Síndrome de Turner. rol de enfermería a partir de un estudio de caso

Abstract

Introduction: Turner Syndrome (ST) is a genetic disorder that derives from the absence of an X chromosome in the cell division of the fetal process and affects only the female genotype, that is, only women suffer from the syndrome, it has a worldwide incidence. 1 for every 2,500 births. the literature states that only a small percentage of affected fetuses are born since 99% end in spontaneous abortions, even Turner syndrome is the cause of 10% of all losses within the first gestational period. In countries such as the Dominican Republic, 38 cases have been registered between the ages of 7 and 17 that are part of a health program that provides growth hormone, this marks a very large difference compared to Ecuador, where the subsidy programs for this hormone disappeared in in 2014 and although according to the population density there should be 4000 cases there are no official patient records, the quality of life of women with Turner Syndrome who do not receive treatment is very precarious Objective: To apply nursing care in a patient with Turner syndrome Turner based on the Dorothea Orem Theory. Development: This syndrome affects not only the female reproductive system causing infertility in more than 80% of cases, but also causes defects in bone mechanisms, the bones demineralize developing osteoporosis at an early age, fractures due to falls being a recurring problem. The main diagnosis is through a karyotype, either at birth or if it is suspected while they are growing, early treatment is very important, initially it begins in early childhood with growth hormone, from approximately 3 to 5 years is an optimal age to start the administration of growth hormone stimulants. Materials and method: this analysis is of a qualitative, clinical, descriptive type. It is based on the analysis of the case, collecting both objective and subjective data from the clinical history; vital signs Blood Pressure: 90/70; Pulse: 78 bpm; Saturation: 99%; Temperature 36.7°C; Breathing: 18 rpm. A 32-year-old female patient with Turner syndrome and physical disability of 62%; patient conscious, calm, oriented in time, space and person, with pale fascia, synchronous breathing, skin with turgor and preserved elasticity, asymmetric chest, soft abdomen depressible on palpation, spontaneous urination and bowel movements, asymmetric limbs.