Sistematización de la atención de enfermería en pacientes con insuficiencia cardiaca etapa IV

Abstract

This is a case study, with the objective of to describe the application of the nursing process in a patient with stage IV heart failure. Conducted in a university hospital located in Northeastern Brazil. Data were collected in the month October 2012, using a structured interview and physical examination. The diagnoses identified were: Impaired skin integrity, Deprivation of sleep, Constipation and excessive fluid volume. Was traced the result - Wound healing: Second intention, and applied to the nursing intervention - Care with pressure ulcers. Thus, through the implementation of the nursing care subsidized by the systematization of nursing care, it was observed that the desired results were achieved with expert.