Sally Brown Case Study

TITLE: SALLY BROWN CASE STUDY
NAME
UNIVERSITY
SUPERVISOR

TITLE: SALLY BROWN CASE STUDY
INTRODCUTION
Sally Brown is the 15 years old girl who is observed trauma from the heavy injury of the left side
of her head during the skating. During the medical examination, it is observed that the patient is
very much conscious about persons around her and the place. However, the patient is very much
disoriented from the time. It is observed that the patient reacts properly towards the light pearl
and due to that particular reason, the major observations are very much in normal limits. The
sally is assessed by the doctor and generate an assessment report which clearly indicates the GCS
13. In the pathophysiology, the GCS 13 with normal temperature means it is a minor injury.
Moreover, doctors more recommend Sally to the emergency department for more critical review
(Pain, 2017). However, medical observations were not repeated. The role of a registered nurse is
the complex case scenario is to prevent the patient for other disorders during the trauma disease
because the trauma leads become severe with time and leads to severe diseases such as the
failure of other organs of the body. The sally case is transferred to another registered nurse who
has other responsibilities as well. The prevention is done through initial medications such as
morphine and oxycodone. The sally is recommended to take proper rest after the medicines
because it is the initial preventive measure between the al g programs (Trinkle, 2011).
The clinical review is done by the doctor and registered nurse to identify the best
treatment of the disease. In the current scenario, the sally not even recognized her name and
place after a short time and start vomiting. In accordance with the responsibility, the registered
nurse is very much alert in the case and go for the clinical assessment. The report of the clinical
assessment is quite dangerous and the doctor recommends that something went wrong. The
report assesses that it is the case of GCS 9. According to the Glasgow coma scale, it is clear that

it is a mild head injury instead of a minor injury (Chen, 2016). Moreover, the report clearly
indicates that there is a minimum response of pupil towards the light which is not assessed in the
first report. The nurse suggested the rest and the medication morphine to the patient for the rapid
response. Moreover, the care from the nurse in the overall treatment is necessary for advanced
life support (Weller, 2014).
The basic motive behind the flag programs and the four phases is to design the treatment
plan after the initial preventive measures and the clinical review. The registered nurse in the
hospital is responsible for the assessment which is mandatory to design the continuous treatment
plan. In the current scenario, the treatment plan is designed according to the first two phases of
the flag program after the assessment of 13 scale Glasgow coma scale. The next step in
accordance with the slippery slope is the rapid response which is basically designed to revise the
treatment plan after the continuous assessments. In the case of trauma, this step is very much
important because the condition of the patient varies at regular intervals (Green, 2018). It is
included in the role of the nurse to draw the assessment plans and suggest the treatment with the
help of the doctor in case of the variations in the assessment. In the particular case, the patient is
suffering from trauma due to the head injury and the condition of the patient becomes severe
with time. The nurse changes the intensity of the medication dose in accordance with the change
in the points of the Glasgow coma scale. The last step is the advanced life support which is a
long term process and shown in the slippery slope. The particular step involves the treatment as
well as the lifetime rehabilitation and care facility to the patient. It is the duty of the nursing
department to take care of the patient after the treatment as well.
The morphine is recommended as an agony executioner in the clinical review stage.
Additionally, the mellow portion of oxycodone is likewise suggested as a basic audit stage.
These two stages are compelling amid the underlying phase of the treatment. Also, these stages
are especially useful is characterizing and depicting the underlying treatment plan. The medical
caretaker proposed that rest is significant for the patient experiencing injury due to the agony. In
addition, the medical attendant increments the portion of morphine after further perceptions. The
serious torment is the real component that should be dispensed with in the fast reaction stage.
The fast life response stage is indispensable between the banner projects on the grounds that the
treatment is reconsidered amid the mind-boggling cases. The attendant proposes that the drug is