Nursing diagnosis in older adults with chronic kidney disease on hemodialysis

To identify the main nursing diagnoses (NSs) in older adult patients under hemodialysis treatment. Exploratory research using case studies in data collection performed by interview and physical examination of older adults, in the first semester of 2016. Were included twenty-eight older adults underg...

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Bibliographic Details
Published in:	Revista Brasileira de Enfermagem Vol. 70; no. 4; pp. 800 - 805
Main Authors:	Debone, Mayara Cristina, Pedruncci, Elisângela da Silva Nunes, Candido, Maristela do Carmo Peterossi, Marques, Sueli, Kusumota, Luciana
Format:	Journal Article
Language:	English Portuguese
Published:	Brazil Associação Brasileira de Enfermagem 01-07-2017
Subjects:	Adults Aged Aged, 80 and over Aging Chronic Kidney Failure Female Hemodialysis Humans Hypertension Internet Kidney Dialysis Kidney diseases Male Medical diagnosis Middle Aged Nursing Nursing Diagnosis Nursing Diagnosis - trends Older adults Older people Patients Physiology Renal Dialysis - nursing Renal Dialysis - trends Renal Insufficiency, Chronic - nursing
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Summary:	To identify the main nursing diagnoses (NSs) in older adult patients under hemodialysis treatment. Exploratory research using case studies in data collection performed by interview and physical examination of older adults, in the first semester of 2016. Were included twenty-eight older adults undergoing chronic hemodialysis treatment who met the selection criteria. The analysis followed two steps (RISNER, 1990): Phase I - Data analysis and synthesis; and Phase II - Establishment of nursing diagnoses using the taxonomy of NANDA-I (2015). The total of NSs was 110, averaging 3.9 per patient. It was listed seven different NSs, and both the Risk of infection and the Volume of excessive liquids appeared on all patients (28; 100%), and risk of electrolyte imbalance, in 26 (96.8%) older adults, being considered as main NSs. Such results can help systematize the care of older people who are undergoing hemodialysis treatment. Identificar os principais diagnósticos de enfermagem (DEs) em pacientes idosos em tratamento hemodialítico. Pesquisa exploratória utilizando estudos de casos na coleta de dados realizada por entrevista e exame físico dos idosos, no primeiro semestre de 2016. Foram incluídos 28 idosos em tratamento crônico por hemodiálise que atenderam aos critérios de seleção. A análise seguiu duas etapas (RISNER, 1990): Fase I - Análise e síntese dos dados; e Fase II - Estabelecimento dos diagnósticos de enfermagem utilizando a taxonomia da NANDA-I (2015). O total de DEs foi de 110, com média de 3,9 por paciente. Foram elencados sete DEs diferentes, sendo que tanto o Risco de infecção quanto o Volume de líquidos excessivo apareceram em todos os pacientes (28; 100%), e Risco de desequilíbrio eletrolítico, em 26 (96,8%) idosos, sendo considerados como principais DEs. Tais resultados podem colaborar na sistematização da assistência do idoso em tratamento hemodialítico.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0034-7167 1984-0446 0034-7167 1984-0446
DOI:	10.1590/0034-7167-2017-0117