Nursing diagnosis for kidney transplantation: case report

Abstract

Purposes: The chronic kidney disease is multicausal, progressive and presenting high morbidity and lethality. It is controllable, although incurable. It may be, however, treatable in several ways, such as: conservative treatment, dialysis and kidney transplant, which is the most effective treatment. Systematization of the nursing assistance at Clinical Hospital of Porto Alegre is the benchmark of the Basic Human Needs, and consisted of the following steps: data collection (medical history and physical examination), nursing diagnosis, prescription and nursing evolution. The nursing diagnosis is a clinical trial on individual responses to vital processes or to current or potential health problems, providing the basis for the selection of the nursing interventions. The present case report describes the steps of the nursing assistance systematization, emphasizing the nursing diagnosis attained in the pre and postoperative phases of the kidney transplant surgery. This is a case report of a patient with chronic kidney disease who undergone kidney transplant from living donor. Data were collected from the anamnesis, physical examination, laboratory results, nursing evolution, resulting in the elaboration of the following nursing diagnostics, according to the NANDA methodology: Risk for Inefficacious Control of the Therapeutically Regimen, Risk for Infection, Harmed Tissular Integrity, Liquids Overload, Inefficacious Protection, and Acute Pain; and nursing cares.