慢性瘙痒症患者的拟议治疗和护理方法:临床病例。

Sara Chiquero Valenzuela , Francisco Pedro García-Fernández , María Piedad García Ruíz , María Dolores López Franco
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摘要

我们介绍了一位 87 岁老人的临床病例,他患有慢性瘙痒症,但未进行皮肤治疗。该病例的目的是根据最新证据制定个性化护理计划,以实现皮肤完整性(由于目前未能对病症进行治疗,皮肤完整性已经恶化)并改善其生活质量。使用 NNNConsult 在线工具确定了几个 NANDA 国际诊断标签,并计划了预期结果和护理干预措施。该护理计划显示了一种多因素病理的内在困难,这种病理鲜为人知且罕见,但对生活质量和皮肤完整性有显著影响,尤其是在目前新的治疗方法不断涌现,而患者和专业人员尚未进行探索的情况下。在这种情况下,有必要对类似的病例进行揭露和培训,更新治疗方法,让专业人员真正参与其中,以适应、个性化和不断探索,满足我们所照顾的人的需求和问题,同时也有必要了解新的皮肤治疗方法。本著作概述了一种尊重皮肤完整性、遵循最新证据的皮肤护理方法,并指出了治疗性医疗方法,但没有深入探讨,因为这不是本著作的目的,也不是护理能力的目的。
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Proposed therapeutic and care approach in a patient with chronic prurigo: Clinical case
We present the clinical case of an 87-year-old man who presents with chronic prurigo without skin treatment.
The aim is to apply an individualized care plan that allows, based on the latest evidence, to achieve skin integrity, which is deteriorated, and improve its quality of life due to the current failure toad dress the pathology.
Several NANDA International diagnostic labels were identified using the NNNConsult online tool and the expected outcomes were plan along with the planned nursing interventions.
The care plan shows the intrinsic difficulty of a multifactorial pathology that is little known and rare but that entails a notable impact on the quality of life and skin integrity, especially when new treatment approaches are currently emerging that are un explored by patients and professionals. This situation makes it necessary to expose and train cases like the one presented, update treatment path ways, real involvement of professionals for adaptation, individualization and continuous search to meet the needs and problems suffered by the people we care for, as well as the need to know new skin approaches.
This work outlines a line of skin care that respects skin integrity, following the latest evidence and points out the therapeutic medical approach without going into depth as it is not the aim of the work or nursing competence.
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