This study reviews the literature concerning improvement of rehabilitation nurse role, suggesting paths to reach this goal and evoking a still poorly discussed area. Some questions were raised to provoke reflection and discussion. It is evident, based on the literature, that nurses have a total role in rehabilitation, however the boundaries are not clearly defined. Professional nurses must must join rehabilitation practice with permanent education, that will contribute for a more efficient and influence in processes and rehabilitation services.

This is a descriptive study that aimed to validate the nursing interventions proposed in the Nursing Interventions Classification for the diagnosis of Impaired physical mobility in adults with sequels of spinal cord injury, based on opinions of experts in rehabilitation about each intervention proposed. The sample consisted of 54 nurses who were asked about how they consider the interventions for the nursing diagnosis. A questionnaire was administered to nurses who work at the Sarah Network of Rehabilitation Hospitals. Among the 46 interventions studied, 17 (37%) were considered essential and should be implemented; others 15 (32.6%) were considered complementary, and 14 (30.4%) should not be used and could be discarded. Nursing interventions not described in the classification and suggested by 22 nurses (40.7%) were: Care with Orthoses: Maintenance; and Care with Orthoses: Prevention.

Objective: To validate terms of nursing language especially for physical-motor rehabilitation and map them to the terms of ICNP ® 2.0. Method: A methodology research based on document analysis, with collection and analysis of terms from 1,425 records. Results: 825 terms were obtained after the methodological procedure, of which 226 had still not been included in the ICNP ® 2.0. These terms were distributed as follows: 47 on the Focus axis; 15 on the Judgment axis; 31 on the Action axis; 25 on the Location axis; 102 on the Means axis; three on the Time axis; and three on the Client axis. All nonconstant terms in ICNP ® have been validated by experts, having reached an agreement index ≥0.80. Conclusion: The ICNP ® is applicable and used in nursing care for physicalmotor rehabilitation.

RESUMOO presente trabalho trata-se de estudo retrospec vo realizado em 2009 que objevou iden fi car diagnós cos e intervenções de enfermagem para o cuidado de pacientes com lesão medular (LM). Os dados foram coletados de 465 prontuários de pacientes com LM em processo de reabilitação. Idenfi cou-se o diagnós co de enfermagem Risco para disrefl exia autônomica em 271 (58,3%) prontuários, dos quais 80 pacientes desenvolveram disrefl exia autônomica. Predominaram homens jovens, com idade média de 35,7 anos, sendo o trauma a principal causa da LM e o nível neurológico igual ou acima da sexta vértebra torácica. As intervenções de enfermagem foram organizadas em dois grupos, um voltado para a prevenção da disrefl exia autonômica e outro, para seu tratamento. Desenvolveu-se um guia de intervenções para uso na prá ca clínica de enfermeiros reabilitadores e para inserção em sistemas de informação. Ressalta-se a importância da re rada do es mulo causador da disrefl exia autonômica como terapêu ca mais efi caz e como melhor intervenção na prá ca de enfermagem. DESCRITORES Processos de enfermagem Cuidados de enfermagem Enfermagem em reabilitação Disrefl exia autonômica ABSTRACTThis retrospective study, carried out in 2009, aimed to identify nursing diagnoses and interventions for the assistance of patients with spinal cord injury. Data were collected from the nursing records of 465 patients with SCI in the rehabilitation process. The nursing diagnosis Risk for autonomic dysreflexia was identified in 271 clinical records (58.3%), of whom, approximately 80 patients developed Autonomic dysreflexia. The predominance was in young males with a mean age of 35.7 years, with trauma being the primary cause of injury and a neurological level equal to or above the sixth thoracic vertebra. Nursing interventions were arranged in two groups: the first focused on prevention and the other on treatment. An intervention guide was developed; the guide may be used by nurses in their rehabilitation practice and should be inserted in information systems. Removal of the stimulus inducing autonomic dysreflexia was identified as the most effective therapy and the best intervention. DESCRIPTORSNursing process Nursing care Rehabilita on nursing Autonomic dysrefl exia RESUMENEstudio retrospec vas realizado en 2009 obje vando iden fi car diagnós cos e intervenciones de enfermería para el cuidado del paciente con lesión medular (LM). Datos colectados de 465 historias clínicas de pacientes con LM en rehabilitación. Se iden fi có el diagnós co de enfermería Riesgo para disrefl exia autonómica en 271 (58,3%) historias clínicas; 80 de tales pacientes desarrollaron Disrefl exia autonó-mica. Predominaron hombres jóvenes, media etaria de 35,7 años, cons tuyéndose el trauma como causa principal de LM y nivel neurológico igual o por sobre sexta vérte-bra torácica. Las intervenciones de enfermería se organizaron en dos grupos: uno orientado a prevención de la disrefl exia autonómica y otro para su tratamiento. Se desarrolló una guía de intervenciones para uso en p...

Objective: to perform a cross-term mapping of nursing language in the patient record with the Nursing Interventions Classification system, in rehabilitation patients with Parkinson's disease. Method: a documentary research study to perform cross mapping. A probabilistic, simple random sample composed of 67 records of patients with Parkinson's disease who participated in a rehabilitation program, between March of 2009 and April of 2013. The research was conducted in three stages, in which the nursing terms were mapped to natural language and crossed with the Nursing Interventions Classification. Results: a total of 1,077 standard interventions that, after crossing with the taxonomy and refinement performed by the experts, resulted in 32 interventions equivalent to the Nursing Interventions Classification (NIC) system. The NICs, "Education: The process of the disease.", "Contract with the patient", and "Facilitation of Learning" were present in 100% of the records. For these interventions, 40 activities were described, representing 13 activities by intervention. Conclusion: the cross mapping allowed for the identification of corresponding terms with the nursing interventions used every day in rehabilitation nursing, and compared them to the Nursing Interventions Classification.