Aplicação do processo de enfermagem: estudo de caso com uma paciente com ferida neoplásica.

Abstract

Neoplastic wound is developed from tumor growth, neovascularization and basement membrane invasion by malignant cells and infiltrating accelerated manner with expansive growth of the lesion on the affected surface. Thus, it is for nurses to develop skills and abilities that enable them to know and identify characteristics of neoplastic wounds and implement specific care related to them. In this sense, the present study aimed to describe the process of caring for a patient with neoplastic wound based on the International Classification of Nursing Practice (ICNP). This is a clinical case study, utilizing the nursing process in its historical phases, nursing diagnosis, planning, intervention and evaluation of results. The Theory of Basic Human Needs and the process of care based on the International Classification of Nursing Practice (ICNP) have been used. The study was conducted in Welfare Foundation of Paraíba, with a patient with advanced cancer presenting wound neoplastic stage III. The survey was conducted from script to Physical Examination based on the Theory of Basic Human Needs Horta (1979) and equipment used to measure physiological signs (vital signs) and anthropometric. Fourteen (14) nursing diagnoses were built, taking into account the psychobiological and psychosocial needs. Therefore, it is concluded that the nursing process is the most appropriate way to care for patients with advanced cancer, as an individual directs assistance, systematic and dynamic.