ESPU-Nurses Meeting on Friday 21, April 2023, 09:30 - 10:00
09:30 - 09:40
SN6-1 (OP)
Maria Teresa ALONSO TORRES, Gemma FERNANDEZ MALDONADO, Maria MUÑOZ PEREZ, Marta BARROSO BERGADÀ, Sandra PEÉEZ SANCHO and Ana PALOMINO MARTÍNEZ
Fundació Puigvert, Enfermería, Barcelona, SPAIN
PURPOSE
The urolithiasis is the result of a complex interaction between anatomic and metabolic conditions. The Nursing Attention Process is a systematic and organized method to manage individualized nursing care, to identify altered needs, perform interventions and evaluate them. This study aimed to describe a clinical case in 1 year old infant with renal stones
MATERIAL AND METHODS
A case study. Infant, male sex, 1 year old age with bilateral kidney stones (premature: 29 weeks) with calcificated Double J catheter, and 9 Kg weight. Priority needs were identified through the 11 functional patterns of Marjory Gordon. An individualized care plan was designed and aimed to the maintenance of the urinary patterns. NANDA, NIC and NOC taxonomies were used.
RESULTS
The infant had 2 hospitalization stays. Total number of bed days used 32 days. The mean hospital stay was 16 days (10-22 days). Surgeries performed: 2 sedations Extracorporeal Shock Wave Lithotripsy, 1 calcificated Double J catheter removal, 1 sedation urethrocystoscopy, 1 bladder catheterization with sedation, renal colic. During postoperative presented symptoms like: pain, urinary tract infection, anuria, acute urine retention, prestlessness/vomiting, persistent fever, and crying. In addition, the parents showed perceptions and experiences like treatment rejection, no therapeutic adherence, fear and, discomfort and coping strategies when caring for child receiving paediatric care.
CONCLUSIONS
The role of the nurse in the application of an individualized care plan in the paediatric infant with kidney stones and the control of the signs and symptoms allowed the early detection of subsequent complications and promoted the satisfactory progress of the case
09:40 - 09:50
SN6-2 (OP)
Maria Teresa ALONSO TORRES, Gemma FERNANDEZ MALDONADO, Maria MUÑOZ PEREZ, Marta BARROSO BERGADÀ, Sandra PERÉZ SANCHO and Ana PALOMINO MARTÍNEZ
Fundació Puigvert, Enfermería, Barcelona, SPAIN
PURPOSE
The first choice treatment for infant affected with urolithiasis is the Extracorporeal Shock Wave Lithotripsy (ESWL), a non-invasive therapy. However, there are other treatment options. The present study aims to describe the Nursing Care Process in renal urolithiasis as well as to learn the sociodemographic characteristics of the patients an Uropaediatrics Unit of a third level hospital
MATERIAL AND METHODS
A descriptive, retrospective, and Unicentric study. All uropaediatric patients ≤2 years old who attended a Center (Spain) from 1998 until 2019 were included in the study, a total 140 infant
RESULTS
The mean age of the studied cases was 1.77 years, 64.29% males and 35.71% females. 65% of the cases were ESWL and 35% other treatments. Number of episodes total were 184, 63.58% ESWL and 36.41% other treatments. In a case, the same patient was admitted up to 7 times (2 ESWL y 5 other treatments). The development of this study is based on the nursing care based on the theory of Majory Gordon, with which the restoration of the patient's health is achieved. Professionals maked a nursing care plan tailored to the needs of patients and families, including active listening, emotional support, therapeutic education, and information when hospital discharged.
CONCLUSIONS
A Nursing Care process based in individualized attention helps improve the quality of care and prevent complications from hospitalization.
09:50 - 10:00
SN6-3 (OP)
Abhinay JOGULA, Rajendra NERLI, Ashwin BOKARE, Nishant SETYA and Ramana SRIPATHI
JN Medical College, KLE Academy of Higher Education and Research, Pediatric Urology, Belagavi, INDIA
PURPOSE
Management of kidney stone disease in pediatric is a challenging, technological innovations have contributed to the development of minimally invasive treatment of urinary stones such as mini-percutenous nephrolitotomy. A standard PCNL requires a 24-30 F nephrostomy sheath for renal access is associated with complications such as blood transfusion, damage to renal parenchyma, and postoperative analgesic requirement. In this paper we report our experience , success rates and complications associated with mini-PCNL at our centre.
MATERIAL AND METHODS
We retrospectively reviewed our hospital inpatient records of all children younger than 14 who underwent mini PCNL during Jan 2017 – Dec 2021. The stone-free rates, perioperative complications, tract number, operative time, postoperative haemoglobin change, and duration of hospitalisation were evaluated.
RESULTS
Mini-PCNL was performed in 46 paediatric patients (38 boys and 8 girls; mean age 8.53 yrs). The mean stone burden was 2.096 cms. 40 (86.9%) patients experienced complete stone clearance. Two children had a second session of mini-PCNL , as the first session was abandoned because of bleeding or fall in blood pressure. Following the second session of mini-PCNL , 91.3% had complete clearance of stones . The duration of hospitalisation was 3 days , operative time was 58 mins , postoperative haemoglobin change was 0.86 gm% , and perioperative complications were noted in 5 (10.8%). Most of the complications were of minor nature and no children needed blood transfusions.
CONCLUSIONS
Mini-PCNL is an effective and safe procedure in children and should be considered as the primary option for treating paediatric renal stones whenever PCNL is indicated.