Nursing Care in Severe Traumatic Brain Injury

Objective: To report the experience experienced by trainees of the 9th semester of Nursing, in assisting a patient victim of a car accident with severe traumatic brain injury (Subdural Hematoma), through the systematization of the care of Nursing. Method: A descriptive study, with a qualitative approach, of the type of experience report, performed at a referral Hospital in Trauma of Belém-PA, Brazil, in the period of November and December of 2018, during the supervised internship. Applying the systematization of Nursing Care (SAE) in a patient with severe traumatic brain injury, following the six steps of the nursing process. Results:We evidenced the priority nursing diagnoses: ineffective Cerebral tissue perfusion; Risk of electrolyte imbalance; Risk of aspiration. Related to Orotracheal tube; Hypothermia Risk of infection; Impaired physical mobility; Self-care deficit. The nursing interventions were performed for each diagnosis. Conclusion: Nursing care through the use of NCS allows care based on scientific evidence, guaranteeing quality of service that affects patient safety. In critically ill patients, nurses need specific knowledge, with the objective of restoring damage and avoiding new complications.