A CASE STUDY ON

INTRACRANIAL
MASS

OUR LADY OF FATIMA UNIVERSITY

Group 18 - E
Magpayo, Erika Faith Mercado
Manapul, Karen Guevarra
Martinez, Christine Margaret Gerilla
Martinez, Lalaine Acabal
Nishi, Arisa Camila
Quinones, John Lord Amverlanz Bartolome
 OBJECTIVES:
A. General objective:
To be able to choose a case study that will contribute
and expand our knowledge and improve our skills on
specific procedures this is Intracranial Mass

Our group has formulated the following specific

objectives to guide us toward the completion of this
case study. That we may be able to:

OBJECTIVES:
B. Specific Objectives:
1. Established good intrapersonal and professional relationship with our
patient and his accompanying family members
2. Share our knowledge and skills to the patient or the family of the patient
4. Provide significant health teaching to the patient that would promote our
patient health and wellness
5. Formulate effectiveness nursing care plan to our patient
6. Formulate specific, measurable, attainable, realistic and time bounded
objectives that will serve a guide for the accomplishment of the study
(SMART)
7. Research the drug study of the given medication to our patient
 INTRODUCTION:
Intracranial Mass is an intracranial tumor, sometimes referred to
as a brain tumor, is an abnormal mass of tissue where cells
proliferate and reproduce out of control, appearing to be
unaffected by the systems that regulate normal cells. Tumors
can affect the brain by destroying normal tissue, compressing

intracranial pressure. Symptoms
normal tissue, or increasing
vary depending on the tumor’s type, size, and location in the
brain. Some of its symptoms include behavioral and emotional
changes, impaired judgment, impaired sense of smell or vision
loss, paralysis on one side of the body and memory loss.
EPIDEMEOLOGY:
BRAIN AND OTHER CNS TUMORS,
WHILE RARE, CAUSE SIGNIFICANT
MORTALITY AND MORBIDITY ACROSS
ALL AGES. DESPITE DECADES OF

RESEARCH ON THE ETIOLOGY OF BRAIN

AND OTHER CNS TUMORS, NO RISK
FACTOR ACCOUNTING FOR A LARGE
PROPORTION OF CASES HAS BEEN
IDENTIFIED.
ANATOMY AND PHYSIOLOGY:

ANATOMY AND PHYSIOLOGY:

ANATOMY AND PHYSIOLOGY:

ANATOMY AND PHYSIOLOGY:

PATHOPHYSIOLOGY:
Intracranial Mass (Intracranial Tumor) is a growth of
cells in the brain or near it. Brain tumors can happen
in the brain tissue. Brain tumors also can happen near
the brain tissue. Nearby locations include nerves, the
pituitary gland, the pineal gland, and the
membranes
that cover the surface of the brain. Primary brain
tumors are tumors that started in the brain. And
secondary brain tumors are when cancer spreads to
other parts of the body.
 Patient Profile

Client’s Name: Noel Seran

Client Age: 66 years old
Sex: Male
Male Address: Malinta, Valenzuela City
Date of Birth: February 19, 1957
Civil Status: Married
Religion: Catholic
 State of Present
Admitting History
Illness

History of Past Illness Family History

FAMILY HISTORY:
 HEALTH ASSESSMENT:
(HEAD- TO- TOE)
SKULL - GENERALLY ROUND, WITH PROMINENCES IN THE FRONTAL AND
OCCIPITAL AREA. NO TENDERNESS NOTED UPON PALPATION.

SCALP - LIGHTER IN COLOR THAN THE COMPLEXION. MOIST, NO SCARS

NOTED , FREE FROM LICE, NITS, AND DANDRUFF. NO LESIONS NOTED.
NO TENDERNESS OR MASSES ON PALPATION.

HAIR - White in color, thin, and smooth hair. Evenly distributed. Covers
the whole scalp. No evidence of alopecia.
 HEALTH ASSESSMENT:
(HEAD- TO- TOE)
Face - Symmetrical, oval in shape. No involuntary muscle movements.
Cannot move facial muscles at will. Not intact cranial nerve V and VII.

Eyes - Evenly placed and inline with each other. None protruding. Equal palpebral
fissure.

Visual Acuity - Cannot measured, the patient is unconcious.

Eyelids - Upper eyelids cover the small portion of the iris, cornea, and sclera when eyes
are open. No PTOSIS noted. Meets completely when eyes are closed. Symmetrical.
 HEALTH ASSESSMENT:
(HEAD- TO- TOE)
CONJUCTIVA - BOTH CONJUNCTIVAE ARE PINKISH OR RED IN COLOR.

SCLERAE - WHITE IN COLOR. NO YELLOWISH DISCOLORATION. SOME CAPILLARIES ARE

VISIBLE.

