Caso clínico: Miocardiopatía dilatada en paciente con distrofia muscular de becker

Abstract

Becker muscular dystrophy is an inherited disorder that causes progressive muscle weakness affecting the legs and pelvis. Symptoms appear at about 10 years of age and in most cases there is cardiac involvement by the thirties. We report a case of a 36 year-old male with dilated cardiomyopathy secondary to Becker dystrophy who was admitted to the Intensive Care Unit so as to receive inotropic and mechanical support while waiting for a heart. An individualized and case-adapted nursing care plan was created before and after heart transplantation, using therefor the 14-need assessment according to Virginia Henderson’s model. Nursing diagnoses of anxiety and fear stood out, it being a priority in nursing intervention to address the patient’s emotional and psychological problems so as to reduce his anxiety and fears. Development and update of the individualized care plan allowed to organize the work methodologically and made recording of activities easier, thereby providing quality care in problem solving.