NURSING CARE OF TRAUMATIC BRAIN INJURY PATIENT WITH EPIDURAL HEMATOMA

Abstract

This study aims to analyze nursing care of traumatic brain injury patient with epidural hematoma who wereadmitted at emergency room in KhonKaenhospital during January-September 2019. Data were collected from medical record, patient record form, and caregiver’s interview from. The data were analyzed using content analysis covering the critical care, emergency care, recovery, rehabilitation, and long term care including medicaltreatment, nursing care, and continuing care at home and community. The results revealed that nursing care in critical and emergency period must be evaluated immediately and accurately. Moreover, referringto advanced medical care for receiving urgent medicine and operation, providing standard services, and utilizing sensitivity assessment tools couldbe enhancing survival and reducingdisability rate. Likewise, providing nursing care based on principle, practice guidelines, patient condition, and problem &need identifying during critical and emergency stage, rehabilitation, and long term period could be decrease the severity and harmful condition of patient. The suggestion to public health system should be develop specifically and rapidly evaluating guideline for traumatic brain injury patient who sensitive for neuro change. Also, the development and refreshing skill and competency among health care providers and relevant key actorsto capable in all stage of illness should be manipulated. Especially, promoting the policy of safety management and law enforcement on safety driving should be contribute as the socialmeasures, warning public media, and discipline construction.