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Nursing Management of a Patient with Raised Intracranial Pressure after Traumatic Brain Injury and Dealing with Family Anxiety.

Introduction

The aim of this assignment is to explore, analyse and evaluate the nursing management of raised intracranial pressure (ICP) and family anxiety after head injury. In order to obtain a wider knowledge of the care of patients with raised ICP, a literature review was carried out. From this information I hope to improve the standard of care and ultimately patient outcome. The anxiety felt by family members are large and therefore I have decided to discuss this in my assignment. Consent has been sought from the next of kin. Confidentiality will be maintained in accordance with Nursing and Midwifery Council (NMC 2008).

Patient’s Presentation

Aldi is a 42 year old male who was found by police lying in the street, with loss of consciousness and believed to be assaulted. His eyes, lips and face was swollen. He was brought to the nearest hospital via ambulance as he had a seizure episode.

In A&E it was noted that Aldi has sustained a head injury associated with a decrease level of consciousness and seizure activity. His pupils are both 2mm and reacting to light. His Glasgow Coma Scale (GCS) was 9-10. Opening eyes on pain, incomprehensible sound and moving all limbs. GCS is a worldwide recognized scale for documenting neurological assessment (Mavin,2008).

After the initial presentation in A&E his neurological condition was rapidly deteriorating. He was not opening his eyes on pain and became unresponsive. His vital signs are as follows heart rate 62, blood pressure 150/62 millimetre of mercury (mmhg) and respiratory rate of 10 breaths per minute. As Aldi became unrousable and unable to protect his airway from obstruction or aspiration, it was then necessary to intubate him.
Aldi had a Computed tomography (CT) scan

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