Roles of Nurses in Caring for Patients with Non-Operative Hemorrhagic Stroke

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Titaporn Worapanwisit
Urai Jungloang
Sirikwaen Nakwili
Paradee Chairat


Spontaneous intracerebral cerebral hemorrhage (SICH) is caused by a rupture of the blood vessel(s) in the brain. Major risk factors of cerebral hemorrhage include high blood pressure, smoking, and lack of exercise. The therapeutic regimens for SICH are either operation or non-operation, depending on pathology and criteria. This article aims to present evidence-based nursing about caring for patients with non-operation
hemorrhagic stroke, along with a case study. In clinical situations, nurses have major roles in providing standard care to control blood pressure and prevent intracranial pressure in these patients. The goal is to make them get through critical health issues safely. Based on the nursing process, nurses can apply the so-called ‘PAST-MANTT’ principle to provide essential care for these patients. This principle allows nurses to work systematically, from performing a problem analysis, patient assessment, specimen and test, treatment procedures, medication administration, activity, nutrition, teaching and education, and appropriate transfers. The provision of systematic care will lead to the best outcomes for these patients enabling them to recuperate at home and gain a quality of life.
Keywords: Nurse roles, Blood pressure, Increased intracranial pressure, Non-operative
hemorrhagic stroke


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Worapanwisit T, Jungloang U, Nakwili S, Chairat P. Roles of Nurses in Caring for Patients with Non-Operative Hemorrhagic Stroke. Rama Nurs J [Internet]. 2021 Aug. 29 [cited 2022 May 17];27(2):163-74. Available from:


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