Factores desencadenantes del pie diabético en paciente de sexo femenino de 34 años de edad.
Introduction: Diabetes Mellitus is one of the most common endocrine diseases characterized by the deficiency in the secretion or insulin action. The diabetic foot is a complication of origin neuropathic characterized by hyperglycemia, leaving lesions, ulcerations or gangrene of the foot as a result....
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| Формат: | bachelorThesis |
| Опубліковано: |
2018
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| Онлайн доступ: | http://repositorio.utmachala.edu.ec/handle/48000/12314 |
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Додати тег | Резюме: | Introduction: Diabetes Mellitus is one of the most common endocrine diseases characterized by the deficiency in the secretion or insulin action. The diabetic foot is a complication of origin neuropathic characterized by hyperglycemia, leaving lesions, ulcerations or gangrene of the foot as a result. In Ecuador the diabetic foot is between 8% and 13% of the population with diabetes mellitus. Mainly affecting the diabetic population between 45 and 65 years. Diabetes rates are high in the city of Machala and the province, statistics show that 30% of people who enter the Teofilo Davila Hospital internal medicine is by diabetes and 28% by diabetic foot. Objectives: To describe the triggers of the diabetic foot in patient of female sex of 34 years of age and the importance of the intervention of nursing. Methods: it is a qualitative research because it allows to study phenomena from multiple perspective and explore deeply and wide of the unit of analysis. Applies the clinical method because it arises from the study of one patient in particular in the development of its pathology; Heuristic because it boils down to questions and answers; Deductive because theory will substantiate the facts found in the case; Because categories are going to deconstruct analytical and synthetic method which is the collection of categories. Results: we identified a patient of female sex of 34 years of age with Diabetes Mellitus type I which entered 8/05/2017 to the emergency area of the Teofilo Davila Hospital by ulcerative lesion in region plant of the second metatarsal head, with personal pathological aantecedentes: diabetes mellitus type 1 insulin-dependent, diagnosed for approximately 15 years since 2002, who please discontinue this product treatment for 4 months (January 2017) to your date of entry, diagnosed hypertension 10 years ago (2007), untreated 5 months ago (December 2016), hearing impairment. A pathological family history: mother and maternal grandfather with diabetes mellitus toxic habits of alcohol consumption from age 29 to drunkenness on weekends, leaving it 4 months ago. Held it exams 7/05/17 in the area of triage - emergency, in which the following results could be observed: 33.78 white blood cells ul, blood cells red 3.16 UL, HGB 9.00 g/dl, HTC 26.40%, 426 glucose mg/dl, platelets 647.00 uL, TPT 15 sec , Protein in urine, 25 mg/dl, glucose 1000 mg/dl, 50 ketone bodies; the day 27/06/2017 receives medical discharge on best clinical conditions with uncertain prognosis depending on the adherence to the treatment. Conclusions: the triggering factors of diabetic foot in this patient found the lack of adherence to treatment, the abandonment of the same, as well as toxic habits of the intake of alcohol and the depressive state in which it was. The abandonment of the treatment was the factor that was most influential in the development of the diabetic foot. Provide appropriate nursing care to patients is intended to contribute to their recovery and rehabilitation. |
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