Abstract
Congenital heart disease due to ventricular septal defect is a serious congenital defect most of the time and, although rare, can also be acquired following rupture of the interventricular septum during an acute myocardial infarction. The objective was to manage the nursing care process for a post-operative preschool patient. The study had a qualitative approach, focusing on a single case. The methodology followed the nursing care process. The assessment stage was conducted using the framework of the 11 functional health patterns of Marjory Gordon. The diagnostic stage was developed based on NANDA-I Taxonomy II, identifying nursing diagnoses and prioritizing three: decreased cardiac output, ineffective tissue perfusion, and dysfunctional ventilatory response to weaning, according to the SSPFR format (signs and symptoms, problem, related factor/risk factor/associated with). The planning stage was carried out considering the NOC and NIC taxonomies. During the implementation stage, care was administered, and the evaluation was based on the difference between baseline and final scores, respectively. The results showed a change score of +1, 0, +1. In conclusion, the nursing care process was successfully managed for the patient, providing high-quality care
Published Version
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