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Concept Analysis Diagram - Intracranial Regulation
Nursing Care
 Directed toward what contributes to a normal concept and is thereby related to all factors involved in or with
the concept. Not always needed to have a normal outcome.
Attributes
 Defining characteristics of the concept
 What property, quality, or data must be present for the concept to exist
Antecedents
 What precedes the concept for it to exist
 Events or incidents that must happen before the concept
Consequences
 Untoward events or outcomes that occur due to malfunction within the concept
 Positive events or outcomes that occur due to proper functioning within the concept
Interrelated Concept
 Concepts which can affect change in the other
 Concepts which work together to ensure a normal process
 Concepts which if depleted or impaired can cause a negative consequence in the other
Sub-Concept
 Critical components of major concept
Attributes
Nursing Care
Primary, Secondary,
Tertiary
Age Appropriate Response to Stimuli
Glasgow Coma Scale 15
Cranial Nerves I-XII Intact
Intracranial Pressure 10-15 mm Hg
Cerebral Perfusion Pressure 60-70 mm Hg
Mean Arterial Pressure >70 < 170 mm Hg
Euglycemic
Sensory Perception
Cognition
Mobility
Interrelated
Concepts
Gas Exchange
Perfusion
Intracranial
Regulation
Antecedents
Adequate Function of Neurons
and Neurotransmitters
Adequate Perfusion of Blood,
Oxygen, and Glucose
Adequate Autoregulation
Functional Ability
The processes that
affect intracranial
compensation and
adaptive neurological
function.
Consequences
(Outcomes)
Positive
Sub -Concepts
Blood Brain Barrier
Increased Intracranial
Pressure
Age Appropriate
Cognitive Ability
Cerebrospinal Fluid
Production
© 2015, Texas CBC Consortium. All Rights Reserved
Cerebral
Edema
Age Appropriate
Mobility
Cranial Nerve Function
Autoregulation
Negative
Level of
Consciousness
Age Appropriate
Response to Environment
Revised 6.15
Brain Tumors/Space
Occupying Lesions
Concept Analysis Diagram - Intracranial Regulation
Explanation of Intracranial Regulation Diagram:
The brain is a complex organ that controls many functions of the body. The brain receives and interprets
stimuli from both internal and external sources. Intracranial regulation includes normal and abnormal
processes of cranial function. This process includes the brain and the central nervous system. In order for
intracranial compensation and adaptive neurological function to occur, there must be adequate functioning of
neurons and neurotransmitters. There must be adequate perfusion of blood, oxygen and glucose. Cerebral
perfusion should be within the normal pressure of 10-15 mm Hg. and cerebral perfusion pressure of 60-70 mm
Hg which requires a mean arterial pressure of greater than 70 but less than 170 mm Hg. Intracranial regulation
is interrelated with concepts of cognitive function, gas exchange, mobility and perfusion. The nurse should
recognize behaviors that indicate age appropriate cognitive ability. Negative consequences of intracranial
regulation may include cerebral edema, increased intracranial pressure, and brain tumors.
© 2015, Texas CBC Consortium. All Rights Reserved
Revised 6.15