Nursing care for a post-cesarean patient due to severe preeclampsia in the obstetrics service of a national hospital

Abstract

Preeclampsia is a multisystem disease with hypertensive symptoms above 140/90 mm Hg, which can occur during pregnancy after 20 weeks or in the postpartum period, affecting the mother as well as the fetus, accompanied by altered proteinuria. The objective was to manage the nursing care process in a pregnant woman with severe preeclampsia. Study with a qualitative approach, single case type and as a scientific method of the nursing care process (PAE). The subject of the study was a 31-year-old pregnant woman, to whom the 5 stages were applied: the assessment stage using the guide of Marjory Gordon's 11 functional patterns, three altered patterns were prioritized: health perception, self-perception - self-concept and perceptual - cognitive; With taxonomy II of NANDA-I, nursing diagnoses were developed and identified: CP gestational hypertension CR malignant hypertension, acute pain and anxiety, according to the SSPFR format (signs and symptoms, problem, related factor/risk factor/associated) . The activities were planned based on the interventions and results of the NOC and NIC classification. In the execution phase, the care plan was put into practice, continuing with the collection and assessment of data, aimed at resolving problems and needs; The evaluation of the activities was given by the difference between the baseline scores and the final score; As results, a change score (+1), (+1), (+1) was obtained. In conclusion, it was possible to manage the nursing care process by providing specialty and quality care to the patient.