Nursing care process for a patient with chronic kidney disease and pagophagia-type pica disorder
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Keywords
Single-Case Studies as Topic, Feeding and Eating Disorders, Nursing Care, Renal Insufficiency, Chronic, Renal Dialysis
Abstract
Introduction: Pica is an eating disorder. In patients with chronic kidney disease (CKD), ice pica (pagophagia) is common, which is why it can lead to fluid overload and increased mortality from complications. The purpose of this study was to describe the case of a male patient with CKD undergoing renal replacement therapy (hemodialysis), and pagophagia-type pica disorder, using the nursing care plan (NCP) and individualized care plans.
Development: The NCP was implemented in two weeks. Data was collected through physical examination and assessment of functional health patterns. 3 diagnoses were prioritized: Excessive fluid volume, Inadequate nutritional intake, and Excessive anxiety about death. The care plan was structured using the NANDA-NOC-NIC taxonomies. After carrying out the interventions the objectives outlined were assessed.
Conclusion: A significant decrease in interdialytic fluid overload, an improvement in nutritional status, and progress in the patient's acceptance and adaptation to his chronic condition were achieved with nursing interventions aimed at fluid volume control, management of eating disorders, and strengthening of psychosocial coping.
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