“intervención de enfermería en paciente pediátrico con síndrome mielodisplásico”

Abstract

Myelodysplastic syndromes are alterations that occur when the blood-producing cells in the bone marrow become abnormal cells, this triggers the lowering of the counts of one or more of the cell types in the blood. This type of myelodysplastic syndromes is considered a type of cancer whose appearance in the pediatric age and in the young adult is rare. Therefore, the case study is presented with the objective of analyzing the evolution of pathology and nursing intervention in pediatric patients with myelodysplastic syndrome. The present study reveals the case of a 10-year-old male patient who, after a nasal contusion, presents abundant epistaxis that does not yield with compressive measures, so he is transferred to Latacunga Hospital, where he is treated for a diagnosis of Pancytopenia and thrombocytopenic purpura. , but after the passage of two months and due to the pathological complexity that compromises the life of the patient, it is decided to transfer to the Baca Ortiz Hospital in the city of Quito for evaluation of bone marrow through aspiration and biopsy. After a medical consensus, the diagnosis of Myelodysplastic Syndrome was confirmed and after three months of hospitalization he was discharged in stable conditions for outpatient treatment, but follow-up is required because the Myelodysplastic syndrome reduces the production of any type of blood cell and as a result patients tend to develop bleeding difficult to stop, infections, in addition to 30% of patients with this syndrome progresses and becomes leukemia. Due to the complexity of the patient's care, a care plan was proposed where recommendations are presented to guide the family nucleus about nutrition, hygiene, physical activity, skin care, and mood and self-esteem management, because the family has little knowledge about the pathology and they also have limited resources to cover the patient's needs.