Comprehensive care for a woman with laterocervical neoplastic ulcer: a clinical case in primary care

Section: Práctica Clínica

How to quote

Dalfó Pibernat A, Peiró Robert M, Sánchez Mur J, Moreno Martínez M, Marchán Martínez J. Atención integral a una mujer con úlcera neoplásica latero cervical: un caso clínico en Atención Primaria. Metas Enferm may 2018; 21(4):28-32.

Authors

Artur Dalfó Pibernat1, Mariona Peiró Robert2, Julia Sánchez Mur2, Marina Moreno Martínez3, Jennifer Marchán Martínez3

Contact address

Artur Dalfó Pibernat. Centro de Atención Primaria Horta. C/ Lisboa, s/n. 08032 Barcelona

Contact email: adpibernat@gmail.com

Abstract

The increase of oncological episodes in health represents an increase in the wounds with neoplastic etiology, which need a different approach from that used for other type of wounds. This article describes the clinical case of a 71-year-old woman who presented a neoplastic lesion in her right laterocervical area; a comprehensive Nursing Care plan was conducted with holistic approach as objective. Assessment allowed to detect the risk of situational low self-esteem as Nursing Diagnosis, which was addressed in the Nursing Plan alongside collaborative problems: laterocervical neoplastic ulcer and acute pain secondary to the neoplastic lesion. NOC and NIC taxonomies were used for the Care Plan: Wound healing: secondary intention (NOC: 1103), Wound care (NIC: 3660) and Wound care: Non-healing (NIC: 3664); Pain control (NOC: 1605) and Pain management (NIC: 1400); Acceptance: Health Status (NOC: 1300) and Emotional Support (NIC: 5270). Until the patient’s death, the general objectives were met regarding a treatment approach targeted to improving the patient’s quality of life, optimizing her self-esteem and her spiritual peace.

Keywords:

Skin neoplasias; palliative carePrimary Care.

Versión en Español

Título:

Atención integral a una mujer con úlcera neoplásica latero cervical: un caso clínico en Atención Primaria