Karina I. Casco-Gallardo, Departamento de Ciencias de la Enfermería, División Ciencias de la Salud de la Universidad Autónoma del Estado de Quintana Roo, Chetumal, Q. Roo, México
Claudia A. Trejo-García, Servicio de Pediatría, Hospital General de Tula, Tula. Hidalgo, México
Objective: Use the nursing process as a systematized method to provide patient-centered, efficient and humanistic assessment and care in a premature newborn with respiratory distress syndrome. Methods: A case study was carried out using the NANDA, NOC and NIC taxonomy of the Nursing Care Process, and Marjory Gordon’s functional patterns model. The study focused on a premature male newborn at 34 weeks’ gestation with respiratory distress syndrome. Results: Three priority diagnoses were identified: ineffective airway clearance, ineffective thermoregulation, and unbalanced nutrition (less than what is necessary for the body). These diagnoses are supported by their respective results and interventions, following the aforementioned taxonomies. Conclusions: It was shown that the use of a care plan with standardized language (NANDA, NOC and NIC) helps to methodologically organize nursing work, facilitating data collection and nursing practice, with the aim of improving human responses. of premature babies and improve their quality of life.
Keywords: Respiratory difficulty. Premature newborn. Care. Education. Family.