Humanized oncology nursing care in a person with gastric cancer: A case report

Cancer impacts the person’s physical health, psychosocial and spiritual wellbeing. The humanization of care is an essential element to achieve integral wellbeing of the individual. The aim of this article is to present a clinical case, using the nursing process with the NANDA, NOC and NIC taxonomies, and based on the principles of Watson’s theory of humanized care. The participant is a 45-year-old woman with gastric cancer in palliative stage. The assessment was performed using Gordon’s functional patterns and the Watson Caritas Patient Score scale to evaluate the care received previously in the health system. Eight nursing diagnoses were identified, prioritizing 3 diagnoses using the clinical reasoning web (decisional conflict, anxiety, and ineffective self-management of health). Expected outcomes and nursing interventions were planned and implemented through moments of care using health education through tele-nursing and the intentional use of Caritas processes of care in the transpersonal relationship. The results were evaluated with the scales of the indicators and anxiety was also evaluated with the Beck Anxiety Inventory. Health education in oncology nursing contributed to improve informed decision making, reducing anxiety and providing emotional support to facilitate self-management of health. The participant perceived as humanized care throughout the sessions, reflected in the final evaluation with the Watson Caritas Patient Score scale. El cáncer afecta la salud física, el bienestar psicosocial, espiritual de la persona. La humanización del cuidado es un elemento esencial para lograr el bienestar integral del individuo. El propósito de este artículo es exponer un caso clínico, abordado por medio de un proceso de enfermería, usando las taxonomías NANDA, NOC y NIC, y basado en los principios de la teoría del cuidado humanizado de Watson. La participante es una mujer de 45 años con cáncer gástrico en etapa paliativa. La valoración se realizó utilizando los patrones funcionales de Gordon y la escala Watson caritas patient score para evaluar el cuidado recibido con anterioridad en el sistema de salud. Se identificaron 8 diagnósticos de enfermería y se priorizaron 3 mediante la red de razonamiento lógico (conflicto de decisiones, ansiedad y autogestión ineficaz de la salud). Se planificaron resultados esperados e intervenciones de enfermería, implementadas mediante momentos de cuidado utilizando la educación en salud través de la teleenfermería y el uso