Living in uncertainty after a pituitary macroadenoma: a case study
SANUS, Vol 4, N°10_PORTADA
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Keywords

Uncertainty
chronic illness
nursing process

How to Cite

1.
Redondo-Sáenz D, Solano-López AL. Living in uncertainty after a pituitary macroadenoma: a case study. SANUS Rev. Enf. [Internet]. 2019 Jun. 30 [cited 2024 May 13];4(10):85-99. Available from: https://sanus.unison.mx/index.php/Sanus/article/view/135

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Abstract

Introduction: The Theory of Uncertainty in Illness is a middle-range nursing theory that explains the processes faced by people with chronic illnesses, in order to achieve adaptation. This theory describes antecedents of uncertainty, appraisal mechanisms, and coping strategies to adapt to new conditions. Objective: Demonstrate the integration of the nursing process, standardized language, and the Theory of Uncertainty in Illness involved in the care of a person with physical and psychosocial complications after a pituitary macroadenoma. Methodology: Data was collected through interviews with the patient, physical examination, and medical record. Mishel’s Theory of Uncertainty in Illness, standardized languages to describe diagnosis, interventions, results and scientific evidence were used to develop the care plan. Presentation of the case: The Theory of Uncertainty allowed selecting the main diagnosis, that is, ineffective coping related to uncertainty, which was addressed with the following NICs, improve coping and learning, illness process; the results measured were NOC, stress level and knowledge, chronic illness management. The effectiveness of this approach was reflected in the improvement of the indicators. Conclusions: The identification of a theory that can explain findings and guide the interventions enhances the quality of the nursing care. This integration facilitates a personalized and evidence-based nursing care.

https://doi.org/10.36789/sanus.vi10.135
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References

Mishel M. Uncertainty in illness. J Nurs Sch [Internet]. 1988 [citado el 16 de Mayo de 2018]; 20(4): 225-232. Disponible en: https://doi.org/10.1111/j.1547-5069.1988.tb00082.x

Mishel M. Reconceptualization of the uncertainty in illness theory. J Nurs Sch [Internet]. 1990 [citado 16 de Mayo de 2018]; 22: 256-262. Disponible en: https://doi.org/10.1111/j.1547-5069.1990.tb00225.x

Chibbaro S, Ganau M, Gubian A, Scibilia A, Todeschi J, Riehm S, Moliere S, Debry C, Goichot B, Proust F, Cebula H. The Role of endoscopic endonasal approach in the multimodal management of giant pituitary adenoma: Case report and literature review. Asian J Neurosurg [Internet]. 2018 [citado 29 de Junio de 2019]; 13: 888-92. Disponible en: https://doi.org/10.4103/ajns.AJNS_97_18

Carosi G, Malchiodi E, Ferrante E, Sala E, Verrua E, Profka E, Giavoli C, Filopanti M, Beck-Peccoz P, Spada A, Mantovani G. Hypothalamic Pituitary Axis in non-functioning pituitary adenomas: Focus on the prevalence of isolated central hypoadrenalism. Neuroendocrinology [Internet]. 2015 [citado 29 de Junio de 2019]; 102: 267-73. Disponible en: https://doi. org/10.1159/000430815

Simpson J, Heath J, Wall G. Living with a pituitary tumour: A narrative analysis. Psychol Health [Internet]. 2014 [citado 29 de Junio de 2019]; 29(2): 162-76. Disponible en: http://dx.doi. org/10.1080/08870446.2013.840784

Yang CJ, Huang GS, Xiao FR, Lou MF. Symptom distress and quality of life after stereotactic radiosurgery in patients with pituitary tumors: A questionnaire survey. PLoS ONE [Internet]. 2014 [citado 29 de Junio 2019]; 9(2): 1-7. Disponible en: http://dx.doi.org/10.1371/journal.pone.0088460

Wilkinson JM. Nursing process and critical thinking. New Jersey: Prentice Hall; 2012.

Gordon M. Manual de diagnósticos enfermeros. España: Elsevier; 2003.

Herdman T, Kamitsuru S, editors. NANDA International nursing diagnoses: definitions and classification, 2015-2017. Oxford: Wiley-Blackwell; 2014.

Moorhead S, Johnson M, Mass M, Swanson E. Nursing Outcomes Classification (NOC). 5th ed. MO: Mosby; 2012.

