Clinical case: providing humanized care to an adolescent with severe traumatic brain injury

Abstract

Introduction: Traumatic brain injury (TBI) is one of the leading causes of disability and death, particularly affecting adolescents and children. It can cause severe neurological impairments, compromising consciousness, mental status, and motor function. In Mexico, it is the third leading cause of death, with an incidence of 38.8 per 100,000 inhabitants. Given this issue, nursing staff play a key role in the care and recovery of patients with severe TBI through specialized interventions based on scientific evidence. Objective: To implement advanced nursing care for a patient with ineffective cerebral perfusion secondary to severe TBI by applying the Nursing Process to improve outcomes and reduce the risk of complications. Background: Findings highlight the importance of evidence-based nursing in the management of TBI. The application of structured protocols optimizes recovery, minimizes complications, and strengthens the role of nursing in critically ill pediatric patients. Methodology: The Nursing Process was used based on Marjory Gordon’s 11 functional health patterns, NANDA taxonomy tools for diagnoses, NIC for interventions, and Clinical Practice Guidelines for TBI management. Interventions: Specific interventions were established for neurological, hemodynamic, and respiratory monitoring. Main Results: Specialized care led to stabilization of cerebral perfusion, improved neurological response, and better respiratory function within three days. A favorable progression was observed, with improved response to stimuli and a decrease in signs of neurological deterioration.