Proceso de atención de enfermería a paciente con traumatismo craneoencefálico grave en emergencia.

Abstract

Head injury (TEC) is a functional lesion or damage to cerebro-brain that is produced by external mechanical force that compromises the neurological and health status of the individual. It is considered one of the causes of higher mortality and public health problem occurring in ages from 25 to 40 years of higher index. The following research work aims to apply the process of nursing care to patients with severe traumatic head injury in emergencies. A retrospective study was carried out through review of published scientific articles such as Scielo, REDALYC, infomed corresponding to the last five years, bibliographic sources to timely management, legal documents and norms applied in the Hospitalization to give solution to the problem raised. The nursing care process is a useful, methodological, structured common-sense tool to provide interventions through dependent and independent activities to individuals, families and communities. In relation to the theory proposed by Dorothea Orem in patients with severe head trauma in which the self-care deficit is determined, it requires nurses to supplement the patient's activities and appropriate care for the instability Functional due to the comatose state, correlating the nursing care process in the established standards or protocols is intended to ensure health and avoid secondary damage to users who according to NANDA, NOC and NIC meets the diagnoses in the Domain 4 activity/Rest of the Class 4 Cardiovascular/pulmonary responses.