[en] Introduction: Cerebrovascular diseases are a serious public health problem and a major socio-economic burden in industrialized countries. Stroke affects the physical, psychological and social needs of patients, which will generate a certain degree of dependence on their satisfaction. Because of this, the nurse, as part of the interdisciplinary team that makes up the stroke units, plays a very important role in the care and attention of this type of patients and their environment. Objectives: 1) Carry out an individualized care plan in a patient with ischemic stroke using NANDA, NOC and NIC taxonomies and describing its evolution. 2) Evaluate the effectiveness of the interventions in order to achieve the expected results. 3) Compare planned interventions and outcomes with those described in the references for similar clinical situations. Development: A plan of care was carried out in which the diagnoses of self-care deficits were identified: diet, bathing, hygiene and clothing, deterioration of physical mobility, deterioration of verbal communication, sleep disorder, risk of constipation, risk of falls, risk of pressure ulcers and risk of tiredness of the caregiver's role, as well as the potential complication of recurrence of the stroke. Discussion: The selected interventions have been effective. The Sleep Disorder has been resolved and the indicators that measured the evolution of the other diagnoses have remained in the same score or have improved. The care plans described in the references include all the diagnoses of our care plan. The planned interventions and outcomes coincide with those described in the references for similar clinical situations.

[gl] Introdución: As enfermidades cerebrovasculares constitúen un grave problema de saúde pública e unha importante carga socioeconómica nos países industrializados. O ictus afecta as necesidades físicas, psicolóxicas e sociais dos pacientes, o cal lles vai xerar un certo grao de dependencia na satisfacción das mesmas. Debido a isto, a enfermeira, como parte do equipo interdisciplinario que compón as unidades de ictus, ten un papel de gran relevancia na atención e coidados a este tipo de pacientes e ao seu entorno. Obxectivos: 1) Realizar un plan de coidados individualizado a un paciente con ictus isquémico empregando a taxonomía NANDA, NOC e NIC e describir a súa evolución. 2) Avaliar a eficacia das intervencións para a consecución dos resultados esperados. 3) Comparar as intervencións e resultados planificados coas descritas na bibliografía para situacións clínicas semellantes. Desenvolvemento: Realizouse un plan de coidados no que se identificaron os diagnósticos de Déficit de autocoidados: alimentación, baño, hixiene e vestido, Deterioro da mobilidade física, Deterioro da comunicación verbal, Trastorno do patrón do sono, Risco de estreñemento, risco de caídas, risco de úlceras por presión e risco de cansazo do rol do coidador; así como a complicación potencial de Recorrencia do ictus. Discusión: As intervencións seleccionadas foron efectivas. Resolveuse o Trastorno do patrón do sono e os indicadores que medían a evolución dos outros diagnósticos mantivéronse na mesma puntuación ou melloraron. Os plans de coidados descritos na bibliografía recollen todos os diagnósticos do noso plan de coidados. As intervencións e resultados planificados coinciden cos descritos na bibliografía para situacións clínicas semellantes.