THE LINKS AMONG NANDA, NIC AND NOC IN GERONTOLOGICAL ASSESSMENT: A CASE STUDY

Las Seixas, Fagner Alfredo Ardisson Cirino Campos, Damiana Guedes da Silva, Franco Carnevale (Authors) PURPOSE:
The aim of this project is to examine diagnoses, expected outcomes and nursing interventions among elderly hospitalized The aim of this project is to examine diagnoses, expected outcomes and nursing interventions among elderly hospitalized.

QUESTION:
What are the priority nursing diagnoses (ND), expected results (ER) and nursing interventions (NI) to develop a plan of care, according to the taxonomy links for NANDA, NIC and NOC (NNN)?

METHOD / DESIGN:
The methodology used was the identification of data through a case study. These data were collected in a 64-year-old patient, hospitalized in a geriatric unit of a public hospital in the Amazon region in Brazil. The analysis took place through the completion of a history and physical examination. After evaluation of the data, a plan of care was developed based on the NANDA, NIC and NOC taxonomies.

FINDINGS:
The NNN taxonomies raised in the patient, after careful analysis were: 1. Acute pain (ND), pain management (ER), assisting with patient-controlled analgesia (NI); 2. Imbalanced nutrition: less than body requirements (ND), appetite (ER), monitoring nutritional status (NI); 3. Decreased cardiac output (ND), cardiac pump efficiency (ER), medication administration (NI); 4. Risk of infection (ND), severity of infection (ER), control of protection against infection (NI); 5. Ineffective Health Maintenance (ND), health-seeking behavior (ER), support of decision making (NI); 6. Self-care deficit for bathing/hygiene (ND), self-care: activities of daily living (ER), assistance in self-care: bathing and hygiene (NI); 7. Impaired ambulation (ND), balance (ER), environment control: safety (NI); 8. Impaired oral health (ND), self-care: oral hygiene (ER), oral health promotion (NI); 9. Risk of impaired skin integrity (ND), tissue integrity: skin and mucous membranes (ER); pressure control over areas of the body (NI); 10. Risk of falls (ND) behavior to prevent falls (ER), environment control: safety (NI).

DISCUSSION:
Using NNN taxonomies in carrying out a plan of care can direct the care of nursing staff. The NNN can be used together or separately. Together, they represent the domain of nursing in all practice settings and specialties. Nurses use a decision-making process to determine a nursing diagnosis, design, select a desired outcome and choose interventions to achieve this outcome. The nursing diagnosis is the second step of the nursing process and must be identified and listed in order of priority, based on the degree of threat to the level of wellbeing of the patient.

CONCLUSION:

This project has achieved the proposed goal to prepare a plan of care based on NNN taxonomies to meet basic human needs of elderly patients.

REFERENCE:
1-Sakano, L.M., Yoshitome, A.Y.(2007). Diagnsticos e intervenes de enfermagem em idosos hospitalizados. Acta Paul Enferm. 20(4), 495-8. 2-Freitas, M.C., Mendes, M.M.R. (2006). Idoso vtima de queimaduras: identificao do diagnstico e proposta de interveno de enfermagem. Rev Bras Enfer. 59(3), 362-6. 3-North Nursing Diagnosis Association (2010). Diagnsticos de enfermagem da NANDA: definio e classificao 2009-2011. Porto Alegre: Artmend. 4-Johnson, M. et al. (2009). Ligaes entre NANDA, NOC e NIC: diagnsticos, resultados e intervenes de enfermagem. Porto Alegre: Artmend. 1-Enfermeira. 2-Acadmico de enfermagem do ltimo perodo da Universidade Luterana do Brasil (campus Ceulji/Ulbra), Brasil. E-mail: fagneralfredo@hotmail.com 3-Enfermeira. 4-Enfermeiro e psiclogo. Professor da escola de enfermagem de McGill University, Canad