (ICNP®) in the nursing care of patients with pneumonia. Pneumonia is an inflammatory process located within lung tissue situated peripherally in relation to the terminal bronchiole, leading to the accumulation of inflammatory cells and an exudate within alveoli, interalveolar septa and/or in the interstitial lung tissue. Usually, patients experience: cough, shortness of breath, pleuritic chest pain, and systemic symptoms: fever, chills, tachycardia, increased sweating, muscle and joint pain, headaches, fatigue, and sometimes nausea, vomiting and diarrhoea. Common nursing problems/diagnoses in the group of patients with pneumonia are: dyspnea, impaired respiratory system process, impaired airway clearance, fever, lack of appetite, risk for hypovolemia, lack of knowledge about the disease.

Summary. The International Classification for Nursing Practice contains the most basic terms describing nursing diagnoses and interventions that are crucial in providing nursing care to patients with pneumonia.

Open access
Nursing care of a patient with sarcoidosis. Case study using ICNP®

Abstract

Introduction. Sarcoidosis is a rare, multi-organ disease of unknown etiology, characterized by the formation of granulomas mainly in the respiratory system.

Aim. The aim of the study is to present a plan of care for patients with sarcoidosis, including International Classification for Nursing Practice – ICNP® terminology.

Material and methods. The study was conducted in April 2019 at the Internal Disease Unit of the 7th Polish Navy Hospital in Gdansk, and included a 54-year-old patient hospitalized for sarcoidosis. The research employed the case study method and the technique of the interview, observation, analysis of medical records and measurements. The C-HOBIC data set was used to assess the patient’s condition.

Results and conclusions. The reasons for the patient’s admission to the hospital were a continued raised temperature, erythema, as well as joint pain. The assessment and analysis of a patient’s status allowed us to formulate seven nursing diagnoses characteristic for sarcoidosis, which included: arthritis pain, functional dyspnoea, fever, impaired active range of motion, fatigue, risk for medication side effect and lack of knowledge of disease and 2 diagnoses resulting from the lifestyle of the patient: tobacco abuse and overweight. The process of nursing care planning included interventions fundamental for the above-mentioned diagnoses. They concerned the monitoring of symptoms and health indices, the patient’s knowledge, as well as the role of the nurse in the therapeutic process. The ICNP dictionary includes a sufficient range of terms, which allows the creation of a satisfactory nursing care plan for a patient with sarcoidosis.

Open access
The care of a patient with cardiovascular disorders - a case study based on ICNP®

Abstract

Introduction. Cardiovascular diseases still remain the chief life-threatening condition in Poland. They are one of the main causes of sickness absences at work, as well as reasons for hospitalization and disabilities. The professionals responsible for providing nursing services to people suffering from cardiovascular diseases should take into account the activities addressing all spheres of patient’s life. Most attention should be paid to preventing complications, as well as interventions enabling both the patients to perform selfmonitoring and self-care and their relatives to provide unprofessional care.

Aim. The aim of this work was to formulate a nursing care plan for a patient suffering from cardiovascular diseases, using the International Classification for Nursing Practice.

Material and methods. For the purpose of this article, an individual case study method and literature analysis were used. The research was conducted in November 2015 at the Clinic of Hypertension and Diabetes of the University Clinical Centre at the Medical University of Gdańsk. Written consents were obtained from every patient.

Results. In the process of providing nursing care to the patients, phrases describing “ready” diagnoses and nursing interventions included in the International Classification for Nursing Practice (ICNP®) were used. The care plans included the following nursing diagnoses: impaired cardiovascular system, altered blood pressure, pain, functional dyspnea, peripheral edema, impaired sleep, risk of infection, obesity, lack of knowledge about the disease/ poor self-control.

Conclusions. The plan of nursing care for patients with cardiovascular diseases was based on the ICNP® reference terminology that fully reflects the key problems of the patient and the scope of interventions made by nurses.

Open access
Nursing care for a patient with metabolic syndrome including ICNP® reference terminology

Abstract

Introduction. Metabolic syndrome is a cluster of conditions (increased blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels) that occur together, increasing your risk of cardiovascular disorders.

Aim. The aim of the study was to formulate a nursing care plan for a patient with GN using the ICNP®? terminology.

Material and methods. The research employed the case study method and the technique of the interview, observation, analysis of medical records and measurements. The research was conducted at the Clinic of Arterial Hypertension and Diabetology at the University Clinical Centre in Gdańsk and involved 2 patients with MS.

Results and conclusions. Based on the data obtained, the following nursing diagnoses were formulated: Impaired Regulatory System Function/Hyperglycaemia, Altered Blood Pressure, Acute Pain (head), Overweight, Impaired Sleep and Anxiety, potential diagnoses: Risk For Impaired Peripheral Neurovascular Function, Risk For Diabetic Foot and Risk For Medication Side Effect, and as well as self-control and self-care: Impaired Ability To Manage Regime and Impaired Ability To Monitor Disease.

Open access