ICNP® nursing diagnoses for clinical practice in spinal cord injury rehabilitation

Abstract

Objectives: to construct statements of nursing diagnoses for the clinical practice of rehabilitation of people with spinal cord injury using the International Classification for Nursing Practice (ICNP®) and Orem’s theory of self-care. Methods: methodological study developed in four steps: identification of relevant terms to clinical nursing practice in the rehabilitation of people with spinal cord injury; mapping of selected terms with ICNP® terms; construction of nursing diagnoses statements; mapping of statements constructed with pre-coordinated concepts of the ICNP®. Results: 241 statements of nursing diagnoses were constructed and categorized according to the self-care requisites of the theory. The most prevalent statements were those related to universal requisites, followed by developmental requisites and health deviation requisites. Conclusions: the constructed nursing diagnoses reflect the complexity of phenomena evidenced in the clinical practice of rehabilitation, allowing a systematic and comprehensive care to the person with spinal cord injury.

Knowledge scale of Nursing students about sexuality of people with spinal cord injury

“…The rehabilitation process of the person with SCI involves early care of these changes, and therapeutic interventions should be defined with the objective of improving respiratory mechanics, monitoring the adequate intake of nutrients, ensuring the adaptation to the new conditions related to the vesicular-intestinal system, controlling and preventing complications related to spasticity and autonomic dysreflexia, in addition to considering care related to social, economic and emotional aspects ( 4 ) . In this context, sexual rehabilitation is necessary in order to contribute to body self-awareness, sexual satisfaction and emotional development, aiming to adapt the individual to his new condition ( 5 ) .…”

Escala de conhecimento de estudantes de Enfermagem sobre sexualidade de pessoas com lesão medular

“…O processo de reabilitação da pessoa com LM envolve o atendimento precoce dessas alterações, e as intervenções terapêuticas devem ser definidas com objetivo de melhorar a mecânica respiratória, monitorar a ingestão adequada de nutrientes, garantir a adaptação às novas condições relacionadas ao sistema vesicointestinal, controlar e prevenir as complicações relacionadas à espasticidade e à disreflexia autonômica, além de contemplar os cuidados relacionados aos aspectos sociais, econômicos e emocionais (4) . Nesse contexto, a reabilitação sexual é necessária no sentido de contribuir para a autoconsciência corporal, satisfação sexual e desenvolvimento emocional, visando adaptar o indivíduo à sua nova condição (5) .…”