Nursing care: Postoperative thoracotomy patient with drainage from the Virginia Henderson model
DOI:
https://doi.org/10.62486/agsalud2025178Keywords:
Postoperative Care, Nursing Care, Thoracotomy, Models, NursingAbstract
The clinical case of an 81-year-old man is presented who, after wide left lung thoracotomy and drainage surgery, presented hemodynamic decompensation in the post-anesthesia recovery room. Objective: is to apply an individualized care plan that allows hemodynamic balance for the post-operative patient. Conclusions: A Care Plan with NANDA, NOC and NIC was made for the patient, applying the assessment of the Virginia Henderson model and the AREA model, prioritizing the diagnoses: Decrease in cardiac output and deterioration of gas exchange, whose final evaluation was 1.2 ,3.
References
1. Meng Y, Mao Y, Tang Z, Qiu X, Bajinka O, Tan Y, et al. Crosstalk between the lung microbiome and lung cancer. Microb Pathog. 2023 May 1;178:106062.
2. Thai AA, Solomon BJ, Sequist L V., Gainor JF, Heist RS. Lung cancer. Lancet [Internet]. 2021 Aug 7 [cited 2023 Aug 1];398(10299):535–54. Available from: https://pubmed.ncbi.nlm.nih.gov/34273294/
3. de Groot PM, Truong MT, Godoy MCB. Postoperative Imaging and Complications in Resection of Lung Cancer. Semin Ultrasound CT MR [Internet]. 2018 Jun 1 [cited 2023 Jul 3];39(3):289–96. Available from: https://pubmed.ncbi.nlm.nih.gov/29807639/
4. Arnal Campos CP. Nursing care for patients with Kounis syndrome. Enfermería Clínica (English Edition). 2022 May 1;32(3):203–9.
5. Wellge BE, Trepte CJ, Zöllner C, Izbicki JR, Bockhorn M. [Perioperative fluid management]. Chirurg [Internet]. 2020 Feb 1 [cited 2023 Jul 3];91(2):121–7. Available from: https://pubmed.ncbi.nlm.nih.gov/32025774/
6. Truijen J, Van Lieshout JJ, Wesselink WA, Westerhof BE. Noninvasive continuous hemodynamic monitoring. J Clin Monit Comput [Internet]. 2012 Aug 14 [cited 2023 Sep 2];26(4):267–78. Available from: https://link.springer.com/article/10.1007/s10877-012-9375-8
7. Felipe Parra M, Cáceres LM, Ortega JS, Valenzuela BM, Jofré FC, Monteagudo YF. Recuperación mejorada después de cirugía torácica. ERAS Enhanced recovery after thoracic surgery.
8. Hinkle JL, Cheever KH. Brunner y Suddarth Enfermería médicoquirúrgica.
9. Ahuja J, de Groot PM, Shroff GS, Strange CD, Vlahos I, Rajaram R, et al. The postoperative chest in lung cancer. Clin Radiol [Internet]. 2022 Jan 1 [cited 2023 Jul 3];77(1):6–18. Available from: http://www.clinicalradiologyonline.net/article/S0009926021002555/fulltext
10. Carolina Ortega Vargas. Valoración de enfermería al paciente postoperado de cirugía cardiovascular con el enfoque conceptual de Virginia Henderson. Sociedad Mexicana de Cardiología. 1999;7(4):28–35.
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Copyright (c) 2025 Melina Chumpitaz, Eufemia Reyes-Reyes, Sonia Ccusi-Alvarez , Liliana Elba Ponti (Author)

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