Nursing care of a patient with severe preeclampsia in the obstetrics service of a national hospital, Arequipa-Peru

Abstract

Preeclampsia is a multisystemic disease with hypertensive symptoms at more than 140/90mmHg, which can occur during pregnancy after 20 weeks or in the postpartum period, affects the mother as well as the fetus, accompanied by altered proteinuria. The objective was to manage the nursing care process in a pregnant woman with severe preeclampsia. Study with a qualitative approach, single case type and as a scientific method of the nursing care process (PAE). The subject of the study was a 31-year-old pregnant woman, to whom the 5 stages were applied: the assessment stage using the guide of the 11 functional patterns of Marjory Gordon, three altered patterns were prioritized: perception of health, self-perception - self-concept and perceptive -cognitive; Nursing diagnoses were developed using NANDA-I taxonomy II and identified: CP hypertension, acute pain and anxiety, according to the SSPFR format (signs and symptoms, problem, related factor/risk factor/associated). Activities were planned based on the interventions and results of the NOC and NIC classification. In the execution phase, the care plan was put into practice, continuing with the collection and assessment of data, aimed at solving problems and needs; the evaluation of the activities was given by the difference of the basal scores and the final score; as results, a change score (+1), (+1), (+1) was obtained. In conclusion, it was possible to manage the nursing care process by providing specialty and quality care to the patient.