Nursing Process with Evidence-Based Interventions for an Older Adult with chronic Kidney Disease

Abstract

Introduction: Chronic Kidney Disease is defined as structural or functional damage to the kidney, evidenced by markers of kidney damage (in urine, blood or images). Therefore, developing Nursing care plans using the NANDA taxonomy, NOC and Clinical Practice Guides allows us to identify altered human and pathophysiological responses and implement optimal care that contributes to improving the person's health. Methodology: a Nursing Care Process was carried out for an elderly person with Chronic Kidney Failure. In the assessment phase, a score based on the Orem General Theory of Self-Care Deficit, the Fall Risk Scale, the Norton Pressure Ulcer Risk Scale, the Hamilton Anxiety and Depression Scale, the Glasgow Coma Scale, were used. Katz and Lawton index to measure basic and instrumental activities of daily living. The diagnostic phase was carried out using the structure of diagnostic reasoning, allowing nursing diagnoses to be identified with NANDA taxonomy. Planning was carried out based on the identified problems or diagnostic labels, reviewing the expected results according to the NOC taxonomy and the activities of the Clinical Practice Guidelines in Nursing (GPCE). Duringexecution, all interventions and activities were carried out, taking into account prioritization according to the person's health status. Results: once each of the interventions was evaluated, the expected result was achieved, thus contributing to the improvement of the person's health situation. Conclusions: the process is a systematic and humanistic method that allows quality care to be provided. Furthermore, GPCE homogenize nursing practice, being useful tools to support nurses in making decisions regarding the most appropriate interventions in care.