Authors

Rita Rocío Márquez Díaz

Position

Enfermera. Unidad Pediatría-Neonatos. Hospital General Universitario Gregorio Marañón (Madrid)

Contact address

Rita Rocío Márquez Díaz. Ronda de Segovia, 6. 28005 Madrid.

Contact email: rociomard@hotmail.com

Abstract

Pectus excavatum is a congenital deformity of the thoracic wall characterized by a caved-in sternum. This alteration, besides being an aesthetic issue, entails a psychosocial impact on the individual. We present the case of a 16-year-old male patient undergoing surgery for  pectus excavatum. An assessment was conducted according to Virginia Henderson’s 14 Needs, and an individualized plan of care was defined, using the diagnostic taxonomy by the North American Nursing Diagnosis Association (NANDA), describing the expected outcomes according to the Nursing Outcomes Classification (NOC), and stating the interventions required according to the Nursing Intervention Classification (NIC). Six NANDA nursing diagnoses were identified: “[00118] Body Image Disorder”, “[00120] Situational Low Self-Esteem”, “[00053] Social Isolation”, “[00121] Disturbed Personal Identity”, “[00132] Acute Pain”, “[00046] Impaitment of Skin Integrity”. Eleven (11) expected NOC outcomes were identified, as well as eigh NIC interventions with their relevant nursing activities. The assessment of the plan of care showed that the target scores for the NOC indicatiors were reached, except for “[150303] Interacts with Family Members” and “[150307] Participates in Organized Activities”, which were sustained. Besides, the target score was exceeded in some indicators such as ”[120507] Open Communication” and “[120014] Adjustment to Body Changes due to Surgery”. In conclusion, patients showed a higher level of acceptance of their body image, and recovered gradually their mood and relationship with peers.

Keywords:

Funnel chest; pectus excavatum; thoracic surgery; sternum; psychosocial impact; nursing care; standardized nursing terminology; assessment of needs; Virginia Henderson

Versión en Español

Título:

Pectus excavatum en adolescentes: cuidados de Enfermería en el postoperatorio