Plan de cuidados estandarizados para pacientes con cirugía percutánea (nefrolitotomía)aplicación en el programa informático Gacela

  1. Merino Martín, José Ramón
  2. López Pérez, M.
  3. Marinas Pérez, Mª Jesús
  4. Merino Saiz, Almudena
  5. Sánchez Mesonero, Esther
Revista:
Enfuro

ISSN: 2695-5172 2695-5180

Año de publicación: 2008

Número: 105

Páginas: 6-10

Tipo: Artículo

Otras publicaciones en: Enfuro

Resumen

In the University Hospital «Río Hortega» in Valladolid, since 1988 approximately 780 patients have been treated with percutaneous surgery. Surgery with percutaneous approach would be defined as the surgical act on the structure, in this case, renal and uretheral, which access tract to the organ is carried out through the skin, precisely a nephrostomy. In our Unit 77% of the cases of percutaneous surgery it is applied in the treatment of renal lithiasis-uretheral when other treatments fail or are not feasible, for example unsuccessful lithotripsy, ureteral calculus of difficult approach, coralliform kidney calculis, etc. It is also applied in tumoral treatments, endopyelotomy, etc. A priori this surgery is of preferential choice because it is minimally invasive. On the other hand, the introduction of the GAZELLE computer program allows standardizing the Nursing Cares , what facilitates the creation of a specific cares plan for this type of patients, since the diagnoses and care actions described are common in a high percentage of cases treated (close to 100%). The taxonomy used in the description of nursing diagnoses corresponds to the classification NANDA and the actions are found in the database of the GAZELLE program.