Aim

The aim of this study is to present the diagnoses and interventions in a patient with hip osteoarthritis after alloplastic with congenital combined factor V and VIII deficiency, according to ICNP.

Material and methods

The paper is case-study in nature, where the research techniques used were: observation, interview, analysis of records, measurement of vital signs. The research tools used were: medical history, individual nursing care and medical orders sheet, fever sheet, blood and blood transfusion sheet, observation sheet, pain assessment sheet, test results.

Results

Diagnoses and care plan are adequate for the patient's condition The main problems were wound infection, risk of hemorrhage, pain. Education on wound care and self-care was provided. Negative pressure wound therapy (NPWT) applied to the patient after alloplastic is an effective tool in the treatment of wounds that are difficult to heal and has contributed to successful wound healing. The use of negative pressure allowed the wound bed to be cleansed of excess exudate and microorganisms, while providing optimal conditions for tissue regeneration. In addition, NPWT therapy improved microcirculation and stimulated the formation of new capillaries.

Conclusions

The ICNP model of care used proved to be effective in the care of a patient requiring specialized care. All planned activities were implemented and holistic care was successfully provided. The article is an important contribution to nurses' use of the ICNP classification, whose importance in improving the quality of nursing care continues to grow.