What would be some important nursing diagnoses for patients with spinal cord injury?
What would be some important nursing diagnoses for patients with spinal cord injury?
Nursing diagnosis you can use to develop your care plan for spinal cord injury: Risk for Disuse Syndrome—paralysis/mechanical immobilization. Autonomic Dysreflexia—bladder/bowel distension, skin irritation, lack of caregiver knowledge.
What is the goal of nursing management of patient with a head injury?
The primary goal of nursing management in severe head trauma is to maintain adequate cerebral perfusion and improve cerebral blood flow in order to prevent cerebral ischaemia and secondary injury to the brain.
What is an example of a nursing diagnosis statement?
An example of an actual nursing diagnosis is: Sleep deprivation. Describes human responses to health conditions/life processes that may develop in a vulnerable individual/family/community. It is supported by risk factors that contribute to increased vulnerability.
How do you treat epidural hematoma?
In most cases, your doctor will recommend surgery to remove an epidural hematoma. It usually involves a craniotomy. In this procedure, your surgeon will open up part of your skull so they can remove the hematoma and reduce the pressure on your brain. In other cases, your doctor may recommend aspiration.
What are three nursing diagnosis for a patient diagnosis of neurogenic shock?
Based on the assessment data, the nursing diagnoses for a patient with neurogenic shock are: Risk for impaired breathing pattern related to impairment of innervation of diaphragm (lesions at or above C-5). Risk for trauma related to temporary weakness/instability of spinal column.
What are the nursing interventions for brain injury?
This can be achieved by the following:
- Maintain airway and ventilation.
- Maintain cerebral perfusion pressure.
- Prevent secondary injuries (by recognizing and treating hypoxia, hypercapnia, or hypoperfusion)
- Evaluate and manage for increased ICP.
- Obtain urgent neurosurgical consultation for intracranial mass lesions.
What are nursing interventions for traumatic brain injuries?
Conservative and operative management
- Positioning. The patient should be positioned properly with the neck in neutral position and the head end of the bed elevated to 30°.
- Brain tissue oxygen-directed management.
- Temperature management.
- Stress ulcer prophylaxis.
- Nutrition.
- Fluid therapy.
- Hyperventilation.
- Transport of patients.
What are 5 nursing diagnosis?
The five stages of the nursing process are assessment, diagnosing, planning, implementation, and evaluation. In the diagnostic process, the nurse is required to have critical thinking.
What happens when a person suffers an epidural hematoma?
An epidural hematoma is a potentially life-threatening complication of a head injury. If left untreated, a person can face serious consequences, including death. Even after prompt treatment, someone may have permanent brain damage or disability.
How do you know if you have an epidural hematoma?
The most important symptoms of an EDH are:
- Confusion.
- Dizziness.
- Drowsiness or altered level of alertness.
- Enlarged pupil in one eye.
- Headache (severe)
- Head injury or trauma followed by loss of consciousness, a period of alertness, then rapid deterioration back to unconsciousness.
- Nausea or vomiting.
What is an epidural hematoma (EDH)?
An epidural hematoma (EDH) is an extra-axial collection of blood within the potential space between the outer layer of the dura mater and the inner table of the skull. It is confined by the lateral sutures (especially the coronal sutures) where the dura inserts.
What is the prognosis of bilateral epidural hematoma?
Both bilateral epidural hematomas and posterior fossa epidural hematomas carry a very high mortality. The epidural (extradural) space is a potential space between the cranial bones and the endosteal layer of the dura mater, which is otherwise adherent to the skull bone.
What is included in the nursing care for patients receiving epidural analgesia?
As the healthcare professionals who spend the most time with patients, nurses must be prepared to identify problems in a patient’s pain management plan. Nursing care for patients receiving epidural analgesia focuses on safely administering analgesia, achieving optimal pain control, and identifying and managing adverse reactions or complications.
What is the pathophysiology of epidural hemorrhage?
Venous epidural hemorrhages occur as a result of damage to the dural venous sinuses and often result in the displacement of the sinus away from the underlying bone. Epidural hemorrhages located at the vertex are usually due to diastasis +/- fracture involving the superior sagittal sinus.
