21
Nov
2013

Implementation

The evaluation and the application of the care to the patient with neurological problem constitute one of the biggest challenges for the nursing team. The academic formation given to the professional nurse does not assure confidence to it in the installment of the care directed to the neurological system, where the same it is submitted in the academic period to the acquisition of scientific knowledge of the system nerves, but with lesser depth if compared with the too much organic systems (GALLO, 2007). The Systematization of the Assistance of Nursing to the patient with alterations in the conscience level includes the application of four objectives, with intention to identify a real or potential problem to the patient in question. As it affirms Gallo (2007, P. 761), the objective quatros include first, the union of the data on the functioning of the nervous system of the patient in commanded and objective way favoring the identification of alterations in the findings of the patients; after that the correlation and verification of trend of the data in elapsing of the time, keeping a relation with of history, physical examination and disgnostic examinations of the customer; in the others they are distinguished it analysis of the neurological examination for the development of a potential or real disgnostic list, what it allows the precocious identification of the alteration in the gravity of the picture of the patient; finishing the neurological evaluation of nursing, consisting of the determination of the function of daily life of the patient as well as its capacity of auto-care. The intensification of the neurological evaluation was after objectified the creation of a scale that allowed to the objective evaluation and insurance how much to the level of conscience of the patient. It was in 1974, two years after its elaboration Escala de Coma de Glasgow (ECGI), implemented for practical of the clinical doctor after its publication for Graham Teasdale and Brian Jennett, professors of neurology of the University of Glasgow, for the Lancet magazine, where they had simplified an analysis more including fast and of the evaluation of the state and level of conscience of the individual with craniano trauma and/or cerebral injury. .

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