Nursing care for Intermediate care in Severe Traumatic Brain Injury: Case Study

Abstract

     This study was case study aimed to study the pathophysiology, cause of disease, nursing interventions, and outcomes of nursing care for patients with severe traumatic brain injury. By comparative study of two purposive patients in the surgical trauma ward at Khon Kaen Hospital. Data were collected from patient records, assessment using 11 Gordon's Functional Health Pattern framework and having nursing process to evaluate nursing practice.

       Results: Both patients had traumatic brain injury from motorcycle vehicle accidents. Contributing factors to the accidents were alcohol consumption and not wearing a helmet when riding a motorcycle. They received surgical decompression to reduce intracranial pressure. Patient 1 underwent a tracheostomy and was weaned off the ventilator on day 9^th. Patient 2 was weaned off the ventilator on day 12^th without tracheostomy. Both patients received intermediate care and had discharge planning by the interdisciplinary team and were referred back for rehabilitation in the community hospital. Length of stay of them was 11 and 17 days, respectively. Patient 2 had associated facial and orbital fractures. On assessment using the Glasgow Outcome Scale (GOS), patient 1 had moderate recovery, while patient 2 had severe disability