DIAGNOSIS OF NURSING IN PATIENTS WITH VASCULAR ENCEPHALIC ACCIDENTS

A REVIEW OF THE LITERATURE

Abstract

INTRODUCTION: ONE OF THE TOOLS USED BY THE NURSE IS THE SYSTEMATIZATION OF NURSING CARE (SAE) AND, AMONG ITS FIVE STAGES, THE NURSING DIAGNOSIS IS HIGHLIGHTED. CONSIDERING THAT NURSING DIAGNOSES ARE OF PARAMOUNT IMPORTANCE FOR PATIENTS WHO ARE CARRIERS OF AVE, ALLOWING THE NURSING TEAM GREATER CONDITIONS TO PREDICT UNDESIRABLE SITUATIONS AND ASSIST THE PATIENT IN A HOLISTIC WAY AND START THE REHABILITATION PROCESS. OBJECTIVES: TO DESCRIBE THE SYSTEMATIZATION OF NURSING CARE FOR SEQUELAE PATIENTS WITH STROKE. METHODOLOGY: THIS IS A LITERATURE REVIEW. AFTER SELECTING THE MATERIAL THROUGH VIRTUAL LIBRARIES, THE MATERIAL THAT IS CLASSIFIED IN EXPLORATORY, SELECTIVE, ANALYTICAL AND INTERPRETIVE READING (GIL, 2002) WAS READ. DATA COLLECTION WAS PERFORMED IN THE FIRST SEMESTER OF 2017, IN VIRTUAL LIBRARIES BIREME (LILACS AND MEDLINE) AND SCIELO, USING THE TERMINOLOGIES REGISTERED IN THE DESCRIPTORS IN HEALTH SCIENCES (DECS): NURSING DIAGNOSIS, STROKE AND NURSING CARE WE SELECTED THE PORTUGUESE LANGUAGE PUBLICATIONS THAT WERE IN AGREEMENT WITH THE GUIDING QUESTION, WHICH WERE PUBLISHED IN THE PERIOD FROM 2010 TO 2016 AND HAVE ONLINE TEXT AVAILABLE IN FULL. WE EXCLUDED ARTICLES WITH MORE THAN 7 YEARS OF PUBLICATION THAT DID NOT DESCRIBE THE ETHICAL PROCESS OF THE RESEARCH. WE SELECTED 11 ARTICLES, WHICH AFTER REFINEMENT AND READING, THE ARTICLES GROUPED INTO THREE CATEGORIES OF ANALYSIS: NURSING DIAGNOSES IN PATIENTS WITH STROKE, DIFFICULTIES IN IMPLEMENTING SAE IN PATIENTS WITH STROKE AND THE IMPORTANCE OF INDIVIDUALIZED CARE IN PATIENTS WITH STROKE. RESULTS: NURSING DIAGNOSES IDENTIFIED ACCORDING TO NANDA TAXONOMY I, WITH PREDONIMENCE AMONG THE AUTHORS WERE: VERBAL COMMUNICATION, RISK OF ASPIRATION, RISK OF FALL; IMPAIRED PHYSICAL MOBILITY; IMPAIRED WALKING; SEDENTARY LIFESTYLE; RISK OF DISUSE SYNDROME; RISK OF ACTIVITY INTOLERANCE AND IMPAIRED TRANSFERABILITY. THE REHABILITATION OF THE AFFECTED INDIVIDUALS IS INDIVIDUAL AND IS RELATED TO THE COMMITMENT WITH THE TREATMENT. ACCORDING TO BARBOSA ET AL., (2012), NURSES FEEL LITTLE QUALIFIED FOR THE IMPLEMENTATION OF SAE IN THEIR WORK ENVIRONMENT, THE STUDY ALSO SHOWED THAT EVEN PROFESSIONALS WHO FEEL QUALIFIED FIND IT DIFFICULT TO DEDICATE THEMSELVES TO THIS HEALTH UNIT DO NOT HAVE SUFFICIENT RESOURCES TO IMPLEMENT THE SAE. ANOTHER POINT POINTED OUT BY THE STUDIES IS THE LACK OF RECORDS IN THE MEDICAL RECORDS INDICATING A FAILURE IN THE SAE STAGES, SINCE THERE ARE FEW RECORDS OF PHYSICAL EXAMINATIONS AND ANAMNESIS, WHICH ARE ESSENTIAL FOR THE ELABORATION OF SAE AND NURSING DIAGNOSES. CONCLUSION: SAE IS OF PARAMOUNT IMPORTANCE, BEING CONSIDERED AS THE BEST WORK TOOL FOR NURSES, BUT STILL WITH DIFFICULTIES IN ITS IMPLEMENTATION DUE TO LACK OF HUMAN RESOURCES AND MATERIALS, BESIDES THE DEVALUATION AND LACK OF KNOWLEDGE ON THE PART OF THE PROFESSIONALS. THEREFORE, IT BECOMES EXTREMELY IMPORTANT THAT NURSES HAVE THE NECESSARY KNOWLEDGE TO ELABORATE THEIR ACTION IN THE CARE OF STROKE SUFFERERS.