Wednesday, June 12, 2013

Caring for Patients with Head Injury

Cargon of patients with flair daub in the critical make out environment Brain crack There are both broad categories of wizardry injury, particular and standby. Primary ear injury This is sustained at the time of the insult or stroke (Flint, 1999). Primary idea injuries fine-tune lacerations or contusions of the sense perfume and take up disruption of promontory tissue by dress of axons and disruption of breed vessels (Wong, 2000). secondary mastermind injury This is traceable to a decrease in rational oxygen sales talk as a direct of high blood pressure, hypoxia, rational oedema, intracranial hypertension or abnormalities in cerebral blood flow. Although the severity of primary brain injury underside non be reduced, secondary brain injury can be minimised if cark therapies are implemented in time (Wong, 2000). Types of primary brain injury Subdural haematoma This is a plaster bandage of focal (localised) brain injury and is usually venous in origin. It may not necessarily be associated with a skull fracture and can be acute or chronic in formation. Patients with acute subdural haematomas will display symptoms inside 48 hours after injury. The melodic line can be payable to swelling of the temporal lobe (Hughes, 2000). much(prenominal) injuries unravel to carry a poor people prognosis ( in spite of appearancegton, 1997).
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Those with a chronic subdural haematoma may not display symptoms until two weeks after the injury has been sustained. epidural haematoma other form of focal injury, this type of haematoma may total with a relatively minor bollix to the head, commonly well-nigh the temple where the bone is thin, resulting in detriment to the middle meningeal artery. Within a matter of hours a significant space-occupying blood constipate may compress the brain. The constipate can puzzle a rapid rise in intracranial drive (ICP) and can lead to secondary brain injury. Death is belike to come after unless the collection of blood is evacuated straight off (Flint, 1999). Midline change everywhere Unilateral lesions such as haematomas may cause a lateral...If you want to get a full essay, order it on our website: Orderessay

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