Case study of a person at risk of ineffective cerebral perfusión secondary to intraparenchymal hemorrhage based on the philosophy of Virginia Henderson
DOI:
https://doi.org/10.51422/ren.v23i1.448Keywords:
Hemorrhagic stroke, cerebral hemorrhage, intracranial hypertension, hypothermia induced, nursing process, nursing careAbstract
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 Henderson’s 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.
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