Rol de enfermería en paciente cuadripléjico por traumatismo raquimedular orientado en la teoría de Gordon

Abstract

Introduction: spinal cord trauma has an annual incidence of 500,000 cases in the world, immobilization immediate medical intervention is essential to prevent permanent spinal sequelae, such as quadriplegia that affects the life of the individual and his family Objective: Develop a clinical case of a patient with a diagnosis of spinal cord injury, through his clinical picture to apply the nursing care process and guided by Maryory Gordon's theory Case description: 26-year-old male patient with spinal cord injury due to a stab wound in the retroauricular region, with permanent spinal cord sequelae of quadraplegia of 53 days of hospitalization in the ICU área presents pressure ulcer of IV degree in the area of the sacrum Materials and Methods: The evaluation of the altered functional patterns of Gordon is carried out to design care plans that improve the clinical condition of the patient Conclusion: Spinal injuries stab wounds are rare but when they are located in the cervical region they can affect the motor capacity of all extremities causing quadraplegia The role of nursing in this type of patient focuses on altered patterns of nutrition, activity, safety and protection applying measures such as positional changes to avoid ulcers in pressure areas, since these wounds can become infected reaching bone structures causing cellular ischemia favoring the appearance of necrotic tissue.