| Revista: | Revista de Enfermería Neurológica |
| Base de datos: | |
| Número de sistema: | 000597080 |
| ISSN: | 2954-3428 |
| Autores: | Tolentino-Pérez, Rocío Brenda1 Alejandro-Escobar, Silvia2 |
| Instituciones: | 1Facultad de Enfermería y Obstetricia, Universidad Nacional Autónoma de México, 2Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, |
| Año: | 2024 |
| Volumen: | 23 |
| Número: | 1 |
| País: | México |
| Idioma: | Español |
| Resumen en inglés | Introduction: Intraparenchymal hemorrhage is a pathology that represents between 10% and 15% of strokes; causes high mortality or leaves serious neurological effects.Objective: Develop a case study of a person at risk of ineffective cerebral perfusion secondary to intraparenchymal hemorrhage, based on the philosophy of Virginia Henderson.Methodology: Observational and qualitative study. The data were obtained using an assessment instrument based on Virginia Hendersons 14 basic needs. The systematic Nursing Care Process (PAE) method was used. A review of the literature was carried out through the databases Pubmed, ScienceDirect, Scielo, Redalyc and Google academic. The guidelines of the General Health Law on Research NOM-012-SSA3-2012 and the use of informed consent were considered.Case study presentation: 41-year-old woman diagnosed with intraparenchymal hemorrhage, postoperatively, with decompressive craniectomy and hysterectomy. In the adult intensive care unit (ACU), elevated intracranial pressure and data of low cardiac output were found, through neuroprotective measures such as therapeutic hypothermia.Application of the nursing process: The 5 stages of the PAE were applied and Nursing plans were made to resolve altered needs.Discharge plan: A plan was developed to provide continuity to the care provided to the person with neurological sequelae.Conclusions: Despite the low probabilities of survival, the care provided at the UTIA managed to preserve human life, although with irreparable neurological consequences. Introduction: Intraparenchymal hemorrhage is a pathology that represents 10 - 15% of strokes, causing high mortality and/or leaving serious neurological consequences.Objective: Establish a plan of specialized nursing interventions in the care of the neurocritical person with intraparenchymal hemorrhage.Methodology: Qualitative observational study; Obtaining data using an assessment instrument based on Virginia Henderson's 14 basic needs. Use of the systematic method Nursing Care Process. A review of the literature was carried out through databases: Pubmed, ScienceDirect, Scielo, Redalyc and Google academic. Developed under the guidelines of the General Health Law on Research and NOM-012-SSA3-2012.Case study presentation: 41-year-old woman diagnosed with intraparenchymal hemorrhage, postoperative: decompressive craniectomy and hysterectomy. In the neurocritical unit, he found elevated intracranial pressure and data of low cardiac output, under neuroprotective measures: therapeutic hypothermia.Application of the nursing process: The 5 stages of the process were applied and nursing plans were made to resolve altered needs.Discharge plan: Developed to provide continuity to the neurological sequelae of intraparenchymal hemorrhage.Conclusions: Despite the poor survival prognosis, the care provided in the neurocritical unit managed to preserve human life, although with irreparable neurological sequelae. |
| Resumen en español | Introducción: La hemorragia intraparenquimatosa es una patologia que representa entre el 10 % y 15 % de los accidentes cerebrovasculares; causa una alta mortalidad o deja graves efectos neurologicos.Objetivo: Desarrollar un estudio de caso a una persona con riesgo de perfusion cerebral ineficaz secundario a hemorragia intraparenquimatosa, basado en la filosofia de Virginia Henderson.Metodología: Estudio observacional y cualitativo. Los datos se obtuvieron mediante un instrumento de valoracion basado en las 14 necesidades basicas de Virginia Henderson. Se utilizo el método sistematico Proceso de Atencion de Enfermeria (PAE). Se realizo una revision de la literatura a traves de las bases de datos Pubmed, ScienceDirect, Scielo, Redalyc y Google academico. Se consideraron los lineamientos de la Ley General de Salud en Materia de Investigacion NOM-012-SSA3-2012 y el uso de consentimiento informado.Presentación del estudio de caso: Mujer de 41 anos con diagnostico de hemorragia intraparenquimatosa, postoperada, con craniectomia descompresiva e histerectomia. En la unidad de terapia intensiva adultos (UTIA) se encontro con elevacion de presion intracraneal y datos de bajo gasto cardiaco, mediante medidas de neuroproteccion como la hipotermia terapeutica.Aplicación del proceso de enfermería: Se aplicaron las 5 etapas del PAE y se realizaron planes de enfermeria para resolver necesidades alteradas.Plan de alta: Se desarrollo un plan para darle continuidad a los cuidados proporcionados a la persona con secuelas neurologicas.Conclusiones: A pesar de las bajas probabilidades de sobrevivencia, la atencion brindada en la UTIA logro conservar la vida humana, aunque con secuelas neurologicas irreparables. |
| Palabras clave: | Accidente cerebrovascular hemorrágico, hemorragia intracraneal, hipertensión intracraneal, hipotermia inducida, proceso de enfermería, cuidados de enfermería |
| Keyword: | Hemorrhagic stroke, cerebral hemorrhage, intracranial hypertension, hypothermia induced, nursing process, nursing care |
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