Abstract
In this experience report, the aim was to demonstrate the importance of systematizing nursing care, either in the practical aspect, through interventions, in the theoretical-scientific aspect that underlies our entire scientific structure of the profession, as well as in the search and organization of information about the patient, who presented a picture of dehiscence and infection in the surgical wound after undergoing colectomy and right nephroureterectomy, resulting from Intestinal Ulcerative Colitis and ureter transitional cell carcinoma, respectively, thus being able to observe and monitor its evolution. It was carried out during the practical activity of the Clinical and Surgical Adult and Elderly Health discipline of the Undergraduate Nursing Course. A data collection instrument developed by the discipline was used, in addition to interviews with the patient, research in the patient's electronic medical record and the steps of the nursing process, consisting of history and physical examination, diagnosis, prescription and nursing evolution adapted to the diagnoses of nursing according to the North American Nursing Diagnosis Association taxonomy. Conducting the study provided an opportunity to apply and expand all the knowledge acquired throughout the course through the Nursing Process.
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