Diagnósticos de enfermagem em pacientes neurológicos: estudo documental

OBJECTIVE: to identify the sociodemographic and clinical profile and nursing diagnoses in neurological patients. METHOD: Documentary study carried out between December 2017 and March 2018, with 184 medical records in a tertiary hospital in the northeast region of Brazil. Data were collected using an instrument with a sociodemographic and clinical profile and presented through descriptive statistics. RESULTS: Most patients were male and medically diagnosed with traumatic brain injury. A total of 25 nursing diagnosis titles were observed, and the most prevalent were unstable blood glucose, acute confusion, falls, self-care deficit, impaired walking and impaired comfort. It is noticed the predominance of nursing diagnoses for neurological patients in the domains of nutrition and self-care. CONCLUSION: The nursing diagnoses identified in this study can contribute to the increase of sensitive indicators for nursing practice and favors assistance directed to the patient's needs.