Proceso de atención de enfermería en paciente con diabetes mellitus tipo i y complicación de pie diabético

Abstract

Diabetes mellitus is a rare condition in adults because its prevalence occurs in the infant-juvenile stage, but maintains a high degree of morbidity and mortality, which means that by not maintaining adequate control of the pathology can cause Both micro and cardiovascular complications for the affected patient; Their treatment has a lot to do with the modifications of risk factors that lead to maintaining a healthy lifestyle in terms of establishing a balanced diet, maintaining periods of physical exercise, as well as achieving a correct adherence to Recommended pharmacological treatment. The objective of this work is to analyze a case of diabetic foot in a patient with diabetes mellitus type I, to demonstrate the development of the pathology in order to establish plans of nursing care according to the needs of the patient. This analysis was descriptive, clinical, deductive and analytical, based mainly on the scientific review and observation of the clinical history of a patient at the Huaquillas basic Hospital, where data collection instruments are applied as The interview and physical examination, which favored the analysis of this study to identify the process and condition of the disease. From this it was discovered that the pathology in the patient was diagnosed since childhood, however, she has been exposed to multiple risk factors for complications such as being a victim of the natural disaster of April 16, 2016 in the city of Manabí , where he acquired multiple injuries and was intervened by skin graft in his lower left limb, has also maintained an inadequate lifestyle and abandonment of treatment, this is attached to maintain a history of first-level relatives with Chronic degenerative diseases. It is also clear to observe how it has a great impact on your health, the socio-economic situation, as it develops labor activities as a traveling worker, to get in this way the financial support for your home, as a single mother of two girls, what Which significantly impedes that it can maintain a pharmacological treatment and efficient self-care. In spite of this, during his hospitalization according to the reports of evolution of the clinical history, they show a gradual improvement, considering that it remained under a strict diet according to his necessities, received nursing care with respect to cure of his Affection member and is administering adequate pharmacological treatment. Reaching the conclusion that through the application of the nursing care process is achieved as a result a satisfactory evolution in terms of stabilization of the disease and delay of progression of the process of diabetic foot infection, as Care plans are developed based on the state of health of each patient to positively influence the treatment, either timely or rehabilitation to avoid the emergence or continuity of complications, ensuring satisfactory maintenance of pathology. It is important to recognize that nursing plays a fundamental role in making the patient aware of the disease and its impact by failing to properly comply with its pharmacological and self-care treatment.