Section: Práctica Clínica
How to quote
Muñoz Gallego L, Moreno Cabello E, Martín Salinas C. Paciente con úlceras vasculares infectadas. Un abordaje desde la teoría de Dorothea Orem. Metas Enferm mar 2020; 23(2):57-62. Doi: https://doi.org/10.35667/MetasEnf.2019.23.1003081550
Leire Muñoz Gallego1, Esther Moreno Cabello1, Carmen Martín Salinas2
1Estudiante de 3º de Grado en Enfermería. Departamento de Enfermería. Universidad Autónoma de Madrid (UAM)2Máster en Docencia Universitaria. Departamento de Enfermería. Universidad Autónoma de Madrid (UAM)
Leire Muñoz Gallego. C/ Maestro Luna, 1. 28100 Alcobendas (Madrid).
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Vascular ulcers are very painful, and they usually entail mobility difficulties and a reduction in quality of life. Therefore, the correct cure of ulcers, together with an adequate pain management, and conducting the prevention of falls are essential.
The case of a 71-year-old male is presented, with four infected vascular ulcers in lower limbs. For this clinical case approach, a nursing assessment has been conducted according to Dorothea Orem’s Self-Care Deficit Nursing Theory, using the NANDA, NIC and NOC taxonomy, and applying the Pesut’s AREA model.
The Activity Intolerance and Risk of Falls nursing diagnoses were identified; and as collaboration problems: vascular ulcers, vascular ulcer infection, and acute pain.
The (NOC) outcomes raised were: “Wound Healing: Secondary Intention”, “Activity Tolerance” and “Mobility”. The (NIC) interventions conducted were: “Wound Care”, “Exercise Therapy (Ambulation)”, “Environmental Management (safety); “Medication Administration (antibiotics): Intravenous”, and “Acute Pain Management”.
After one week of implementing the care plan, complete regression of ulcer infections was achieved, as well as good evolution of skin lesions.
leg ulcer; infections; care plan; clinical case
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