Infection and explant of ICD due to decubitus, regarding a case
Section: Práctica Clínica
How to quote
Palacio-Martínez A, Prieto-Salvador I, Ferradal-García MA, Paniagua-Muñoz MR, Mosquera-Varela AC, Rodríguez- Nicolás MP. Infección y explante de DAI por cúbito, a propósito de un caso. Metas Enferm may 2021; 24(4):70-6. Doi: https://doi.org/10.35667/MetasEnf.2021.24.1003081746
Authors
Aurora Palacio-Martínez, Iván Prieto-Salvador, María Ángeles Ferradal-García, María Rocío Paniagua-Muñoz, Ana Cristina Mosquera-Varela, María de la Paz Rodríguez-Nicolás
Position
Enfermeras/os. Servicio de Cardiología. Hospital Universitario de León
Contact address
Aurora Palacio Martínez. Carretera Pandorado, 51. 24700 Astorga (León).
Contact email: rory_palacio@hotmail.com
Abstract
Presenting the case of a male 73-year-old patient who, after Internal Cardiac Defibrillator (ICD) implantation, was admitted to hospital due to ICD decubitus with electrode exposure and presence of exudate. After infection was confirmed through different lab and imaging tests, the defibrillator was removed.
Holistic nursing assessment was conducted before the ICD explant surgery, through Marjory Gordon’s Functional Health Patterns, and a plan of care was conducted using the North American Nursing Diagnosis Association (NANDA) diagnostic terminology, describing the expected outcomes according to the Nursing Outcomes Classification (NOC) and stating the necessary interventions according to the Nursing Intervention Classification (NIC). Two nursing diagnoses were identified: [00214] Discomfort and [00161] Readiness for Enhanced Knowledge; and two collaboration problems: [00046] Impairment of skin integrity, and [00146] Anxiety. A series of NOC outcomes was then selected: Personal wellbeing, Skin tissue and mucous membrane integrity, Knowledge of infection control, and Anxiety self-control, with their appropriate indicators these were assigned with an initial score and a target or expected score. Finally, nursing interventions to be carried out were identified with their corresponding activities.
After one month, and before hospital discharge, the indicators were assessed again, and the final score obtained was equal to the target score; and in some indicator, there was a final score higher to the expected one, highlighting the NOC Knowledge of infection control.
Keywords:
Defibrillators; defibrillators implantable; cardiology; Nursing Assessment; nursing care plan; nursing care; standardized nursing terminology; NANDA; NOC; NIC; surgical wound; infection
Versión en Español
Título:
Infección y explante de DAI por decúbito, a propósito de un caso