Nursing of Traumatic Brain Injury patients with Epidural hemorrhage: Case studies

Abstract

Purpose : to study disease progression,  compare of nursing diagnosis and nursing practices consistent with patient problems.

Materials and Methods:  Two crisis patients with Epidural hemorrhage were specific selected in 2020. Data were collected from medical records and observations. Content analysis uses the conceptual framework of Gordon’ s 11 health assessments.

Main findings: Both patients While riding a motorcycle, not wearing a helmet, alcohol uses, First patient has chronic liver disease, cirrhosis child C, pale,  Coagulopathy, Atrial fibrillation,   Acidosis,   Hypokalemia,  Acute Kidney injury, Hypoglycemia and  Hypothermia all of the above factors cause increased intracranial pressure, the patient is not ready for emergency surgery resulting in the death of this patient. The second patient underwent surgery to remove the blood clot within 6 hours after the accident. Have a pneumonia due to mechanical ventilation for a long time, because the patients are unconscious, 2 patients have 4 nursing diagnoses were consistent, but 8 were different 2) Nursing practice consistent  with problems in 3 phases of care according to problems from assessment and diagnosis in nursing.

Conclusion and  recommendations:  This study shows the differences between patients with traumatic brain injury and those with Epidural hemorrhage that receive conservative care and surgical treatment Nursing of traumatic brain injury patients Nurses must assessment the symptoms, accurately and continuously, and can assess the risk complications that may occur to patients in order to provide information in nursing  care plan, both in the critical phase and in the rehabilitation phase. The practice of nursing according to the guidelines correctly is completely able to reduce complications,  Length of stay,  disability and death.