The clinical case of an inmate is described, which included highly complex features both for the nursing staff and the medical unit, who presents a thoracic window or thoracostomy window carried out in April 2016. It is a descriptive study of the progress of the wound from when he entered Murcia I Prison (from 11 October 2016 to January 2018), using nursing methodology with the NANDA, NIC, NOC (N-N-N) language.
The corresponding authorisation and the patient's informed consent were requested from the General Directorate of Prison Healthcare to carry out the research work.
The case consisted of a 43 year old male, carrier of a thoracostomy window in the thoracic wall after pneumothorax and complex symptoms of tuberculosis, with empyema and persistent leakage. He was treated in Alicante Hospital, while he was interned in Villena Prison, where the thoracic window was opened to clean and drain the pleural cavity, and to assist in the process of filling and healing it. After entry in Murcia I Prison, the patient's symptoms were monitored in the Thoracic Surgery Service of the Virgen de la Arrixaca University Hospital (HUVA) and in the Internal Medicine Service of Murcia. Surgical closure of the cavity was considered to be impossible due to the major risk of severe infection.