Caring for people with spastic paraparesis: rehabilitation nursing interventions for daily activities

Authors

DOI:

https://doi.org/10.33448/rsd-v9i9.6880

Keywords:

Spastic paraparesis; Brain injuries traumatic; Home care services; Activities of daily living; Rehabilitation nursing.

Abstract

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.

Author Biographies

Wiliam César Alves Machado, Federal University of Rio de .Janeiro State - UNIRIO

Docente Programa de Pós-Graduação em Enfermagem e Biociências - PPGENFBIO (Doutorado).

Elizete Leite Gomes Pinto, Universidade Federal do Estado do Rio de Janeiro

Programa de Pós-Graduação em Saúde e Tecnologia no Espaço Hospitalar – PPGSTEH

Nébia Maria Almeida de Figueiredo, Universidade Federal do Estado do Rio de Janeiro

Programa de Pós-Graduação em Enfermagem e Biociências – PPGENFBIO

Ana Paula Brito Pinheiro, Universidade Federal do Estado do Rio de Janeiro

Programa de Pós-Graduação em Enfermagem e Biociências – PPGENFBIO

Amanda Sarkis Moor Santos Xavier, Faculdade Univértix

Coordenação Bacharelado em Enfermagem

Sílvia Teresa Carvalho de Araújo, Universidade Federal do Rio de Janeiro

Escola de Enfermagem Anna Nery – EEAN

Isaura Setenta Porto, Universidade Federal do Rio de Janeiro

Escola de Enfermagem Anna Nery – EEAN

References

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

Published

20/08/2020

How to Cite

MACHADO, W. C. A. .; PINTO, E. L. G.; CRUZ, V. V. .; FIGUEIREDO, N. M. A. de; PINHEIRO, A. P. B.; XAVIER, A. S. M. S.; ARAÚJO, S. T. C. de; PORTO, I. S. Caring for people with spastic paraparesis: rehabilitation nursing interventions for daily activities. Research, Society and Development, [S. l.], v. 9, n. 9, p. e325996880, 2020. DOI: 10.33448/rsd-v9i9.6880. Disponível em: https://www.rsdjournal.org/index.php/rsd/article/view/6880. Acesso em: 19 apr. 2024.

Issue

Section

Health Sciences