Risco de infeção em pessoas com doença renal crónica submetidos a hemodiálise

Abstract

The risk of infection is one of the most frequent complications among people undergoing hemodialysis. Objective: To define a nursing care plan for a person in end-stage chronic kidney disease undergoing hemodialysis with a focus on prevention and control of the risk of infection. Method: Descriptive study developed from a clinical case study on a 57-year-old male person (designated DG) for about six years. Data collection was carried out through observation and direct interview with Mr. DG as well as consulting clinical file in the EuClid computer system. For the elaboration and foundation of this document, the model of Activities of Daily Living by Roper, Logan and Tierney was selected, as well as the Theory of Transitions by Afaf Meleis. The information collected was organized according to the instructions and using the Case Report flowchart and validation list. To establish the nursing care plan, the NANDA, NOC and NIC taxonomy was followed. Results: Based on the initial assessment, six nursing diagnoses were identified (disposition for improved nutrition, risk of electrolyte imbalance, excessive fluid volume, risk of infection, risk of unstable blood pressure and risk of bleeding), from which we selected, to develop nursing interventions and results obtained, only one of them: risk of infection, as it is the priority diagnosis at this time. The reason for this choice is due of being one of the complications that leads to a greater number of hospital admissions, because it is one of the complications of vascular access, because of frequent cannulations, and because it is an invasive procedure (hemodialysis). Conclusion: Nursing care is vital in the prevention and control of infection through good nursing practices as well as the empowerment of people undergoing hemodialysis.