Abstract
A theoretical-Reflective study with the objective to reflect on human needs regarding the imbalance of whole blood donors considering adverse reactions to the donation, and the existing nursing diagnoses that best meet the imbalance needs. The following needs were pointed out according to the signs and symptoms of adverse reactions and based on the Theory of Basic Human Needs: skin and tissue integrity, emotional security, pain perception, body mechanics, oxygenation, physical integrity, physical comfort, elimination, neurological, electrolytic and vascular regulation. By observing NANDA International's Definitions and Classifications, adaptations to the existing nursing diagnoses and suggestions for new headings have been proposed. We conclude that some of the needs are interrelated, such as vascular regulation, oxygenation and physical integrity. Thus, more contextualized nursing diagnoses related to the needs of whole blood donors are needed, given the specific nature of the situation generating imbalances such as: ineffective systemic vascular regulation characterized by self-reported dizziness, cutaneous pallor and arterial hypotension related to vasovagal reaction.
Highlights
The occurrence of adverse reactions in whole blood donors lead these individuals experiencing a human need to an imbalance, considering there are signs and symptoms being perceived and/or reported; and if there are human needs in imbalance, such adverse reactions should be a matter of study and reflection by nurses who assist donors in hemotherapy services, since basic human needs can be considered as the “concrete body” of nursing(1)
The purpose of this objective is to contribute to clinical nursing reasoning in the context of hemotherapy, and to encourage reflection on more contextualized nursing diagnoses related to blood donation, of which in turn can be better developed for future proposals for NANDA International (NANDA-I)
In order to subsequently identify the nursing diagnoses that best fit the context of adverse reactions in whole blood donors, the nursing diagnoses existing in the NANDA International Definitions and Classifications (NANDA-I) were analyzed by reflections(20)
Summary
Adverse reactions to whole blood donation, basic human needs and nursing diagnoses: a reflection.
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