| Affiliation: | 1. UCI, Hospital Universitari Dr. Josep Trueta de Girona, Girona, España;2. Servei de Cirurgia i Traumatologia, Hospital de Figueres, Figueres, Girona, España;3. Unitat de Reanimació, Hospital Universitari Dr. Josep Trueta de Girona, Girona, España;4. Departament d’Infermeria, Universitat de Girona, Girona, España |
| Abstract: | Introduction and case evaluationBotulism is a rare disease in Europe, caused by the bacterium Clostridium botulinum, notifiable, non-transmissible person-to-person and potentially fatal (between 5 and 10%) if not treated quickly. The favourable opinion of the Clinical Research Ethics Committee was obtained. We present the nursing care plan of a 49-year-old man with a diagnosis of bacterial intoxication caused by Clostridium botulinum, secondary to ingestion of beans in poor condition, who was admitted to the ICU for a total of 35 days.Diagnosis and planningHolistic nursing evaluation during the first 24 hours, with prioritisation of the systems that were deteriorating fastest: neurological and respiratory. Nine diagnoses were prioritised according to the NANDA taxonomy: Risk for allergy response, Ineffective breathing pattern, impaired oral mucous membrane, Impaired physical mobility, Risk for disuse syndrome, Risk for dysfunctional gastrointestinal motility, Impaired urinary elimination, Risk for acute confusion and Risk for caregiver role strain.DiscussionThe nursing care plan, standardised and organised with the NANDA taxonomy and prioritised with the outcome-present state-test (OPT) model, guaranteed the best care based on evidence, as the NOC scores improvement demonstrated. It was impossible to compare the nursing intervention with other case reports. |
