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Vol. 32. Issue 4.
Pages 284-290 (July - August 2022)
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Vol. 32. Issue 4.
Pages 284-290 (July - August 2022)
Nursing care
Nursing care plan for the Kennedy terminal ulcer patient. Case report
Plan de cuidados de enfermería de una paciente con úlcera terminal de Kennedy. Caso clínico
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Carmen María Alarcón-Alfonso
Unidad de Quemados, Departamento Hospital Universitari i Politècnic la Fe, Valencia, Spain
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Abstract

We present the clinical case report of an 81-year-old bedridden woman with severe cognitive impairment, who initially presented with a category II pressure ulcer in the sacral region. At 48 h, progression to a category IV ulcer was observed. Given the rapid evolution, the characteristics of the lesion and the patient’s condition, a diagnosis of terminal Kennedy ulcer was established. In consensus with the family, a conservative approach was adopted, and the therapeutic effort was limited due to the irreversibility situation. Three days later, the patient died of respiratory failure.

The care plan is developed based on Marjory Gordon’s assessment by patterns, allowing the identification of the patient’s problems, setting realistic outcomes (NOC) and developing nursing interventions (NIC) that lead to a dignified death.

Keywords:
Kennedy terminal ulcer
Palliative care
Pressure ulcer
Nursing care
Case reports
Resumen

Se presenta el caso clínico de una mujer de 81 años con deterioro cognitivo severo y encamada, que presenta inicialmente lesión tipo úlcera por presión de categoría II en región sacra. A las 48 horas, se observa progresión a úlcera de categoría IV. Dada la rápida evolución, las características de la lesión y el estado de la paciente, se establece el diagnóstico de úlcera terminal de Kennedy. En consenso con la familia se realiza un abordaje conservador y se limita el esfuerzo terapéutico debido a la situación de irreversibilidad. Tres días después, la paciente fallece a causa de una insuficiencia respiratoria.

El plan de cuidados se elabora a partir de la valoración por patrones de Marjory Gordon, permitiendo identificar los problemas de la paciente, trazar objetivos (NOC) realistas y desarrollar intervenciones de enfermería (NIC) que conduzcan a una muerte digna.

Palabras clave:
Úlcera terminal de Kennedy
Cuidados paliativos
Úlceras por presión
Cuidados de enfermería
Caso clínico

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