Interpret: |
||||||||||||||||||||
Normal (Subjective & Objective) |
Abnormal (Subjective & Objective) |
|||||||||||||||||||
Blood Pressure: 160/ 95 mmHg Heart Rate: 80s Temperature: 36.6°C O2 saturation: 98% Respiratory Rate: 18breaths/ minute |
O2 flow rate: less than 3LPM Pain from the wound. |
|||||||||||||||||||
Lacerations are concrete waterworks in the brain tissue. They are initiated by fine force or pressure applied to the brain, or may be because of penetration of some object in the skull and brain portions (Malik et al. 2016). The degree of injury depends entirely on the complexity and position of the laceration, as reasonable as on whether the associated blood vessels and the cranial nerves witness damage (Malik et al. 2016). When Robert Brown met with the rad accident, he injured his back of the head, so the staff addressed the Lacerations of the head, also GCS was also examined it order to understand his consciousness and it was found stable. The oxygen flow rate was observed to be fluctuating the day he was admitted (Taher et al. 2016). The normal range of the O2 flow rate should be 5 – 8 LPM in a healthy person (Veenith et al. 2016). But in case of Robert Brown, the O2 flow rate was observed to be decreased. It was equal to or less than 3LPM which a matter of concern for a patient who has met an accident. This was because of the blood loss that Robert faced while he got hit by the car. The oxygen flow rate reduction might cause complication in his health and treatment condition. He was also having pain in his back of the head, so he was provided with paracetamol in order to reduce pain. There may have a chance of complication with providing him with paracetamol as side effects of paracetamol includes breathing issues and Robert was already having a low flow rate of oxygen. In order to resolve the issue, Robert needs to be provided with oxygen in order to reduce the risk of more severe complications. Oxygen is one of the chief medication for any kind of treatment and as Robert had a head injury, low oxygen flow may cause condition where he might witness coma or other brain damages due to reduced oxygen supply in the brain region. Treatment must begin with the addressing of the source of oxygen flow rate, since the longer the low oxygen flow rate continues, the more complicated the damage will become (Taher et al. 2016). The effects of low oxygen flow rate to brain are quite similar to any kind other brain damages. The projection depends on the fact that how severe is the lack of oxygen supply to the brain is, the degree of the neuron death, and the superiority of the medical and treatment care (Chua 2017). With a quality physical and medical therapy, the injured brain may acquire to pay off for the damaged regions, so proper oxygen flow rate may help Robert Brown to recover from the head injuries he has been witnessing. Till then Robert needs to be monitored frequently to check the condition and improving of his health. |
||||||||||||||||||||
Predict: |
||||||||||||||||||||
The cases of head injuries can sometime become very complicated and life risking for patients if not treated with proper procedure and accuracy. A slight avoidance in the treatment procedure may lead to various worst outcomes such as memory loss, loss of body part sensations, stroke risk, loss of body balance, Alzheimer’s and Parkinson’s condition and may lead the patient to Come. In case of Robert, the same above mentioned cases may take place if he is not diagnosed or treated properly. He is found is stable condition for the present time period, but it may happen that the condition grows serious in coming time. As he had blood loss from the effected region, it is usual that there must be some wound. So there can be chances of tetanus infection, and to avoid such condition, he should be firstly injected with tetanus vaccine. Headache and vomiting is starting symptoms of the intracranial pressure which should not be neglected. Their might be another situation of Intracranial hypertension which can cause vasomotor paralysis or autoregulation loss in Robert. The nurse should provide proper ventilation, oxygenation, fluid supply and output in order to avoid much sever outcome from intracranial hypertension, as he was found complaining about headaches (Yuan et al. 2015). Ineffective tissue perfusion is found to be an effective measure to avoid such circumstances, it will help in improving circulation and supply of oxygen to the capillaries which will help is restoring the damage that may have caused in the brain (de Abreu Almeida et al. 2015). |
