Proceso de atención de enfermería en el adulto mayor con pielonefritis crónica

Abstract

Chronic Pyelonephritisis persistent kidney infection as a result of an poorly treated or recurrent urinary tract infection. The common micro-organism causing this is the Escherichia Coli. Among the signs and symptoms hemanifests are: hyperthermia, back pain, general illfeeling, nausea, vomiting, chills; in older adults manifests itself, urinary incontinence, confusión, impaired mobility, falls, and impaired kidney function. For post-evaluation diagnosis of the symptomatology the following complementary tests are carried out: blood cultures, blood tests, confirmation of serum creatinine and C- reactive protein. Among its factors of risk are found: presence of bladder catheter, or obtaining infection during a stay in hospital or in connection with hospital care. Among the complications: sepsis that increases the risk of the patient´s death, consequence of inappropiate treatment. The treatment is inpatient by means of antibiogram to determinate antibiotic resistance and act with the right antibiotic. The main objetive if this work is to carry out the process of nursing care in older adults with Chronic Pyelonephtisis. The work has a descriptive methodology. Through bibliografic review of scientific articles. The system of assessment of functional health patterns of Marjorie Gordon, allow for effective structured valuation for to clearly define the nurse´s diagnosis impersonal settings, family and community. The nursing care process is the application of the scientific method in daily nursing work, allows the profesional to shows skills, problem-solving techniques and strategy.