Case description:

A 58-year-old woman recently arrived in our country as a refugee from Ukraine due to the war. In her country of origin, she was diagnosed with lupus nephropathy with advanced chronic renal disease and was oriented toward haemodialysis. When the war started, she was waiting for an arteriovenous fistula to be made. She went to the emergency department for assessment, and it was decided to begin renal replacement therapy due to the progression of her disease. The patient only speaks Ukrainian, presenting a significant language barrier hindering the healthcare process.

Description of the care plan:

The patient is assessed according to Marjory Gordon's functional patterns. Nursing diagnoses are identified following NANDA (North American Nursing Diagnosis Association) terminology. NOC (Nursing Outcomes Classification) objectives and NIC (Nursing Interventions Classification) interventions are proposed.

Evaluation of the plan:

The care plan is evaluated after the interventions have been carried out (infographics, using Google translate), analysing the indicators associated with each NOC objective and their evolution during the period the patient is monitored.

Conclusions:

IIn this clinical case, applying the Nursing Care Process and designing strategies to reduce communication difficulties resulted in overcoming the language barrier, making it possible to identify the patient's needs. This allowed us to resolve her doubts about her treatment and address the other health problems detected.