Application of the nursing process according to theories and models in the potential donor: case study

Abstract

Brain death is the irreversible cessation in the function of neurological, intracranial structures, both in the cerebral hemispheres and the brainstem, which implies a neurological compromise that requires specific care in more complex units, where nurses must consider in their care planification, not only hemodynamic support, also involving the family and environment. These cares are carried out both, independently and in conjunction with medical action, and
influence the decision-making of the family, in addition to a theoretical framework based on theories and models that support the profession.

The objective of this case study is developing a nursing process in a person with brain death in an intensive care unit, based on Nursing theories and models that allows systematize care and sustain the clinical practice.

To carry out the assessment were used as references, Virginia Henderson's theory of basic human needs and Cornelia Ruland and Shirley Moore's theory of the end of life. Diagnosis were established using the NANDA format, the indicators were described according to NOC results criteria and the interventions according to the NIC format.

Nurses are fundamental in the humanization of end-of-life care, where the person, the family and environment should be considered. The elaboration of a nursing process (care plan) based on a theoretical nursing model will make it possible to strengthen the comprehensive care of the family / patient binomial., it must also generate a leadership and active role in the creation of strategies towards integration of this binomial, despite the existence of limitations that can affect the harmony of the process