Revista Científica de la Sociedad de Enfermería Neurológica (English ed.)最新文献

Empowerment is known as enabling the patient to manage their self-care. In this process patients acquire knowledge, attitudes, and skills regarding their disease in a facilitative environment. Neurology nurses are fundamental in educating and motivating this population. Nevertheless, collaboration between professionals and patients is the key to patient empowerment and coping. This is why SEDENE held the second meeting between neurological patients and associations in the context of the XXIX National and V International Congress of SEDENE in the city of Granada in 2022. The nurse Pedro Soriano and patients’ associations of multiple sclerosis (AGDEM), epilepsy (APICE), Parkinson’s disease (Parkinson Granada), stroke (NEUROAFEIC), headache (AEMICE), and ALS (AGRAELA) collaborated. Soriano spoke about helping relationships where patients can express emotions, feelings, and healthcare professionals are able to create an environment of trust to develop patient empowerment. Concerning patient coping skills, they talk about their fears regarding the diagnosis process, resilience, and strategies to improve their abilities in a special visit. The social and work circumstances that are affected in these patients’ lives were discussed, and their difficulties trying to balance their symptoms and their jobs or exams. They explained to us how changes in roles due to their disease affect social integration and family relationships. They reiterated how they had lost their personal identity with the diagnosis of their disease and its progression. Neurology nurses are a point of reference in their care, essential in interdisciplinary teams, and they highlight inequalities in care according to communities and areas. We would therefore like to thank all the attendees for their testimonies and participation, and hope that these activities will influence nursing practice in the care of neurological patients.

Introduction

Cluster headache was described by B.T. Horton as a strong unilateral pain in the orbital region of cyclical predominance, which affects mainly men. The structural and functional abnormalities of its aetiology are not exactly known, although it is related to an autosomal gene. The diagnosis is based on the patient's symptoms and the treatment on pain management and suppression of the precipitating factors of the episode.

Objective

To develop a nursing care plan for patients with cluster headaches and establish health-promoting behaviour.

Methodology

A review of the literature on cluster headache was conducted. Based on the Nanda International domain assessment taxonomy, Nursing Outcomes Classification (NOC) and Nursing Interventions Classification (NIC), an individualized care plan was developed. Next, the Nola Pender Health Promotion Model was applied to the patient to promote health-promoting behaviours.

Results

The nursing process is described starting from the diagnoses of pain, fatigue, knowledge, and health behaviour with their respective objectives, interventions, and nursing actions. Improvement was evidenced when the patient was administered 50% venturi oxygen at 15 L per min, for 30 min; topiramate every 12 h and generation of healthy behaviours based on the Health Promotion Model proposed by Pender.

Conclusions

The importance of not only addressing the severity of the clinical picture is highlighted, but also the promotion of appropriate lifestyles on risk factors that trigger the disease.