Abstract

TEJADA DOMINGUEZ, F.J.  and  RUIZ DOMINGUEZ, M.R.. Welfare boarding in patients in advanced phase of disease and patients' family. Enferm. glob. [online]. 2009, n.15. ISSN 1695-6141.

Our project is intended to provide new knowledge as well as to facilitate the nursing care of patients in terminal situations regarding both primary attention and hospital care. This also assures the quality and continuity of the given care, without losing view of the will of the person to receive attention either at home or at the hospital. We believe it is important to consolidate a tool that is common to all the professionals who take care of this type of patient and their families, using as a reference the different taxonomies implanted (NANDA, NIC and NOC) as mainstays of the care plan and thus being able to reduce the clinical variability when approaching this type of patients. Using the model of Virginia Henderson as a base we try to answer the question: What does the nursing staff do in palliative cares? We have chosen this model for being open, amply developed, and utilizing easy to understand terminology. The project is structured according to three types of problems which our aid work is based upon: Problems of independence composed of current nursing and risk diagnoses, for which we have used NANDA taxonomy. Collaboration problems, in which the patient requires that the nurse enact for the patient the treatment and control prescribed by another professional (generally the doctor). Finally, the autonomy problems in which the patient lacking the necessary physical or intellectual capacity, needs that certain directed actions are carried out for him/her in order to satisfy the susceptible needs to a certain degree of substitution (partial or total).

Keywords : Care Plan; Palliative Care; Terminal Patient; NANDA-NIC-NOC; Problems of Independence; Collaboration and Autonomy.

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