Care of post-placenta praevia patients in the post anesthesia recovery department of a private clinic, 2021

Abstract

Cesarean section is a surgical procedure performed on the mother's abdomen and uterus to remove the pregnancy product. Placenta previa is a major obstetric complication that occurs in the second half of pregnancy and endangers the life of both the mother and the fetus; cesarean section is the treatment of choice. Timely nursing care helps patients recover quickly and avoid serious complications. The objective is to identify the needs of the patient and manage the nursing treatment for the resolution of the registered problems. Qualitative study, single clinical case type, included a 37-year-old patient. The stages of the nursing care process were followed: assessment, with a framework validated by professionals in the area, formulation of diagnoses and planning of nursing care according to the NANDA, NOC, NIC taxonomy. The evaluation of the results was obtained by the difference in final and baseline scores. Nine altered patterns were found; Three patterns were prioritized: sexuality, reproduction, cognitive perceptual, adaptation, tolerance to the situation and stress. Seven nursing diagnoses were identified, the diagnoses were prioritized: risk of bleeding, acute pain and anxiety based on the SSPFR format (signs and symptoms, problem and related factor); the change score was +1, +2, +2, +2, +3. It is concluded that according to the needs attended to in the patient, the nursing care process was developed in its five stages, allowing to provide quality care to the patient; therefore, it is explained that timely care and adequate treatment would shorten the recovery process.