Huntington’s Disease: a Case Report With Emphasis on Nurse Assistance


Huntington’s Disease: a Case Report With Emphasis on Nurse Assistance

BOTELHO, R.S1; FURTADO, B.M.A.S.M2; PEREIRA, R.C.M1; ARAÚJO, S.L.M1; FLORÊNCIO, T.M.B1; WEINAR MARIA DE ARAÚJO, W.M1.

Nursery Students of University of Pernambuco1, Adjunct Professor of FENSG/UPE, Assistant Nurse of Recife Military Hospital2


Research Journal of Pharmacology and Pharmacy-2d Code

Huntington’s disease is a progressive neurodegenerative genetic defect on chromosome IV, reaching 5-10 people each 100.0001,2. Its main symptoms involuntary movements due to muscle contractions and psychiatric changes3. There is no cure or treatment, 15 with an estimated survival to 20 years after the onset of symptoms1,2. This study aims to report the case of an elderly affected by Huntington’s disease, from the systematization of nursing care (SAE). A qualitative study, with the research technique the descriptive and observational, realized in a military hospital in the city of Recife / PE in August to September 2015. For data collection was used the history, physical examination and data recorded in the medical record. In the analysis we used the SAE, taxonomy North American Nursing Diagnosis Association (NANDA) to determine the nursing diagnoses, the Nursing Interventions Classification (NIC) for interventions and Nursing Outcomes Classification (NOC) to the expected results. For understanding the inheritance of pathology has built a genogram. We developed a plan of care, which stand out as major diagnoses: chronic confusion related to Huntington’s disease, evidenced by progressive cognitive impairment / long-term risk of trauma evidenced by reduced muscle coordination. From the diagnoses of nursing interventions were established: to provide a calm and eliminate noise / external stimuli; raise the side rails and pads them. The patient was calmer after the interventions and the accompanying followed the measures against falling. With nursing care plan and the assistance provided by a multidisciplinary team, there was an improvement in quality of life and minimizing symptoms that had exacerbated in the early days of his hospitalization, but also the understanding of family front disease.  The SAE was efficient in planning, organizing, and delivery of care for a patient with Huntington’s disease and their families, and these holistic, individual and humanized manner.

Keywords: Huntington’s disease; nursing process; geriatric nursing


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REFERENCES

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  2. Frich JC, Røthing M, Berge AR. Participants’, caregivers’, and professionals’experiences with a group-based rehabilitation program for Huntington’s disease: a qualitative study. BMC Health Services Research 2014 Sep; 14(395).
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