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

Abstract

Chronic Kidney Disease is defined as the structural or functional damage of the kidney, evidenced by markers of renal damage (in urine, blood, or images). To develop Nursing care plans using the NANDA, NOC, and Clinical Practice Guidelines taxonomies, which allow identifying altered human and pathophysiological responses and implementing optimal care to improve the person's health, a case study was conducted on an elderly person with Chronic Kidney Failure. In the assessment phase of the Nursing Care Process, a form based on Orem's General Theory of Self-Care Deficit, the fall risk scale, Norton's Pressure Ulcer Risk, the Hamilton Anxiety and Depression Scale, the Glasgow Coma Scale, Katz and Lawton indexes to measure Basic and Instrumental Activities of Daily Living were used. Diagnostic deduction was carried out through the diagnostic reasoning structure, which allowed identifying nursing diagnoses using the NANDA taxonomy. Planning was carried out based on identified problems or diagnostic labels, reviewing expected outcomes according to the NOC taxonomy and activities based on Clinical Practice Guidelines in Nursing. During implementation, all interventions and activities were carried out, taking into account prioritization according to the person's health status. As part of our conclusions, we consider that the nursing care process is a systematic and humanistic method that allows providing quality care. In addition, Clinical Practice Guidelines in Nursing (CPGN) standardize nursing practice, being useful tools to support nurses in making decisions regarding the most appropriate interventions in care. It is important to note that, once each intervention was evaluated, the ex