Bulechek G, Butcher H, Dochterman J, Wagner C, editors. Nursing Interventions Classification (NIC). 6th ed. MO: Mosby; 2012.

Escuela de Enfermería. Malla curricular del Plan de Estudio de Licenciatura en Enfermería. Universidad de Costa Rica [Internet]. 2016 [citado 15 de Mayo de 2019]. Disponible en: Disponible en: http://enfermeria.ucr.ac.cr/images/plan%20de%20estudios.pdf

Wuryanto E, Rahayu G, Emilia O, Harsono. Implementation and Evaluation of Outcome-Present Test (OPT) – Peer learning model to improve clinical reasoning skill among nursing students. Int J Sci Eng Res [Internet]. 2017 [citado 20 de Julio de 2018]; 8(5): 895-903. Disponible en: http://www.atmph.org/article.asp?issn=1755-6783;year=2017;volume=10;issue=3;spage=657;epage=663;aulast=Wuryanto

Kurita K, Garon EB, Stanton AL, Meyerowitz BE. Uncertainty and psychological adjustment in patients with lung cancer. Psycho‐Oncology [Internet]. 2013 [citado 4 de Junio de 2018]; 22(6): 1396-401. Disponible en: https://doi.org/10.1002/pon.3155

Giammanco MD, Gitto L. Coping, uncertainty and health-related quality of life as determinants of anxiety and depression on a sample of hospitalized cardiac patients in Southern Italy. Qual Life Res [Internet]. 2016 [citado 4 de Junio de 2018]; 25(11): 2941-56. Disponible en: https://doi.org/10.1007/ s11136-016-1323-5

Parker PA, Davis JW, Latini DM, Baum G, Wang X, Ward JF, Kuban D, Frank SJ, Lee AK, Logothetis CJ, Kim J. Relationship between illness uncertainty, anxiety, fear of progression and quality of life in men with favourable-risk prostate cancer undergoing active surveillance. BJU Int [Internet]. 2016 [citado 20 de Julio de 2018]; 117: 469-77. Disponible en: https://doi.org/10.1111/ bju.13099

Mishel MH, Germino BB, Lin L, Pruthi RS, Wallen EM, Crandell J, Blyler D. Managing uncertainty about treatment decision making in early stage prostate cancer: a randomized clinical trial. Patient Educ Couns [Internet]. 2009 [citado 20 de Julio de 2018]; 77(3): 349-59. Disponible en: https://doi.org/10.1016/j. pec.2009.09.009

Parker P, Alba F, Fellman B, Urbauer D, Li Y, Karam J, Tannir N, Jonasch E, Wood C, Matin S. Illness Uncertainty and Quality of life of patients with small renal tumors undergoing watchful waiting: A 2-year prospective study. European Urology [Internet]. 2013 [citado 12 de Agosto de 2018]; 63(6): 1122-1127. Disponible en: https://doi.org/10.1016/j.eururo.2013.01.034

Schiele SE, Emery CF, Jakcson JL. The role of illness uncertainty in the relationship between disease knowledge and patient-reported outcomes among adolescents and adults with congenital heart disease. Heart & Lung [Internet]. 2018 [citado 12 de Agosto de 2018]; 00(2018): 1-6. Disponible en: https://doi.org/10.1016/j.hrtlng.2018.10.026

Zhang Y. Uncertainty in illness: Theory review Application, and Extension. Oncol Nurs Forum [Internet]. 2017 [citado 16 de Mayo 2018]; 44(6): 645-649. Disponible en doi: http://dx.doi. org/10.1188/17.ONF.645-649

Hurt CS, Cleanthous S, Newman SP. Further explorations of illness uncertainty: carers’ experiences of Parkinson’s disease. Psychology & Health [Internet]. 2017 [citado 12 Agosto 2018]; 32(5): 549-66. Disponible en: https://doi.org/10.1080/08870446.2017.1283041

Blake A, Asnani V, Leger RR, Harris J, Odesina V, Hemmings DL, Morris DA, Knight-Madden J, Wagner L y Asnani MR. Stigma and illness uncertainty: adding to the burden of sickle cell disease. Hematology [Internet]. 2018 [citado 7 Agosto 2018]; 23(2): 128-30. Disponible en: https://doi.org/10.1080/10245332.2017.13598 98

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