Acceso usuarios
Irene Ponz Martínez, Enrique Orea Castellano
Se presenta el caso clínico de un varón de 17 años con un osteocondroma antero-lateral en fémur distal derecho de cuatro años de evolución tratado mediante exéresis quirúrgica. Utilizando las 14 necesidades de Virginia Henderson se valoró al sujeto tras la cirugía y se elaboró un plan de cuidados identificando los diagnósticos enfermeros según la taxonomía de la North American Nursing Diagnosis Association (NANDA), los resultados según la Nursing Outcomes Classification (NOC) y las intervenciones enfermeras oportunas, siguiendo la Nursing Intervention Classification (NIC). Tras el alta hospitalaria del paciente se realizó un seguimiento durante tres meses. Se observó una evolución favorable destacando la importancia de efectuar una valoración integral de la persona debido a que se vieron afectadas las dimensiones física, psicológica y social, así como la necesidad de emplear una correcta información referente a su patología, con vocabulario comprensible al tratarse de un adolescente.
We present the case report of a male 17-year-old patient with anterolateral osteochondroma in right distal femur with 4-year evolution treated through surgical excision. Using the 14-need theory by Virginia Henderson, the patient was assessed after surgery, and a plan of care was prepared identifying nursing diagnoses according to the taxonomy by the North American Nursing Diagnosis Association (NANDA), outcomes according to the Nursing Outcomes Classification (NOC), and the relevant nursing interventions, following the Nursing Intervention Classification (NIC). After the patient was discharged from hospital, there was 3-month follow-up. A favourable evolution was observed, highlighting the importance of conducting a comprehensive assessment of the person, because there was impact on his physical, psychological and social dimensions, as well as the need for adequate information regarding his condition, with terminology easy to understand by an adolescent.