CORNEA - NO IRREGULARITIES ON THE SURFACE. LOOKS SMOOTH. CLEAR OR

TRANSPARENT. POSITIVE CORNEAL REFLEX

PUPILS - EQUAL IN SIZES AND ROUND. CONSTRICT BRISKLY/SLUGGISHLY WHEN LIGHT IS

DIRECTED TO THE EYE, BOTH DIRECTLY AND CONSENSUALLY AND PUPILS DILATE WHEN
LOOKING AT DISTANT OBJECTS, AND CONSTRICT WHEN LOOKING AT NEARER OBJECTS.
 HEALTH ASSESSMENT:
(HEAD- TO- TOE)
IRIS - FLAT AND COLOR BROWN.

EARS/EAR CANAL OPENING - EARLOBES ARE BEAN-SHAPED, PARALLEL, AND

SYMMETRICAL. UPPER EAR LOBE IS PARALLEL WITH THE OUTER CANTHUS OF
THE EYE. SKIN IS THE SAME IN COLOR AS IN THE COMPLEXION. NO LESIONS
NOTED ON INSPECTION. THE AURICLES HAVE FIRM CARTILAGE ON PALPATION.
THE PINNA RECOILS WHEN FOLDED. THERE IS NO PAIN OR TENDERNESS ON THE
PALPATION OF THE AURICLES AND MASTOID PROCESS. THE EAR CANAL
NORMALLY HAS SOME CERUMEN OF INSPECTION. NO DISCHARGE OR LESIONS
NOTED AT THE EAR CANAL.

 HEALTH ASSESSMENT:
(HEAD- TO- TOE)
HEARING ACUITY - PATIENT IS UNCONCIOUS.

NOSE/PARANASAL SINUSES/NASAL SEPTUM/NARES - NOSE IN THE MIDLINE. NO

DISCHARGES. NO FLARING ALAE NASI. BOTH NARES ARE PRESENT. NO BONE
AND CARTILAGE DEVIATION NOTED ON PALPATION. NO TENDERNESS NOTED
ON PALPATION. NASAL SEPTUM IN THE MIDLINE AND NOT PERFORATED. THE
NASAL MUCOSA IS PINKISH TO RED IN COLOR. NO TENDERNESS NOTED ON
PALPATION OF THE PARANASAL SINUSES.

MOUTH/LIPS - PINKISH IN COLOR WITH SYMMETRICAL IN APPEARANCE AND NO

EDEMA.
 HEALTH ASSESSMENT:
(HEAD- TO- TOE)
BUCCAL MUCOSA - MOIST AND PINKISH COLOR.

GUMS - NO GUM BLEEDING AND PINKISH IN COLOR.

TONGUE - ABLE TO MOVE THE TONGUES AND PINKISH IN COLOR.

TEETH - YELLOWISH IN COLOR. NO DENTAL CARIES.

HARD AND SOFT PALATE - WHITISH IN COLOR.

NECK - SYMMETRICAL. NO JUGULAR VENOUS DISTENTION.

NECK ROM - PALPABLE TRACHEA. STRAIGHT AND IN THE LINE POSITION.

 HEALTH ASSESSMENT:
(HEAD- TO- TOE)
THYROID GLAND - SWALLOWING WITHOUT HESITATION.

CHEST - INTACT AND THERE IS A FULL AND SYMMETRIC EXPANSION DURING

INSPIRATION.

ABDOMEN - SKIN COLOR IS UNIFORM AND NO LESIONS.

EXTREMITIES - CANNOT PERFORM COMPLETE ROM. EQUAL IN SIZE. HAVE THE

SAME CONTOUR WITH PROMININCES OF JOINTS.

SKIN - UNIFORM IN COLOR.

GENITAL AREA - CLEAR WITH NORMAL HAIR DISTRIBUTION.

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NURSING CARE PLAN:
 DISCHARGE PLAN:
Discharge planning is a process that determines the kind of
care a patient needs after leaving the hospital. Discharge
plans should ensure a patient's transition from the hospital to
another medical facility or to their home is as safe and
smooth as possible. Discharge from hospital to home requires
the successful transfer of information from clinicians to the
patient and family to reduce adverse events and prevent
readmissions.
 EVALUATION:
Our goal for the patient was met After 3 - 4 hours of nursing intervention,
the patient verbalized being relieved of pain and there is no non-verbal
indicators of pain/discomfort present, preserves gas exchange that
results in decreased dyspnea, normal oxygen saturation level, and an
appropriate result of arterial blood gasses and is free from complications
from having mechanical ventilation, and was able to defecate effectively
every 3 days. The patient's health has improved, by giving him the
information about his diagnosis and treatment, as well as encouraging
him to take the prescribed medications, the patient was able to
understand and alleviate their condition.

 RECOMMENDATION:
To regain some of the affected skills and functions after brain tumor
treatment, patients may need to stay at a rehabilitation facility, or perform
therapy at home. The doctor will help determine the best type of rehabilitation
care for the patient.

HABITS AND LIFESTYLE

SPIRITUAL/SUPPORT SYSTEM
MENTAL HEALTH
Thank you for
listening!