Interventions in newborns with neonatal sepsis in the neonatal intensive care unit

Abstract

Neonatal sepsis is a clinical syndrome caused by bacteria, fungi, or viruses, characterized by signs and symptoms of a systemic infection that appears within 28 days of life and is the reason for hospitalization of the patient. Through the nursing care methodology, quality care was managed, with safe support, favoring improvement and protecting the patient's health. The objective of this work was to apply the nursing care process to a newborn with neonatal sepsis based on the 11 functional patterns of Maryori Gordon. Qualitative study, a single type of case, which includes a neonate in critical condition, where all phases of the care process are observed: the assessment is carried out within the framework of expert validation, the diagnosis and planning are carried out considering the NOC, NIC, NANDA classification and again the performance and evaluation are determined by the difference between the final score and the respective bases. Six forms of change were found, of which three were prioritized: active exercise, elimination, and metabolic nutrition. Eleven nursing diagnoses were also identified, of which three were prioritized: gas exchange alteration, hydroelectrolyte balance alteration and risk of nutritional imbalance: less than the body requirements according to the SSPFR format (symptoms, signs, problems, associated factors/ risk factors /connected); after care, change scores of +1, 0, and +1 were obtained. It was concluded that after recognizing the real and potential problems of the patient, five phases of the care process were developed, which lead to the stabilization of the patient, for which the success of the care was based on the timely identification of the patient's problems, needs, and implementation of treatment.