Caring for people with spastic paraparesis: rehabilitation nursing interventions for daily activities
Keywords:Spastic paraparesis; Brain injuries traumatic; Home care services; Activities of daily living; Rehabilitation nursing.
Objective: To describe the implications of short, medium and long-term, institutional and home care for people with traumatic brain injury and dependence for daily activities. Method: Experience report on care planning and nursing care for people with severe spastic paraparesis. Results: It made it possible to share learning with undergraduate and graduate students in nursing, understanding that the rehabilitating nurse effectively plays a decisive role in the implementation of care strategies focused on the functional gains of people with self-care deficit, because it is the professional who assists them in the day-to-day physical rehabilitation. Final considerations: The rehabilitation nurse's interventions should consider the confrontations of the person with acquired disability starting from the impact or denial phase, in the hospital space and total dependence for basic nursing care, until reaching the reconstruction phase, focusing on social inclusion and promotion of the client's functional autonomy for self-care.
Dressler, D., Bhidayasiri, R., Bohlega, S., Chana, P., Chien, H. F., Chung, T. M., et al. (2018). Defining spasticity: a new approach considering current movement disorders terminology and botulinum toxin therapy. J Neurol. 265(4): 856-862; Available from: https://doi.org/10.1007/s00415-018-8759-1
Figueiredo, N. M. A., Machado, W. C. A., & Martins, M. M. (2018). Reabilitação: nômades em busca de sentido para o cuidado da pessoa com deficiência adquirida. Curitiba: CRV.
Huang, M., Liao, L. R., & Pang, M. Y. (2017). Effects of whole body vibration on muscle spacity for people with central nervous system disorders: a systematic review. Clin Rehabil. 31(1), 23-33. Available from: https://doi.org/10.1177/0269215515621117
Machado, W. C. A., & Scramin, A. P. (2010). Functional (in)dependence in the dependent relationship of quadriplegic men with their (un)replaceable parents/caregivers. Rev Esc Enferm USP. 44(1), 53-60. Available from: https://doi.org/10.1590/S0080-62342010000100008
Machado, W. C. A., Cruz, V. V., Figueiredo, N. M. A., Sento Sé, A. C., Shoeller, S. D., Martins, M. M. F. P. S., & Pereira, R. S. (2020). Home care for people with acquired paraparesis: experience report on life purposes and rehabilitation. Research, Society and Development. 9(6), e159963575. Available from: http://dx.doi.org/10.33448/rsd-v9i6.3575
Meneguessi, G. M., Teixeira., J. P., Jesus, C. A., Pinho, D. L., Kamada, I., & Reis, P. E. (2012). Reabilitação na lesão medular: reflexão sobre aplicabilidade da teoria do déficit do autocuidado de orem. Rev enferm UFPE Online. 6(12), 3006-12. Recuperado de https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/7710
NANDA International. (2018). Diagnósticos de enfermagem da NANDA: definições e classificações 2018-2020. Porto Alegre: Artmed.
Naro, A., Leo, A., Russo, M., Casella, C., Buda, A., Crespantini, A., et al. (2017). Breakthroughs in the spasticity management: Are non-pharmacological treatments the future? J Clin Neurosci. 39, 16-27. Availalble from: https://doi.org/10.1016/j.jocn.2017.02.044
Orem, D.E. (2001). Nursing concepts of practice. 6 ed. Saint Louis (US): Mosby
Turner-Stokes, L., Ashford, S., Esquenazi, A., et al. (2018). A comprehensive person-centered approach to adult spastic paresis: a consensus-based framework. Eur J Phys Rehabil Med. 54(4), 605–617. Available from: https://doi.org/10.23736/S1973-9087.17.04808-0
Vilasbôas, I. G. M., Pinto, L. M. S., Lessa, K. P., Monteiro, L., Ribeiro, N., & Melo, A. (2018). Eficácia e segurança da toxina botulínica no tratamento da paraparesia espástica: revisão sistemática. Rev. bras. Neurol. 54(2), 34-39. Recuperado de http://docs.bvsalud. org/biblioref/2018/07/907028/revista542v4-artigo5.pdf
Zhovtis-Ryerson, L., Herbert, J., Howard, J., & Kister, I. (2014). Adult-onset spastic paraparesis: an approach to diagnostic work-up. J Neurol Sci. 346(1-2), 43–50. https://doi.org/10.1016/j.jns.2014.09.015
Zorowitz, R-D., Wein, T. H., Dunning. T., Olver, J. H., Davé, S. J., Dimyan, M. A., et al. (2017). A Screening Toll to Identify Spasticity in Need of Treatment. Am J Phys Med Rehabil. 96(5), 315-320. https://doi.org/10.1097/PHM.0000000000000605
How to Cite
Copyright (c) 2020 WILIAM CÉSAR ALVES MACHADO, Elizete Leite Gomes Pinto, Hilmara Ferreira da Silva, Nébia Maria Almeida de Figueiredo, Ana Paula Brito Pinheiro, Amanda Sarkis Moor Santos Xavier, Sílvia Teresa Carvalho de Araújo, Isaura Setenta Porto
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.