Private nursing consultation: care process in a patient with Fournier's gangrene

Abstract

Introduction: Fournier's gangrene is a necrotizing fasciitis that causes thrombosis of small subcutaneous vessels, spreading through the perianal and genital area. Timely diagnosis reduces morbidity and mortality. Treatment includes surgical debridement of necrotic tissue and broad-spectrum antibiotics. The purpose of this clinical case study was to demonstrate the relevance of private consulting based on the nursing care process (NCP) in a patient with Fournier's gangrene.

Development: This clinical case study of a male patient was conducted using the NCP methodology. An assessment was performed using Virginia Henderson's 14 Needs model, the Wound Triangle, identification of diagnoses, and their interrelation with the NANDA-NOC-NIC taxonomies. The PLACE format was used for the planning, implementation, and evaluation of interventions and expected outcomes. Problem-focused and risk diagnoses were identified. Due to the magnitude of risk to human life, impaired tissue integrity was prioritized, and wound healing was achieved with 19 dressing changes over 3 months.

Conclusion: The recovery of tissue and skin integrity in 92 days is not only a clinical outcome but also tangible proof that the NCP, when rigorously applied, leads to successful results as a practical innovation. This demonstrates how nursing professionals, through experience and reasoning, can create ingenious and effective solutions that improve patient safety and quality of life.