[en] Introduction: A polytraumatized individual is the one who has injuries as a consequence of trauma, which affects two or more organs, or has at least one life-threatening injury. More than 5 million deaths are caused by traumas every year. The ones caused by traffic accidents have special relevance. Young adults and children are among the most affected people. This fact entails serious consequences in three ways: personal, household and socioeconomic. The response time is a crucial factor in early assistance when it comes to deal with traumas. It is really important to get the injured person delivered to the healthcare proffesionals as soon as possible. Patients must be admitted frequently at the intensive care units due to the complexity of the required treatment methods. Objective: Having a clinical profile developed at the intensive care unit using the NANDA, NOC and NIC taxonomies (on the basis of a patient with multiple injuries). Developing: Care planning is established in two periods. The first stage is carried with the intention of keeping the vital functions of body systems fully functional, as well as dealing with the injuries at the lower left limb. The second stage is started after sedation. The treatment is considered and applied acording the problems which were identified during the process, and also according the patient's specific needs. The result on patient's healing process is an indicator of the planned care's efectiveness. Discussion and conclusión: There are differences between the development of this care plan and other publications which can be found about similar health situations. They could be summarized in two: the time frame of the assistance which is included in the care plan, and the approach to how to plan the period of sedation and invasive mechanical ventilation.

[gl] Introdución: O individuo politraumatizado é aquel que presenta lesións como consecuencia dun traumatismo, as cales afectan a dous ou máis órganos, ou ten polo menos unha lesión que pon en perigo a súa vida. Os traumatismos causan máis de 5 millóns de mortes ao ano, con especial relevancia os derivados de accidentes de tráfico. Afectan principalmente a adultos novos e nenos, producindo graves consecuencias personais, familiares e socioeconómicas. Na atención inicial, o factor tempo é crucial, porque hai que asegurarse de que a vítima estea en mans dos profesionais sanitarios no menor tempo posible. A gravidade da situación esixe que estes pacientes sexan ingresados en unidades de coidados intensivos, debido á complexidade da súa atención. Obxectivo: Desenvolver o caso clínico dun paciente con politraumatismo na unidade de coidados intensivos, empregando as taxonomías NANDA, NOC e NIC. Desenvolvemento: A planificación de coidados establécese en dous períodos. No primerio período, os coidados diríxense a manter as funcións vitais dos sistemas corporais e á atención das lesións do membro inferior esquerdo. No segundo período, post sedación, os coidados establécense atendendo ás necesidades que presenta o paciente e ós problemas identificados. Os resultados da evolución do paciente indican a efectividade dos coidados planificados. Discusión e conclusións: Hai diferenzas no desenvolvemento deste plan de coidados con respecto a outras publicacións atopadas de situacións semellantes. Fundamentalmente, as diferenzas son o período de atención incluído no plan de coidados e o enfoque da planificación do período de sedación e ventilación mecánica invasiva.