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Metas de Enfermería

Metas de Enfermería

DICIEMBRE 2012 N° 10 Volumen 15

Nursing approach to a patient with cardiac insufficiency in Primary Care

Section: Hands on

How to quote

Prats Guardiola M, López Pisa RM, de la Torre García A. Abordaje enfermero de un paciente con insuficiencia cardiaca en Atención Primaria. Metas de Enferm dic 2012/ene 2013; 15(10): 56-61

Authors

1Marta Prats Guardiola, 2Rosa María López Pisa, 1Ascensión de la Torre García

Position

1Enfermera del Área Básica de Salud Lluís Millet, Instituto Catalán de la Salud, Esplugues de Llobregat (Barcelona).2Enfermera. Unidad de Investigación en Cuidados de Salud (Investén-iscii).

Contact address

Marta Prats Guardiola. C/ Riera de la Salut 30 A, 8º, 4ª. 08980 Sant Feliu de Llobregat (Barcelona).

Contact email: mpratsg@ambitcp.salut.net

Abstract

Currently, chronic insufficiency (CI) is one of the most prevalent, costly­, progressive and disabling disorders of developed countries. It represents the third leading cause of cardiovascular death and the leading cause of hospitalization in people over 65. In Spain, 8% of people aged 65-75 years suffering from CI and in people aged over 75 years the prevalence of this condition reaches 16%.
By exposing the case of a patient with cardiac insufficiency  and its manage­ment on the part of the primary care nurse, we aim to show the importance of monitoring and follow up from that level of care and continuity of care when faced with a health problem of such magnitude and prevalence.
The nursing assessment was performed using the Virginia Henderson´s model: Diagnoses and care plans were established using the classifications of Norht American Nursing Diagnosis Association (NANDA), Nursing­ Outcome Clasification (NOC) and Nursing Interventions Classification (NIC). Outcomes were assessed at three months.
Follow up of the community nurse, along with teamwork and use of clinical­ practice guidelines, were crucial to avoid decompensation and improve the quality of life of patients.

Keywords:

community nurse; family nurse; heart failure; nursing diagnosis; nursing resultsPrimary Care

Versión en Español

Título:

Abordaje enfermero de un paciente con insuficiencia cardiaca en Atención Primaria