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Head Injury: A Case Study

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Head injury is a common presentation in acute care settings (Bethel, 2012, p. 49).
This is classified as minor, moderate or severe depending on the severity of injury (Swann, 2013, p. 177). In head injuries, even in minor head injuries, patients have the risks of developing serious complications including disability or even death (Bethel, 2012, p. 49).Therefore, rapid and thorough neurological assessment is crucial to reduce the risk of irreversible outcomes (Bethel, 2012, p. 49).

The AVPU scale (Alert; Verbal response; response to Pain; Unresponsive) is used for measuring the patient’s level of consciousness (Brunker & Harris, 2015, p. 69). This is a simple scale and used in casualty assessment as an alternative method to the Glasgow Coma Scale (Hoffmann et al., 2016, pp. …show more content…
493). Patients are assessed and scored in each section and the scores are added together to give an overall patient’s GSC score ranging from 3 to 15 (Waterhouse, 2016, p.40). Eye opening response reflects the function of reticular activating system, located in the brainstem (Waterhouse, 2016, p. 42). Eye opening should be spontaneous when the patient is assessed (Waterhouse, 2016, p. 42). If the patient’s eyes do not open spontaneous, sound and stimulus can be applied for further assessment (Waterhouse, 2016, p. 42). Verbal response is scored as orientated, confused, words, sounds, none or not testable (Waterhouse, 2016, p. 43). Patients who are fully aware will reply questions about their personal details (Waterhouse, 2016, p. 42). Motor response can be assessed by asking the patient to respond simple commands, for instance, ‘squeeze my hands’ (Waterhouse, 2016, p. 43). If the patient dose not reply to simple commands, the healthcare provider can apply the painful stimulus for assessing motor response (Waterhouse, 2016, p.

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