The nursing care process among the traumatic brain injury patients: a case study of the trauma surgery intensive care unit, Tertiary care setting

Abstract

objective : To study the nursing care process of traumatic brain injury patients

Methods : This study was the nursing care process for the patient in the trauma surgery intensive care unit. A case study was two patients were brain injury. The study tools were composed of three parts, 1) medical record forms, 2) in-depth interview guidelines, and 3) observation guidelines and collected data during October-December, 2021. Data were analyzed and developed for nursing diagnosis, implementation, and evaluation.                                             

Results:Comparison of 2 traumatic brain injury patients.

Case study 1; 35-years-old Thai woman suffered unconsciousness when driving a motorcycle into a pick-up truck. The diagnosis was the Acute Epidural & Subdural hemorrhage and go on decompressive craniectomy with clot removal. Surveillance form complications and rehabili tation including a multidisciplinary discharge plan. Patients who get better can be discharged home.

Case study 2; 17-years-old Thai man came unconscious on a motorcycle while driving down a canal. The diagnosis was the intracerebral hemorrhage. After craniectomy with clot removal receive critical care and rehabilitation. The patient had a ventilator associated pneumonia receive appropriate antibiotics until symptoms improve It has received a discharge plan from a multidisciplinary practice and can be sent back for continuing of care at a community hospital.

Conclusion : Aim of nursing care for the patients with traumatic brain injury were to limit secondary brain injuries, to decrease morbidity and mortality, to prevent complications and to minimize neurological deficits. Early diagnosis and treatment , prevention of complications and also the effective discharge planning from multidisciplinary teams improved the patient outcomes and increased the survival rate of the traumatic brain injuries patients.