Nursing care plan for a patient with Fournier's gangrene: Clinical case.

INTRODUCTION: Fournier's gangrene, a relatively rare form of necrotizing fasciitis, is a rapidly progressive disease affecting the deep and superficial tissues of the perineal, anal, scrotal, and genital regions. Despite the significant evolution in medical knowledge, there is still scarce evidence regarding the nursing care plan in patients affected by this pathology, which hinders its correct management. For this reason, we present the following clinical case of a 53-year-old male patient with Fournier's gangrene who was admitted to the emergency department for 3 days of pain in the perineal area and fever. OBJECTIVE: The objective was to establish an individualized care plan for the patient detailing the diagnoses, expected outcomes and interventions through nursing taxonomies. CASE DEVELOPMENT: A systematic assessment was performed using Marjory Gordon's model of functional health patterns as a reference. After drawing inferences, three collaborative problems and two nursing diagnoses were established with their outcome criteria and interventions. Once the plan was executed, the results obtained highlighted that the interventions were consistent in achieving the objectives set out in the problems present in the case patient. CONCLUSIONS: The development of an individualized plan made it possible to detect problems, establish realistic objectives and define interventions that optimized nursing care in this patient with Fournier's gangrene.

The care of a patient with Fournier's gangrene.

Fournier's gangrene is a rare, necrotizing fasciitis of the genitals and perineum caused by a mixture of aerobic and anaerobic microorganisms. This infection leads to complications including multiple organ failure and death. Due to the aggressive nature of this condition, early diagnosis is crucial. Treatment involves extensive soft tissue debridement and broad-spectrum antibiotics. Despite appropriate therapy, mortality is high. This case report aimed to present nursing approaches towards an elderly male patient referred to the urology service with a diagnosis of Fournier's gangrene.

[Negative pressure therapy in the loss of perineal substance]. / La thérapie par pression négative dans les pertes de substance périnéale.

Over the last ten years, negative pressure therapy has played a major role in the treatment of complex perineum wounds resulting from infection, trauma or cancer.The use of instillation has enabled its use to be extended to certain particularly difficult situations. It is also used routinely in support of dressing techniques for less complex wounds.

A demonstration of clinical reasoning through a case of scrotal infection.

Clinical reasoning has been defined as collecting clues, processing information, and coming to an understanding of a patient problem, then planning and implementing interventions, evaluating outcomes, and reflecting on and learning from the process. Clinicians with effective reasoning skills positively impact patient outcomes.