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Preventing increased intracranial pressure: nursing care can make the difference
Focus on Critical Care
|April 1, 1990
Summary
Critical care nurses play a key role in managing increased intracranial pressure (ICP). This study proposes new nursing diagnoses to better document nursing interventions and their impact on patient outcomes for increased intracranial pressure.
Area of Science:
- Neurological Nursing
- Critical Care Medicine
- Patient Outcomes
Background:
- Critical care nurses significantly impact patient outcomes in managing increased intracranial pressure (ICP).
- Existing nursing diagnoses inadequately capture the scope of critical care nursing practice for ICP management.
- There is a need for standardized documentation to reflect nursing's contribution to ICP care.
Purpose of the Study:
- To review the pathophysiology of increased intracranial pressure.
- To present a comprehensive list of nursing interventions for managing increased intracranial pressure.
- To propose two new nursing diagnoses for documenting ICP alterations.
Main Methods:
- Review of pathophysiologic responses to increased intracranial pressure.
- Compilation of nursing interventions for ICP management.
- Development of novel nursing diagnoses related to ICP.
Main Results:
- A comprehensive list of nursing interventions for ICP management is provided.
- Two new nursing diagnoses are proposed: 'Alteration in Intracranial Pressure: Increased: Potential' and 'Alteration in Intracranial Pressure: Increased: Actual'.
Conclusions:
- The proposed nursing diagnoses will enhance the documentation of critical care nursing's role in managing increased intracranial pressure.
- Standardized diagnoses will better reflect nursing's unique contribution to patient care in critical neurological events.
- Improved documentation can highlight the effectiveness of nursing interventions in reducing ICP and improving patient outcomes.