Hematopoietic Stem Cell Transplantation: case study of a patient with severe mucositis

• Autor(a) principal: Rangel, Ana Cristina da Silva
• Data de Publicação: 2018
• Outros Autores: Freitas, Adriana Gomes da Silva de, Antunes, Alice Andrade, Borges, Cecilia Ferreira da Silva, Ribeiro, Cláudia Valéria Ramos, Schraede, Josele da Rocha, Lermontov, Simone Pereira
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Enfermagem Atual In Derme
• Texto Completo: https://revistaenfermagematual.com/index.php/revista/article/view/87

It is estimated that 50% to 80% of patients undergoing hematopoietic stem cells (HSCT) transplantation deve loped oral mucositis with significant severity and marked morbidity. The complications and complexity of this condition require the nursing team to continue training based on the updating of clinical practices stemming from scientific evidence. The aim is to present a case study, describing the nursing diagnoses of a patient submitted to autologous hematopoietic stem cell transplantation that evolved to a severe mucositis. This is a c ase study of a patient with Hodgkin's lymphoma undergoing HSCT. Data were collected from October to December 2015, from the patient's medical records. There were hospitalization 51 days, the main nursing diagnoses related to mucositis were: (1) nausea; (2) risk for infection; (3) unbalanced nutrition; (4) impaired swallowing; (5 ) diarrhea; (6) impaired oral mucosa; (7) acute pain; (8) hyperthermia and (9) risk of bleeding. Mucositis is a complication commonly found in patients undergoing transplantation. Therefore, it is important that the nurse develops an accurate clinical view to detect in the subtlety of the signs and symptoms the risk for the affection worsening. Keywords: Mucositis; Hematopoietic Stem Cell Transplantation; Nursing Diagnosis; Nursing Process.