Proceso de atencion de enfermería con fundamento en el modelo de marjory gordon en una paciente con desprendimiento placentario

Abstract

Placental abruption is defined as the total or partial detachment of the placenta from its implantation site, it is considered one of the causes of hemorrhage in the second half of pregnancy, constituting one of the forms with the highest rate of morbidity and mortality in pregnant women as in the fetus. In some cases, there is not always evidence of transvaginal bleeding, so changes in the patient's vital signs and physical status can predict a diagnosis and intervene in a timely manner. The objective of this research was to design a nursing care plan according to the Marjory Gordon model and applied to the NANDA-NIC-NOC taxonomies in a patient with placental abruption to provide timely and effective care, an objective that responds to the resolution of the following case study: A 35-year-old pregnant woman, 38 weeks of gestation, was admitted to a General Hospital, with a history of abortion 3 years ago, at the time of admission, she presented low blood pressure, rapid and weak pulse, paleness in conjunctivae and palms of the hands, diaphoretic cold skin, anxiety and mild mental confusion. The applied methodology was based on a bibliographic review analysis of scientific articles from databases such as ELSEVIER, SCIELO, SCIENCIE DIRECT, WOS and databases from the Ministry of Public Health, which respond to the aforementioned practical case. The Marjory Gordon model of care plan allows for timely interventions in disturbed functional patterns.