Abstract

RODRIGUES, Cristina Alexandra Fernandes  and  VARANDA, Estela Maria Guerreiro. The use of a multisensorial stimulation programme in patients with severe disabilities in their cognitive ability. RPER [online]. 2019, vol.2, n.2, pp.5-11. ISSN 2184-965X.  https://doi.org/10.33194/rper.2019.v2.n2.02.4554.

A multisensorial stimulation programme (MSP) was implemented in patients with severe changes in their state of councieousness, integrated in a project of continuous improvement of the quality of nursing care: "Evaluation and stimulation of patients with changes in the state of consciousness"(1). We aimed to promote the improvement of the state of consciousness of these patients.

This programme was applied to 22 people/participants with an average age of 57,95 years-old (+ 17,27), being 63,64% male patients. The majority of the patients included the ones affected by hemorrhagic stroke (59,09%), followed by traumatic brain injury (31,82%). The two chosen methods were: the Glasgow Coma Scale (GCS) as well as Rancho los Amigos Levels of Cognitive Functioning Scale (LCSF) to assess patients.

After the data analysis, the results were as follows: more than half of the patients showed a clear improvement in their cognitive awareness, 63,64% increased the GCS score and 54, 55 in the LCSF. The patients whose families were effectively involved in the programme improved in average, six times more in the GCS.

We have come to the conclusion that the introduction of our multisensorial programme led to an improvement in most of these patients.

Keywords : Rehabilitation Nursing; Cognitive Awareness; Cognitive Rehabilitation; Multisensorial Stimulation Programme; Major changes in cognitive abilities.

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