||||||||||||||||||||
Develop, Articulate and Prioritise Nursing Diagnoses – |
||||||||||||||||||||
1. Ineffective tissue perfusion 2. Injury risk 3. Decreased intracranial adaptive capacity. The above mentioned are the three nursing diagnosis that are needed to be followed in case if serious head injury. |
||||||||||||||||||||
|
References:
Chua, J., Salter Labs Inc, 2017. Method and system with divided cannula having low oxygen flow rate and improved end-tidal CO2 measurement. U.S. Patent 9,814,854. Retrieved from: https://patents.google.com/patent/US20140276169A1/en
de Abreu Almeida, M., Barragan da Silva, M., Paulsen Panato, B., de Oliveira Siqueira, A.P., Palma da Silva, M., Engelman, B., Marques Severo, I., Nomura, G. and Tsuma, A., 2015. Clinical indicators to monitor patients with risk for ineffective cerebral tissue perfusion. Investigacion y educacion en enfermeria, 33(1), pp.155-163. Retrieved from: https://www.scielo.org.co/scielo.php?pid=S0120-53072015000100018&script=sci_arttext&tlng=en
Malik, A., Gupta, A., Luthra, N. and Gupta, V., 2016. Ocular manifestations of head injury: A clinical study. Sudanese Journal of Ophthalmology, 8(2), p.46. retrieved from: https://www.sjopthal.net/article.asp?issn=1858-540X;year=2016;volume=8;issue=2;spage=46;epage=50;aulast=Malik
Mowry, M., 2018. Cardiothoracic Geriatric Trauma: Nursing Considerations. In Geriatric Trauma and Acute Care Surgery (pp. 441-445). Springer, Cham. Retrieved from: https://link.springer.com/chapter/10.1007/978-3-319-57403-5_47
Nordström, A. and Nordström, P., 2018. Traumatic brain injury and the risk of dementia diagnosis: A nationwide cohort study. PLoS medicine, 15(1), p.e1002496. Retrieved from: https://www.sciencedirect.com/science/article/abs/pii/S1552526019300093
Taher, A., Pilehvari, Z., Poorolajal, J. and Aghajanloo, M., 2016. Effects of normobaric hyperoxia in traumatic brain injury: a randomized controlled clinical trial. Trauma monthly, 21(1). Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869427/
Veenith, T.V., Carter, E.L., Geeraerts, T., Grossac, J., Newcombe, V.F., Outtrim, J., Gee, G.S., Lupson, V., Smith, R., Aigbirhio, F.I. and Fryer, T.D., 2016. Pathophysiologic mechanisms of cerebral ischemia and diffusion hypoxia in traumatic brain injury. JAMA neurology, 73(5), pp.542-550. Retrieved from: https://jamanetwork.com/journals/jamaneurology/article-abstract/2506519
Yuan, Q., Wu, X., Sun, Y., Yu, J., Li, Z., Du, Z., Mao, Y., Zhou, L. and Hu, J., 2015. Impact of intracranial pressure monitoring on mortality in patients with traumatic brain injury: a systematic review and meta-analysis. Journal of neurosurgery, 122(3), pp.574-587. Retrieved from: https://thejns.org/view/journals/j-neurosurg/122/3/article-p574.xml
Essay Writing Service Features
Our Experience
No matter how complex your assignment is, we can find the right professional for your specific task. Contact Essay is an essay writing company that hires only the smartest minds to help you with your projects. Our expertise allows us to provide students with high-quality academic writing, editing & proofreading services.Free Features
Free revision policy
$10Free bibliography & reference
$8Free title page
$8Free formatting
$8How Our Essay Writing Service Works
First, you will need to complete an order form. It's not difficult but, in case there is anything you find not to be clear, you may always call us so that we can guide you through it. On the order form, you will need to include some basic information concerning your order: subject, topic, number of pages, etc. We also encourage our clients to upload any relevant information or sources that will help.
Complete the order formOnce we have all the information and instructions that we need, we select the most suitable writer for your assignment. While everything seems to be clear, the writer, who has complete knowledge of the subject, may need clarification from you. It is at that point that you would receive a call or email from us.
Writer’s assignmentAs soon as the writer has finished, it will be delivered both to the website and to your email address so that you will not miss it. If your deadline is close at hand, we will place a call to you to make sure that you receive the paper on time.
Completing the order and download