Diagnósticos de enfermagem em hemodiálise: “uma percepção para o cuidar”: trabalho realizado em uma clínica de hemodiálise privada no DF, 2008

Abstract

This study was qualitative and descriptive with a proposal to verify main nursing diagnoses in hemodialysis, showing how to identify problems, determine priorities, establish goals and results to be achieved in order to organize and improve the quality of nursing assistance. The research had been developed in Nephron, a dialitic clinic. A proper data collecting tool composed of anamnesis, physical examination and a check list was realized with thirty eight clients, evaluating function health patterns, a reviewed promptuary was also used. Many nursing diagnoses were presented. The highest pathological compromise occurred in the 66 to 75 year age group. The main cause was diabetic nephropathy, making a total of 24%. The nursing diagnoses found in 100% of the clients were: fear, risk of infection and risk of volume liquids disequilibrium. Diagnoses with less frequency were also considered. Nursing professionals face many difficulties to use a diagnostic, in spite of its importance and necessity to take assistance decisions. Perhaps, the diagnostic is the most complex level, causing divergences.