Nursing care for cerebral hemorrhage post-operative craniectomy patients: 2 case Studies

Abstract

This is a comparative study of 2 case studies, selected only with intracranial hemorrhage post- operative craniotomy patients. From the preoperative period,

Postoperative after the critical period and rehabilitation period before discharge. Collect information medical history data from medical records. Using the concept of the Gordon 11 Health Scheme Patient Assessment Model. Orem's Self-Care Theory and palliative care In order to find problems with patients. Set a nursing diagnosis, plan a nursing practice, Summarize and evaluate nursing outcomes continuously until to discharge home.

The results found that

       The study compared two cases suffered head injury patients in a traffic accident and had the same cerebral hemorrhage. Craniotomy also aims to remove a blood clot that presses on the brain. But there are differences in pathogenesis, location of injured brain tissue and bleeding. The location of the hemorrhage removal surgery and the disease process differed by factors such as age, underlying disease, location of injury. The size and severity of the pathology of the disease and the complications of the disease during treatment. Affects the care of patients with different durations, slow or fast.

       Case study 1:  Patients received standard care and treatment for complications. They are prepared both physically and mentally to receive palliative care. It aims to reduce suffering and focus on providing patients and their families with a good quality of life. Therefore, nurses should be involved in the early diagnosis of life-threatening diseases.

By providing care along with specific treatment together with taking care of the mind and soul in the last moments of life enable families and patients to face loss as appropriate as possible.

       Case Study 2: Patients were rescued from a crisis. But there are still some disabilities that need to be rehabilitated and continued physical therapy at home which has continuous follow-up of treatment results from community hospitals and follow-up inspections.