[en] Introduction: The post-operative period after an open repair surgery of an aortic abdominal aneurysm is an usual situation in the Recovery Unit. On the other hand, the use of the process of attention of nursery and the use of a standardized language is not common in the units of Spain and of the rest of Europe, which becomes a challenge for the nursing due to the fact that it makes the normalization of the practical nursing possible and decreases the variability of the clinical practice. Aims: 1) To establish a plan to take care of a patient submitted to a aneurismatic abdominal by means of opened surgery in a critics' unit. 2) To evaluate the efficiency of the interventions carried out. Development: a plan was carried out to take care of a patient from the perspective of the Virginia Henderson's model , and following the taxonomies NANDA, NOC, and NIC, to establish diagnosis of nursing, expected results, nursing interventions and activities. Moreover we applied the model of Analysis of the Result of the Current State and we have determitaded the next nursing diagnosis: "Delay on the postoperative recovery", "Lack of the autocare: bath", "Acute postoperative delirium" and "Risk of skin completeness's deterioration. The plan was executed during five days when the patient was in the Recovery Unit. Discussion: In view of the obtained results we can confirm that the activities realized have improved the state of the patient. The development of a plan to take care of a patient using the nursing taxonomy allows us both the evaluation of progress of the patient and the evaluation of the nurse activity.

[gl] Introdución: O postoperatorio tras unha reparación de aneurisma aórtico abdominal dase frecuentemente na unidade de Reanimación. Por outro lado, a utilización do proceso de atención de enfermaría e dunha linguaxe estandarizada non é de uso habitual nas unidades de España e do resto de Europa, o cal constitúe un reto para a enfermaría debido a que posibilita a normalización da práctica enfermeira e diminúe a variabilidade da práctica clínica. Obxectivos: 1) Establecer un plan de coidados a un paciente sometido a unha reparación aneurismática abdominal mediante técnica aberta nunha unidade de críticos. 2) Avaliar a eficacia das intervencións realizadas. Desenvolvemento: Realizouse un plan de coidados ao paciente dende a perspectiva do modelo de Virxinia Henderson, e seguindo as taxonomías NANDA, NOC, e NIC, para establecer diagnósticos de enfermaría, resultados esperados, intervencións enfermeiras e actividades. Así mesmo, aplicouse o modelo de Análise do Resultado do Estado Actual(AREA) e se determinaron os seguintes diagnósticos de enfermaría: "Retraso na recuperación quirúrxica", "Déficit no autocuidado: aseo", "Confusión aguda" e "Risco de deterioro da integridade cutánea". O plan executouse durante os cinco días que o paciente estivo na unidade de Reanimación. Discusión: Á vista dos resultados obtidos podemos afirmar que as actividades realizadas melloraron a situación do paciente. O desenvolvemento dun plan de coidados utilizando a taxonomía enfermeira permítenos tanto a avaliación de progreso do paciente coma a avaliación da actividade enfermeira.