Deteriorating Patient: Physiology, Assessment, Nursing Intervention, Recommendations, and Impact

Running Head: Deteriorating Patient 0
Deteriorating patient

DETERIORATING PATIENT
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Table of Contents
Introduction...........................................................................................................................................2
Physiology and Assessment...................................................................................................................2
Nursing Intervention..............................................................................................................................3
Recommendations.................................................................................................................................5
Impact of Nursing Intervention..............................................................................................................6
Conclusion.............................................................................................................................................6
References.............................................................................................................................................8

DETERIORATING PATIENT
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Introduction
Traumatic brain injury is the result of a violent jolt or blows to the head or any other
part of the body. It can affect the brain cells for short-term; in serious case the brain injury
may lead to torn tissues, bruising, even death in the more severe situation. Some of the
common symptoms associated with TBI are a headache, nausea or vomiting, difficulty in
sleeping, dizziness, loss of balance, lack of consciousness or no consciousness. Subdural
hematoma (SDH) and a petechial haemorrhage are the main head injuries that are detected in
the patient’s brain (Hackenberg & Unterberg, 2016). A subdural haemorrhage can be
determined by its size and the site (Yang et al., 2012). A petechial haemorrhage is identified
by the tiny pinpoint red color mark. It occurs when the blood secrets from some of the small
capillaries in the eyes (Ertok et al., 2013). The sign & symptoms reflect that changes,
interventions, nursing assessment, the priority of clinical care, nursing current
recommendations, and effects of nursing interventions on the patient’s condition will be
discussed in this report.
Physiology and Assessment
The patient assessment after hospital admission shows that the patient has been lying
in a supine position, eye pupils are not different and accommodating and reactive to the light.
The person with deterioration has been identified with sub-Dural haemorrhage which is the
most critical issue (Chari, Clemente Morgado & Rigamonti, 2014), and had the petechial
haemorrhage. Toxic substance was negative and the blood alcohol level of the patient has
increased. The assessments also indicated that the person has raccoon eyes and the battle sign
on right side. The physical condition of the person has been changed by some point such as