Proceso de atención de enfermería en paciente con gangrena de fournier basada en la teoría de Marjorie Gordon

Abstract

Introduction: Fournier's gangrene fasciitis is a generalized infection of the skin and soft tissues with massive destruction of various planes of the fascia, vascular compromise, and forms of necrotizing cellulite that condition microbial proliferation; It presents perianal location, often with a genitourinary focus compromising the scrotal region, without discrimination of sex or age. The associated pathologies and considered as the source of Fournier's gangrene are diabetes mellitus (66.6%); chronic smoking (47.6%); high blood pressure (42.8%); obesity (23.8%); chronic kidney disease (19.6%) and prostration (12.5) (3). In the present case study, the object of study has a personal history of high blood pressure, with a higher risk of contracting this disease. This pathology has an incidence of 1.6 cases per 100,000 men, with a high percentage between 50 and 60 years of age; on the other hand, women have a ratio of 10:1. Vargas and collaborators in their study highlight that this infectious pathology has a high mortality rate that varies between 20% and 43%. In Ecuador, according to data from the National Institute of Statistics and census in the year (2020), data provided from the year 2018, 92 patients with Fournier's gangrene (70 men and 22 women) were registered and in 2019 73 people were discharged (57 men and 16 women). The present investigation is based on the theory of Marjory Gordon, a theory focused on identifying the problems or alterations in the health of the patient through determining the altered patterns in the well-being of the patient in a patient diagnosed with Fournier's Gangrene.