Application of the Outcome Present State Test Model in a Patient with Liver Cirrhosis: A Case Study
1University of São Paulo at Ribeirão Preto College of Nursing, WHO Collaborating Centre for Nursing Research
Development, Ribeirão Preto, São Paulo, Brazil
2Federal University of Alfenas, Alfenas, Minas Gerais, Brazil
3Nursing and Public Health Research, Philadelphia, Pennsylvania, United States of America
Abstract
This paper presents the case study of a 74 year old man with liver cirrhosis and consumptive
syndrome. Data was collected in a Brazilian university hospital. The case study approach used was outcome
present state test (OPT) model. The assessment was made by using the Conceptual Model of Wanda Horta. Also,
the NANDA-I, Inc., Nursing Outcomes Classification (NOC), and Nursing Interventions Classification (NIC)
linkages were used to capture accurate nursing care plan. The keystone nursing diagnosis was: Imbalanced
nutrition: less than body requirements. The NOC outcomes chosen were Nutritional Status: Food and Fluid
Intake; and Weight: Body Mass Control. The NIC interventions chosen for the patient were: Enteral Tube
Feeding and Fluid Monitoring. The findings support that the use of a clinical reasoning web helps nurses to
identify the priority focus of care in patients with complex health problem, and to prevent future complications
associated with the evolution of disease. Future researches are needed to determine the NANDA-I, NOC, and
NIC linkages based on a clinical reasoning model to capture accurate nursing care plan for all patients with
chronic condition, in order to provide competent and safe care, thus improving patient outcomes.
