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Vol. 32. Issue 1.
Pages 60-64 (January - February 2022)
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Vol. 32. Issue 1.
Pages 60-64 (January - February 2022)
Nursing care
The mental health nurse as case manager of a patient with severe schizophrenia
La enfermera especialista en salud mental en la gestión del caso de una paciente con esquizofrenia grave
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Silvia Díaz-Fernándeza,b,c,
Corresponding author
marmotillazz@gmail.com

Corresponding author.
a Facultad de Ciencias de la Salud, Universidad Camilo José Cela, Villanueva de la Cañada, Madrid, Spain
b Área de Gestión Clínica de Salud Mental-V, Hospital Universitario de Cabueñes (HUCAB), Servicio de Salud del Principado de Asturias (SESPA), Gijón, Asturias, Spain
c Instituto para la Investigación Sanitaria del Principado de Asturias (ISPA), Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain
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Table 1. Interrelationship between NANDA, NOC and NIC labels shown after assessment of the patient.
Abstract

Community-based programmes for people with severe mental illness (SMI), with a case management methodology, have shown high treatment adherence and a decrease in psychiatric hospitalizations. There is a need for continuity of care through a good therapeutic relationship, maintained throughout the care process until reaching clinical stabilization. The proposed case shows the treatment of a woman with a diagnosis of schizophrenia who began treatment in a mental health centre and was later referred to a case managed SMI programme. A nursing assessment was carried out from the beginning and a care plan was made based on the NANDA (North American Nursing Diagnosis Association), NOC (Nursing Outcomes Classification), NIC (Nursing Interventions Classification) taxonomy. The outcomes over the years are remarkable, achieving among other objectives not only clinical stabilization but also a normal life.

Keywords:
Case management
Nursing care
Schizophrenia
Continuity of patient care
Resumen

Los programas comunitarios para personas con trastorno mental grave (TMG) con metodología basada en la gestión de casos han mostrado conseguir una elevada adherencia al tratamiento, y una disminución de los ingresos hospitalarios debido a reagudizaciones de los procesos. Es necesaria la continuidad de cuidados a través de una buena relación terapéutica a lo largo de todo el proceso asistencial hasta llegar a la estabilización clínica. El presente caso trata de una mujer con diagnóstico de esquizofrenia con tratamiento inicial en un centro de salud mental y posteriormente en un programa para personas con TMG con gestión de casos. Se realizó inicialmente una valoración enfermera y se elaboró un plan de cuidados en base a la taxonomía North American Nursing Diagnosis Association (NANDA), Nursing Outcomes Classification (NOC) y Nursing Interventions Classification (NIC). Los resultados obtenidos a lo largo de los años han sido muy positivos, consiguiendo, entre otros objetivos, la estabilización clínica y una vida normalizada.

Palabras clave:
Gestión de casos
Cuidados de enfermería
Esquizofrenia
Continuidad de cuidados

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