Guía de valoración del paciente crónico en hemodiálisis por indicadores

Abstract

The decision to provide and design an evaluation guide in our unit stemmed from the intention and desire to share the use of a common nursing language and improve the quality of our care, taking advantage of the opportunity offered to us by the fact of having tools such as the NANDA taxonomy and the Nursing Outcomes Classification (NOC). We drew up the "Guide for indicator-based evaluation of patients with chronic renal insufficiency" presented as a standardized form of evaluation and recording based on Marjory Gordon's model of functional patterns. After reviewing these patterns, the most prevalent diagnoses observed in patients with chronic renal insufficiency undergoing haemodialysis treatment were selected, the expected outcomes (NOC) after a nursing intervention, and at the same time the related indicators, were listed. The goals to be attained include: compiling a minimum set of data on a consensual basis, establishing a system of evaluation that is integral and reliable, standardized and reproducible, establishing the basis for identifying real and potential problems and gradually introducing in our clinical practice a single nursing language. As overall goal, we improved the quality of records, increasing the efficacy and efficiency of our care and optimizing interprofessional communication. Records kept with these characteristics provide us with an overall and continued view of the care, permit future computerization, comparative analysis, avoid omissions and repetitions, and facilitate the observation of the expected outcomes.