Proceso de atención de enfermería en paciente adulto mayor con diagnostico de pancreatitis necrotizante

Abstract

Pancreatitis is described as inflammation of the pancreas. This causes the pancreas to swell which allows digestive enzymes to seep into the pancreas, which causes it to damage causing pancreatitis. When the damage is severe the parts of the pancreas do not get enough oxygen and blood to survive, a necrotizing pancreatitis occurs when a part of the surrounding pancreatic tissue dies from inflammation. The part that dies from the pancreas becomes separated from that healthy part, or in some cases it remains with the nearby tissue, the part that is dead contains germs and in some cases it becomes infected. At least three criteria must be established for its diagnosis that are nausea, vomiting, jaundice, abdominal pain suggestive of acute pancreatitis, lipase and amylase three times to the upper limit in terms of the normal range by means of Computed Axial Tomography or Magnetic Resonance studies . This disease affects women who present with gallbladder lithiasis or commonly known as gallstones, in the case of men statistically it is known that the cause is alcoholism, which is why it reflects the highest incidence to those between the ages from 30 to 60 years. The incidence of pancreatitis worldwide is increasing over time and varies between 4.9 and 73.4 cases in every 100,000 inhabitants in the world and infected acute necrotizing pancreatitis, with a variable mortality between 6 % and 80%, and a morbidity that exceeds 50% of cases. The objective of this case analysis is to develop a plan of care, based on the basic needs altered according to the fourteen basic needs of Virginia Henderson. The problem described is necrotizing pancreatitis evidenced in an adult patient over 74 years of age, who was treated at the Teófilo Dávila general hospital in the Machala canton of the Oro province.