Cuidado em enfermagem ao paciente renal agudo a luz da teoria adaptativa de Roy

Abstract

Objective: to describe the nursing process applied to renal patients based on the adaptation theory. Materials and methods: This is a descriptive study of the case study type of a woman diagnosed with acute renal failure. Carried out at a high complexity General Hospital in the city of Feira de Santana, Bahia, Brazil. The nursing process was based on the adaptation theory proposed by Callista Roy and the data were collected through observation, interviews and analysis of medical records. The ethical aspects of the National Health Council and the research approved by the Ethics Committee of the State University of Feira de Santana were respected. Results: The patient showed physiological adaptation through increased blood pressure, edema and weakness of the lower limbs; in the self-concept mode, expressed by anxiety and low self-esteem; role function, according to Roy, through the interruption of the family process and; in the interdependence mode demonstrating impaired social interaction. Conclusion: Nursing care in the light of the adaptation theory made it possible to trace comprehensive actions, with significant improvements for the patient. It is believed that the study contributes to more focused and quality care.