Nursing care for cerebral aneurysm post-operative craniotomy with clipping aneurysm patients: 2 cases

Abstract

This study compares two case studies involving cerebral aneurysm patients undergoing craniotomy with clipping aneurysm. The selection of patients was done purposefully. The study focused on the period before surgery, post-surgery, and during rehabilitation. Medical history information was gathered from records to identify patient problems and establish nursing diagnoses for care planning. Continuous evaluation of nursing outcomes was conducted using the FANCAS critical care framework. The study involved two patients with cerebrovascular aneurysms treated at the Neurosurgery intensive care unit in Khonkaen hospital. The aim was to understand patient issues and needs, plan nursing interventions, and analyze data through comparative case studies. The study results case studies. In Case Study 1, the patient received standard treatment and correction for complications. There was preparation, both physically and mentally, for palliative care to reduce suffering and focus on improving the quality of life for patients and their families. In Case Study 2, the patient was rescued from a crisis but still has disabilities requiring rehabilitation and home physical therapy. Both cases involved patients with cerebral aneurysms who underwent craniotomy with clipping of the aneurysm. The purpose was to prevent the risk of repeated bleeding, but differences in disease implementation, such as age and healthy behaviors, were noted. The size and severity of the disease during treatment, along with any complications, can impact the speed and quality of patient care.