Nursing care for patients with an amputated diabetic foot

Del Bernal Corrales F.C.; Arbañil Nanfuñay K.C.; Gil Mendoza Y.M.; Fernández Chero T.S.; Mires Goicochea G.M.; Vallejos Chumpen N.B. · Metas de Enfermeria (2023) · DOI: 10.35667/metasenf.2023.26.1003082111

Resumen

Diabetes Mellitus is a chronic condition caused by an excessive increase of blood glucose; it is associated with many complications, and one of the most severe is diabetic foot, characterized by clinical deterioration causing a lesion or ulcer in the foot, which tends to get easily infected. Amputation is a complication of diabetic foot, with impact on the quality of life of persons with diabetes. The Nursing professional plays an essential role in the process of care for persons with diabetes, both in the prevention of complications and in the intervention for solving them. The case report of a 79-year-old diabetic woman is presented; she was admitted due to infection of the supracondylar stump of her lower right limb. At arrival at the unit of reference, there was assessment according to Marjory Gordon’s functional patters, andeleven Nursing diagnoses were identified in total. During the Nursing assessment, it was found that the lackofcommitment by the patient in terms ofself-care had contributed to the development of diabetic foot and amputation, leading to an alteration in her general functioning regarding management of her health, nutrition, activity and exercise, perception, self-esteem, and concern for changes at personal and family level. The Nursing Care Process based on the use of Nursing Diagnosis Taxonomy (NANDA), Outcomes (NOC) and Interventions (NIC) allowed to apply care in a safe and effective way in order to reach patient improvement.

Instituciones: Universidad Señor de Sipán