abordagem assistencial ao neonato portador de mielomeningocele segundo o modelo de adaptação de roy abordaje asistencial al neonato portador de mielomeningocele según el modelo de adaptación de roy care delivery to newborns with myelomeningocele according to roy's adaptation model
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Abstract
El objetivo de este estudio de caso fue identificar los diagnósticos de Enfermería, abordando los aspectos fisiológicos según la Teoría de Adaptación de Roy, de un bebé portador de mielomeningocele, internado en la Unidad de Terapia Intensiva Neonatal (UTIN), y elaborar acciones de enfermería pertinentes a tales aspectos. El estudio fue desarrollado en al UTIN de la Maternidad Escuela Assis Chateubriand, en la ciudad de Fortaleza-Ceará-Brasil, en los mese de diciembre de 2007 a marzo de 2008, momento en el cual fue utilizado un cuestionario para la colecta de datos. En el análisis, se reconocieron los diagnósticos: patrón diagnóstico ineficaz, nutrición desequilibrada (inferior a las necesidades corporales), integridad de la piel afectada, riesgo de infección y percepción sensorial perturbada. La utilización de esta teoría permitió reconocer que el RN puede desencadenar respuestas positivas o negativas a través de estímulos, y que las metas e intervenciones implementadas fueron importantes en la sustitución de respuestas ineficaces por adaptativas.
This case study aimed to identify the Nursing diagnoses, addressing physiological aspects according to Roy's Adaptation Theory, of a baby with meningomyelocele hospitalized at a Neonatal Intensive Care Unit (NICU), and to elaborate pertinent nursing actions for these aspects. The study was developed at the NICU of the Maternity Teaching Hospital Assis Chateaubriand, located in Fortaleza-Ceará, Brazil, between December 2007 and March 2008, when a script was used to survey data. During the analysis, the following diagnoses were recognized: ineffective breathing pattern; imbalanced nutrition: less than body requirements; impaired skin integrity; risk for infection and disturbed sensory perception. The use of this theory permitted recognizing that the newborn can produce positive or negative responses to stimuli and that the implemented targets and interventions were important to replace ineffective by adaptive responses.
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gurgel2010revistaabordagem
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| Authors | ;Eloah de Paula Pessoa Gurgel;Karla Maria Carneiro Rolim;Marli Terezinha Gimenez Galvão;Joselany Áfio Caetano |
| Journal | FEMS microbiology letters |
| Year | 2010 |
| DOI |
10.1590/S0080-62342010000300021
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