Nursing process in a woman with postpartum preeclampsia

Abstract

Introduction: Maternal mortality is a health problem. Every day, approximately 800 women die worldwide due to complications associated with pregnancy or childbirth. Preeclampsia is included among these health problems, which is a hypertensive disorder that occurs during pregnancy or postpartum and causes severe consequences for the mother and fetus. Objective: Implement the nursing process in women with postpartum preeclampsia using the language of nursing diagnoses, classification of interventions, nursing outcomes and recommendations of clinical practice guidelines for the management of the patient's health status. Methodology: This is a case study performed with the stages of the nursing process by Gordon's functional health patterns; dysfunctional patterns were prioritized to identify nursing diagnoses; and the NOC and NIC taxonomy was used. Informed consent was obtained, respecting the confidentiality and privacy of the participants. Objective and subjective data were analyzed to plan priority healthcare. Results: The nursing diagnoses were fluid overload, discontinuation of breastfeeding and anxiety; as expected outcomes, severity of fluid overload, maintenance of breastfeeding and level of anxiety were proposed. The nursing interventions proposed were management of hypervolemia, suppression of breastfeeding and reduction of anxiety, which improved the patient's health status. Conclusions: Individualized care plans were applied; the post-intervention evaluation showed a moderate to mild change in the patient's health status; the application of scientific support effectively contributed to minimize the possibility of complications.