Enfermagem de Reabilitação: Estudo de Caso acidente vascular cerebral após pneumonia grave por SarsCoV2

Abstract

Introduction: Cerebrovascular accident [CVA] is considered a chronic disease with implications for health, functionality and quality of life. Thus, after returning home, rehabilitation nursing assumes great importance in helping the user to regain lost skills and become independent again, with non-professional caregivers being particularly important in this process. Methodology: Case study conducted according to the Case Report Guidelines [CARE] method with the stages of diagnostic assessment, therapeutic intervention and results. Objective: To assess the effectiveness of rehabilitation nursing care in a patient with post-Covid stroke, at home. Data collection for diagnostic and efficacy assessment was performed using instruments validated for the Portuguese population and included observation and assessment techniques within the scope of the specialty area. Results: There was a gain of 84 points in the Functional Independence Measure. Personal hygiene, dressing and undressing self-care evolved from full help to supervision and modified independence, respectively. In the use of the toilet and control of the vesical sphincter, complete independence was obtained with a starting point of total help. There was a recovery of balance (45 points on the Berg scale), strength and evolution of muscle tone. Conclusion: The rehabilitation nursing intervention plan adjusted to the real needs of the user, made it possible to observe the evolution of the user under study, revealing itself as an evident indicator of the effectiveness in the recovery of functionality, independence in self-care and social reintegration as a citizen, producing gains in health.