Nursing care process applied to pediatric patient with diagnosis: COVID 19 Pneumonia and Myasthenia Gravis in the Pediatric ICU area

Flor Consuelo Quiroz Mendoza and Kelly Marilyn Guevara Salazar

SCT Proceedings in Interdisciplinary Insights and Innovations, 2025, vol. 3, 10.56294/piii2025355

Abstract: Introduction: Viral pneumonia has gained increasing relevance as a cause of illness, affecting mainly children and older adults. These infections can range from mild cases to severe forms requiring intubation and intensive care. The COVID-19 pandemic, caused by the SARS-CoV-2 virus, has highlighted the significant impact of viral infections on global health, including their contribution to the development of diseases such as pneumonia. The purpose of this work is to contribute to the patient's well-being and to promote the necessary care for recovery through the implementation of the Nursing Care Process (NCP). In situations where complete restoration of health is not achieved, the PAE is aimed at promoting quality of life for as long as possible. The study was carried out with a qualitative and single clinical approach. The Nursing Care Process was applied to an adult patient diagnosed with COVID-19 pneumonia and myasthenia gravis. Data collection was performed using Marjory Gordon's functional pattern assessment framework, which allowed the identification and prioritization of nursing diagnoses related to impaired spontaneous ventilation due to muscle fatigue, impaired gas exchange due to alterations in ventilation-perfusion, and hyperthermia associated with an infectious process that increased the metabolic rate. Based on this assessment, a care plan was designed according to NANDA, NIC and NOC taxonomy, and the corresponding interventions and activities were carried out. The development of the Nursing Care Process allowed the application of its five stages in a comprehensive manner, offering complete care to the patient. The results were evaluated using the NOC indicators, obtaining change scores of 0, -1 and +2, reflecting both areas of opportunity and progress in the patient's condition. The implementation of the Nursing Care Process in a patient with COVID-19 pneumonia and myasthenia gravis proved to be effective in identifying priority needs and carrying out specific interventions. This process contributed significantly to the patient's well-being, even in complex clinical conditions, and highlighted the importance of nursing in the comprehensive care of serious illnesses. The use of methodological tools such as the EAP highlights its usefulness in structuring care and improving the patient's quality of life

Date: 2025
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