Nursing Care of Traumatic brain Injury Patients Post-Craniectomy: case study.

Abstract

     This study was case study aimed at comparing the history of illness, symptoms and clinical signs, treatment plans, complications, and nursing care of patients with traumatic brain injuries underwent craniectomy. The study includes two cases and proposes nursing guidelines for patients with traumatic brain injuries underwent craniectomy at Kalasin Hospital. The sample was selected specifically from patients diagnosed with traumatic brain injuries by doctors and treated in the surgical intensive care unit at Kalasin Hospital.
     The results showed that in Case 1, a 15-year-old Thai female presented with a significant condition after being struck by a pickup truck while riding a motorcycle. She was unconscious and could not recall the incident. She was diagnosed with acute subdural hemorrhage and epidural hemorrhage at the left fronto-parietal-temporal lobe with acute respiratory failure. She underwent left craniectomy with with clot removal. After the critical phase was managed, she received close monitoring for complications in the intensive care unit. Her condition gradually improved, and she was discharged to continue treatment at a nearby community hospital, with a total treatment duration of 12 days. In Case 2, a 62-year-old female with a history of type 2 diabetes and hypertension presented after a motorcycle accident where she hit a pole and lost consciousness. She was diagnosed with acute subdural hemorrhage at the right fronto-parietal-temporal lobe. She underwent craniectomy with clot removal. After managing the critical phase, she received close monitoring for complications in the intensive care unit. Her condition gradually improved, and she was discharged to return home with a follow-up appointment scheduled in one week, with a total treatment duration of 7 days.