Nájera GG, Galicia ARM, Morales RC, Monterrosas MM, Martínez TP

Language: Spanish
References: 12
Page: 72-76
PDF size: 51.95 Kb.

ABSTRACT

Introduction: The traumatic brain injury (TBI) is defined as any organic or functional lesion of cranial contents by a foreign entity is considered a common condition in industrialized countries and is one of the leading causes of death in children and young adults, causes injuries trauma requiring emergency care, corresponding to 25% of hospital admissions, 82% of them are mild, 13% moderate and 5% fatal and 20% develop significant disabilities. The clinical status of children with TBI demand professional nursing care to ensure a timely and quality care to reduce the risk of developing neurological sequelae, which is why the professional nurse should opt for care from a holistic and humanized by a systematic method that enables nurses to provide care in a rational, logical and systematic. This paper contains the results of the nursing process conducted in a child with severe head injury in a tertiary government hospital in order to identify and implement nursing interventions aimed at improving child health status and reduce the risk of complications. Nursing assessment, was performed by the method proposed immediate priorities Rosalinda Alfaro cephalocaudal and physical examination, according to the results concluded in the following diagnostic inference, ineffective breathing pattern, risk of aspiration, impairment of physical mobility, acute confusion Risk of infection, to meet the needs of the child interventions designed, and implemented with support from the NCC (Nursing Outcomes Classification) and the NIC (Nursing Interventions Classification), to evaluate the impact of interventions were used indicators, the measurement scale and scoring posed by NCC. Conclusion: The management of pediatric severe head injury should be managed according to each patients clinical situation keeping in and the devastating impact of improper handling can result in a still-developing brain.

REFERENCES

1. Manual de Urgencias para Enfermería Pediátrica. Galván Oliert, Madrid España, Editorial Mad, 2007.

2. Luckmann (2007); Manual de procedimientos de enfermería en el Servicio de Emergencias, Editorial: McGraw-Hill.

3. Guidelines for the acute medical management of severe traumatic brain injury in infants, children, and adolescents. Pediatr Critic Care Med 2003; 4 (suppl): 1-75.

4. Luckmann J. Cuidados de Enfermería Vol. I. (2000). McGraw-Hill, Interamericana.

5. Rodríguez BA. Proceso enfermero, aplicación actual/segunda edición, Ediciones Cuéllar.

6. Alfaro RL. Aplicación del proceso de enfermería/guía práctica, Edith Mosby 3a Edición.

7. Diagnósticos enfermeros. De la Nanda. Definiciones y clasificación 1999-2000 Harcourt.

8. Joanne Mc. D, Bulechek MG. Clasificación de intervenciones de enfermería (NIC)/editoras. Madrid, España: Elsevier, 2005.

9. Moorhead S, Johnson M. Meridean Mass. Clasificación de resultados de enfermería (NOC)/editoras. Madrid, España: Elsevier, 2005.

10. Carpenito L (2003). Manual de diagnósticos de enfermería. 9a Edición. McGraw-Hill, Interamericana.

11. Luckmann J (2000). Cuidados de Enfermería Vol. I. McGraw-Hill, Interamericana.

12. Ackley-Betty J. Manual de Diagnósticos de Enfermería. Madrid España: Ed. Elsevier Mosby, 2007: 752-757.