Acceso usuarios
M. Rosa González Ablanedo, Isabel Curto Prada, M. Luisa Gómez Gómez, Roberto Molero Gómez
Introducción La prosopagnosia consiste en la dificultad para distinguir una cara conocida.
El paciente sabe que lo que está viendo es una cara, pero ha perdido la conexión entre lo que ve y la parte de la memoria que se dedica a la identificación. Lo que hace son reconocimientos deductivos por el tono de voz, el color del pelo, las gafas, la ropa... pudiendo llegar a no ser conscientes del problema que tienen.
Las lesiones que se asocian a la prosopagnosia se localizan en el lóbulo temporal, generalmente en el hemisferio derecho.
Objetivo El objetivo es adaptar el plan de cuidados de enfermería a las necesidades que presenta el paciente.
Método-caso clínico Paciente derivado de la consulta de atención primaria por no reconocer a conocidos y no comunicarse con su entorno. No presenta antecedentes personales de interés. Se le realiza una resonancia magnética donde se confirma la existencia de una atrofia de predominio cortical y se le diagnostica de demencia semántica, cuyo síntoma principal es la discapacidad para reconocer las caras: prosopagnosia.
Resultados Plan de cuidados en consenso con atención primaria, basándonos en 3 Dominios NANDA principales: D.6. autopercepción, D.7. rol/relaciones y D. 9. afrontamiento/tolerancia al estrés.
Conclusión-discusión Consideramos que la comunicación interniveles es imprescindible para prestar unos cuidados seguros y eficientes para con el paciente y los familiares/cuidadores; el haber consensuado este plan de cuidados entre atención especializada y atención primaria ha ido mejorando la situación del paciente y la familia, con una primera visión por parte de ellos de seguridad y confianza.
Introduction Prosopagnosia is characterised by the difficulty to distinguish known faces.
Patients know that it is a face that they are looking at, but have lost the connection between what they see and the part of the memory that is dedicated to identifying it. They make a deductive recognition, by the sound of the voice, hair colour, glasses, clothes, etc, being able to achieve this on not being aware of the problem they have.
The lesions associated with prosopagnosia are located in the temporal lobe, generally in the right hemisphere.
Objective The aim of this study is to adapt the nursing care plan to the needs of the patient with prosopagnosia.
Method-clinical case A patient was referred from the Primary Care clinic due to being unable to recognise known faces and not being able to communicate with his environment. There was no personal history of interest. A Magnetic Resonance scan was performed, which confirmed that there was atrophy, mainly in the cortex. A diagnosis of semantic dementia was made, with the main symptom being the inability to recognise faces: PROSOPAGNOSIA Results A care plan was developed in consensus with Primary Care, and was based on three major NANDA Domains: D.6. Self-perception, D.7. Role/Relationships, and D.9. Coping/Tolerance to stress.
Conclusion-discussion We believe that communication between levels of care is essential to provide safe and effective care aimed at the patient and their families/caregivers. On having a Care Plan agreed between Primary Care and Specialised Care leads to an improvement in the situation for the patient and family, and mainly gives them a feeling of safety and confidence.
