Nursing Interventions AND Transient Ischemic Stroke PDF

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Nursing Interventions AND Transient Ischemic Stroke...

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NURSING INTERVENTIONS AND TRANSIENT ISCHEMIC STROKE: An INTEGRATIVE REVIEW introduction Cerebrovascular diseases are in second place at the top of diseases that most affect deaths in the world, behind only cardiovascular diseases. Research indicates that this position tends to remain until the year 2030. Cerebral vascular disease is the leading neurological cause in the world. Every day, the number of patients hospitalized with ischemic effusion is more frequent in hospitals, due to the prevalence of chronic diseases such as: hi pertension, diabetes mellitus, dyslipidemia and taba gismo. These risk factors should be taken into account as they generally require lifestyle changes. The lack of control of these vascular risk factors is associated with a higher risk of recurrence of cere bral stroke and the possibility of having an episode in another vascular territory with severe consequences of morbidity and mortality involved. The Stroke Care Line, founded by Ordinance MS/GM No. 665 of April 12, 2012, and an integral part of the Emergency Care Network,

suggests a redefinition of strategies that take into account the specific obligations of stroke care in view of the epidemiological panorama cited, as well as a considerable sociodemographic context, such as the increase in life expectancy and the aging of the population, added to risk factors and further dimensioning the challenge in the SUS1.. From the evo lution of the sciences, the need for the cons trução and validation of theoretical models and conceptual patterns of nursing emerged that promoted its consolidation and consideration as a school of human science, holder of care2. The study of nursing is an art that relates the care of those with the human being, who works individually and collectively for the sake of well-being. The work of nurses is done by protecting, preventing, rehabilitation and health recovery, proposing a broader meaning to health care. Neurological signs and symptoms result from temporary ischemia (comprome timento of blood flow) of a myspephical region of the brain, however, when brain imaging tests are performed, there is no emphasis on ischemia or infarction, which may affect changes in behavior, speech, gait, memory or movement3. R

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goal the

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To check in the scientific literature studies on the the

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understanding and differentiation between a stroke I Abbreviation of dom

Ischemic and a Transient Ischemic Stroke, the

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highlighting the importance of Nursing Interventions during the nursing process.

methodology This is a case study, using the nursing pro cesso in its phases of nursing history, nursing diagnosis, planning, intervention and evaluation of the re sultados. A form was built especially for this practice and applied to the Taxonomy of NANDA and the nanda, NOC, NIC links for the elaboration of nursing interventions and the proposed and avaliados results. The case study can be defined as a good design that incorporates a theory and is seen as a general plan of research, data search and its interpretation4. After identifying and construction of the Diagnoses of Sick Gem (ED), we listed two (2) Nursing Interventions (EI), from the Nurding Interven tions Classification (NIC). In that order, we quote and discuss the expected results. This task is part of one of the activities proposed in the nursing care department in adult care 1, the nursing course, a University of southern Brazil. Presentation of the case study:E.O.C, 67 years old, female, brown color, married, resides in St. Angelo with her husband, evangelical, home, has active sexual life, does not make use of contraceptive. She was admitted to the HSA clinical unit with a diagnosis of Decompensated Diabetes Mellitus II and Ischemic Stroke. Vital signs within normal parameters. Physical examination was layered, drowsy, calm, pale face, integrated cutaneous ness of the preserved face, good auditory acucare. Intact oral mucosa, hearted and unsatisfactory with unsatisfactory hygiene with the use of dental prosthesis, lips without lesions. Cervical region with intact skin, absence of palpable ganglia or hypertrophy of the thyroid gland. Simétri co thorax with normal expansion to respiratory movements, in the pulmonary auscultation presence of vesicular murmurs, cardiac auscultation without al ters, flat and rigid abdomen. Wholesome sacred region. Upper limbs without mobility and strength and with turgor. Lower limbs without prestence of edema and wounds. Bladder and intestinal eliminations present with the use of diapers. We sit down the ED and the Sick Interventions proposed by the NIC and the results of the noc coding. 1. Sedentary lifestyle related to the inca pacity of locomotion evidenced by the patient's physical state. 1.1. Perform assistance with self-orientation. 1.2. Guide about self-responsibility. 2. Risk of infection, related to chronic disease such as diabetes and invasive procedures. Two-one. Perform decubitus change every two hours to prevent pressure injuries. 2.2. Evaluate correct use of medicines. 3. Impaired swallowing, related to the ineffective action of the tongue in the formation of the alimen tar cake evidenced by a history of tube feeding. 3.1. Supervise diet acceptance via probe

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nasogastric. 3.2. Maintain precautions against Aspiration. 4. Deficient fluid volume related to failure of regulatory mechanisms, evidence of decreased skin turgor. 4.1. Supervise bladder eliminations. 4.2. Monitor water intake. 5. Impaired sleep pattern, related to interruptions for therapeutic reasons, moni toramento, laboratory tests. 5.1. Keep room with low light at night, avoiding unnecessary noises. 5.2. Use comfort measures to help the patient's well-being. 6. Feeling of impotence, related to the health care environment, evidenced by dependence on others. 6.1. Emotionally support. 6.2. Guide family members on care and support for bedridden patients. We identified in numerical order the ED and ex planamos the Results according to the code of the NOC: 1. Internal urgency that leads or incites the individual to take positive action(s). 2. Risk Control. 3. Urine Storage and Disposal. 4. Water Balance, Hydration. 5. Natural periodic suspension of consciousness during which the body recovers. 6. Personal actions to minimize and maintain the in teresse for the events of life.

conclusion After this literature review, we can infer that Transient Ischemic Stroke (ITA) is hotly called Mini-Stroke and acon weaves when the blood supply to the brain is interrupted for a short period of time. The AIT should be treated as an emergency. Seek urgent medical attention for evaluation. Stroke occurs when the blood supply to a part of the brain is prevented, it is responsible for bringing essential nutrients and oxygen to the brain, without the supply brain cells can be damaged making it impossible to fulfill their function, basically the difference between them is the time when the brain runs out of blood supply and can cause irreversible damage or not. We consider when analyzing this work that, the patient, upon arriving at the care with some symptom of stroke, needs to be immediately welcomed, undergoing a thorough clinical examination and taken to the doctor for a more concise diagnosis. Nursing, undoubtedly, has a very important role in the care of the ITA patient, welcoming, guiding, supporting, and putting together strategies for a healthier experience, avoiding many health problems. The DIAGNOSIS OF ITIs is essentially clinical. Prevention is still the best choice, making it necessary to clarify more to the population that can be done through the use of tools such as: lectures in the communities, in the Bási cas Units of Health and Family Strategy regarding the prevention of diseases, signs and symptoms of the disease, guidance on healthy eating and regular physical exercise , and may be a differential for the population that is often more devoid of study. It is up to the nursing team to provide all the necessary information to the patient in a simple and comprehensive way, offering all support in health promotion, prevention and treatment of diseases Abbreviation of dom

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vascular vascular....