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Head Injury_CS

Head Injury_CS

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Published by MASII
case study on head injury
case study on head injury

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Published by: MASII on Jul 29, 2010
Copyright:Attribution Non-commercial

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08/10/2013

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I.
 
INTRODUCTIONA. Overview of the Study
Head injury is a general term used to describe any trauma to the head, and mostspecifically to the brain itself. Skull fracture: A skull fracture is a break in the bone surroundingthe brain and other structures within the skull. Linear skull fracture: A common injury,especially in children. A linear skull fracture is a simple break in the skull that follows a relativelystraight line. It can occur after seemingly minor head injuries (falls, blows such as being struckby a rock, stick, or other object; or from motor vehicle accidents). A linear skull fracture is not aserious injury unless there is an additional injury to the brain itself. Depressed skull fractures:These are common after forceful impact by blunt objects-most commonly, hammers, rocks, orother heavy but fairly small objects. These injuries cause "dents" in the skull bone. If the depthof a depressed fracture is at least equal to the thickness of the surrounding skull bone (about1/4-1/2 inch), surgery is often required to elevate the bony pieces and to inspect the brain forevidence of injury. Minimally depressed fractures are less than the thickness of the bone. Otherfractures are not depressed at all. They usually do not require surgical treatment unless otherinjuries are noted. Basilar skull fracture: A fracture of the bones that form the base (floor) of the skull and results from severe blunt head trauma of significant force. A basilar skull fracturecommonly connects to the sinus cavities. This connection may allow fluid or air entry into theinside of the skull and may cause infection. Surgery is usually not necessary unless other injuriesare also involved.Intracranial (inside the skull) hemorrhage (bleeding)Subdural hematoma.Bleeding between the brain tissue and the dura mater (a tough fibrous layer of tissue betweenthe brain and skull) is called a subdural hematoma. The stretching and tearing of "bridgingveins" between the brain and dura mater causes this type of bleeding. A subdural hematomamay be acute, developing suddenly after the injury, or chronic, slowly accumulating after injury.Chronic subdural hematoma is more common in the elderly whose bridging veins are oftenbrittle and stretched and can more easily begin to slowly bleed after minor injuries. Subduralhematomas are potentially serious and may require surgery.
 
B
. Objective of the Study
 At the end of the study, the researcher will be able to know more about head injuryparticularly subdural hematoma and its effects to human and life and will be able to learnmore about the necessary Medical and Nursing Interventions to be applied to Patients withsubdural hematoma.
C. Scope and Limitation
Although we have been given two days to care for our patients and dig deeper into ourpatients problem, it is still not enough for us to actually find any other minor problems thatour patient may be having, the lack of time also is the reason why we cannot fully assess theextent or effectiveness of our Health Teachings and Nursing Interventions.
II.
 
A. Patients Profile
Name: ?Age: 35 years oldSex: FemaleHeight: 52Weight: 110 lbsCivil Status: MarriedReligion: Roman CatholicNationality: FilipinoAddress: ?Occupation: HousewifeDate of Admission: July 15, 2009Time of Admission: 10:40 PMChief Complaint: Head injuryAdmitting Diagnosis: Subdural HematomaPhysician: ?
 
 
B
. Family and Personal Health
Patient is known to be hypertensive which she got genetically from her Paternal side. Hermaternal side was known to have asthma and hypertensive. Patient is occasional alcoholdrinker and can consumed 5 stick/day. Patient didnt have history of previous hospitalizationbut complained hyperacidity and sometimes headache as what significant others explained.
C
. History of Present Illness and Chief Complaint
 
A case of 35 years old which suffered head injury due to vehicular accident, 4 days prior toadmission patient sustained head trauma during vehicular accident. Patient lost consciousnessfew hours, after while admitted to city hospital and didnt regain consciousness with positivefever, Patient was taken to X, 2 days ago when city scan revealed acute subdural hematoma,patient relatives opted to transfer to X.

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