Introduction: The absence of structured nursing care plans for individuals living with HTLV-1 (PLHTLV) prompted the development and evaluation of a targeted approach. This plan, formulated through the assessment of 55 PLHTLV patients, emphasizes specific interventions tailored to different clinical stages of the condition, notably addressing critical areas such as sexual dysfunction alongside other prevalent health concerns.
Methods: Nursing diagnoses were meticulously established through interviews with symptomatic HTLV-1 patients, utilizing the standardized NANDA International Nursing Diagnoses framework. Following diagnosis, appropriate nursing interventions were selected from the Classification of Nursing Interventions (NIC), and anticipated patient outcomes were determined using the Classification of Nursing Outcomes (NOC). This systematic methodology ensured a robust and evidence-based care plan development process.
Results: The diagnostic outcomes revealed several key areas requiring focused nursing attention. Prominent actual diagnoses included chronic pain, impaired urinary elimination, and significantly, sexual dysfunction. Furthermore, health promotion needs were identified as risk-prone health behavior, while potential risks encompassed feeling powerless and falls in adults. Effective nursing care necessitates strategies to enhance treatment adherence, define clear therapeutic goals, and actively involve family members in the care process. Creating a safe home environment is paramount, particularly through fall prevention measures. Comprehensive support for managing chronic pain, encompassing both pharmacological and non-pharmacological approaches, is essential. Interventions aimed at impaired urinary function are crucial for facilitating patients’ social reintegration and improving quality of life. Specifically regarding sexual dysfunction, open discussions about safe sexual practices and necessary behavioral modifications are vital components of the care plan. Addressing risk behaviors requires patient and family education, adapting communication to their understanding levels, and fostering acceptance of their condition through empathetic and tailored guidance.
Conclusion: The implementation of a dedicated nursing care plan for PLHTLV is indispensable for slowing disease progression and enhancing the overall quality of life for affected individuals. Addressing sexual dysfunction within this framework, alongside other identified needs, underscores the importance of a holistic, multidisciplinary approach within the secondary level of HTLV-1 prevention and management. This structured approach ensures comprehensive care and support for PLHTLV patients.
