ABSTRACT
PURPOSE: This case study illustrates the use of the nursing process based upon the standardized nursing diagnoses approved by NANDA International (NANDA-I), and using the Nursing Outcomes Classification (NOC) and the Nursing Interventions Classification (NIC) in the care of a patient with pemphigus vulgaris (PV). DATA SOURCES: The published literature on PV and the experience and expertise of the authors in working with people with impaired skin integrity and PV were used to develop this case study. DATA SYNTHESIS: The accuracy of nursing diagnoses and appropriateness of the nursing interventions were supported by the positive health outcomes of the patient. CONCLUSION: Impaired skin integrity is a human response diagnosed by nurses, and early treatment is important due to the vulnerability of these patients. IMPLICATIONS FOR NURSING PRACTICE: The case study contributes to nursing knowledge for professionals who care for patients with PV.
Subject(s)
Nursing Diagnosis , Pemphigus/diagnosis , Humans , Nursing Assessment , Pemphigus/physiopathologyABSTRACT
PURPOSE: This case study illustrates nursing diagnoses and interventions for a man with leprosy. DATA SOURCES: Data sources were published literature on the disease of leprosy, and the experience and expertise of the authors in working with people with leprosy. DATA SYNTHESIS: Data were synthesized using the standardized nursing languages of North American Nursing Diagnosis Association International and the Nursing Interventions Classification. The accuracy of the diagnoses and the appropriateness of the nursing interventions were supported by the positive health outcomes of the patient. CONCLUSIONS: Although leprosy has been eradicated in some countries, the risk of new cases is present anywhere that Mycobacterium leprae still exists. The recommended treatment of multibacilar polychemotherapy has lowered the rate of new cases in Brazil. IMPLICATIONS FOR NURSING PRACTICE: Nurses need to incorporate evidence-based practice interventions for leprosy-based wound care, and nurses should encourage persons with leprosy to maintain regular medical care with multibacilar polychemotherapy.
