Glasgow Coma Scale

The ABCDE framework (Resuscitation Council 2005) is an acronym that is used for assessment and treatment for critically ill patients. It is a framework that is widely recognised and when used correctly can form the basis for a rapid, yet systematic and therefore thorough initial assessment (Jevon 2010; Page and McKinney 2012). It also assists in determining the seriousness of the condition and helps to prioritise the interventions needed (Page and McKinney 2012; Thim et al. 2012). It is…

was determined to establish accurate testing measures. The client achieved the following scores: T.O. received a Raw Score of 81, equating to a standard score of 56. This score falls within the .2% percentile, with a stanine of 1, and a Growth Scale Value of 128. These values equate to an age equivalency of 5:0 and a description of an extremely low score. The basal was established at age 6 with the ceiling being established at age 10. In total, T.O made 27 errors during the assessment out…

How does TBI relate to Mental Illnesses? If we ask any person with a permanent disability how they became incapacitated, the answer that we will likely receive is traumatic brain injury (TBI). As a frequent volunteer at a hospital’s rehabilitation center, I often notice that many patients receive rehabilitation services to improve their function and quality of life have suffered head trauma. As an avid rugby fan, I realize that in contact sports, athletes often suffer from head injuries and can…

In relation to my Nursing 495learning plan, my identified goal was to increase my independence and enhance my critical thinking so that I will be able to make sound clinical judgments. This goal was developed before the start of the clinical and influenced my decision to complete a practicum on a medicine unit because I wanted to build a strong foundation for my nursing practice. This topic, therefore, influenced my transition from student to beginning graduate nurse by enhancing my ability to…

This case study was performed remembering the ultimate objective to support and appreciate the unmistakable characteristics of CVA and its signs and symptoms. The focus of this case study will be on hemorrhagic strokes. A cerebrovascular accident (CVA) or stroke is caused by an acute lack of blood supply to part of the cerebrum. There are two major types of stroke: ischemic, in which a blockage (a blood clot) diminishes or ends blood stream, and hemorrhagic, in which bleeding in the brain…

(CDC HOME, 2011)In rehabilitation Taylor will go through many types of assessment to find out his abilities and weakness so they can prepare plan to help him to get back to normal life as much as possible. Glasgow coma scale (GSC) it’s based on score based system which we used to check the conscious level of the patient following a brain injury. (Brain line) General neurological assessment:…

a mold hypothermic state. (Nielsen, 2009, p. 926-934) Methods. This study was conducted on individual who had experience cardiac arrest and a return of spontaneous circulation who were admitted to an intensive care unit in an unconscious state (Glasgow coma score of less than…

tib/fib fracture During my rapid assessment I noticed a lot of bruising on the torso, indicating blunt trauma to the chest and abdomen by the steering wheel. Steering wheel was still positioned on the chest. Patient presented with a “U” on the “AVPU” scale. Left lower leg entrapped and entangled at the pedals, it also appeared that the patient sustained an open tib/fib fracture on the left leg. My management of this patient included: • Administration of oxygen via a 100% non-rebreather mask to…

Case Study: Nursing Management of a patient with Stroke Introduction This essay will consider the case of John, a stroke patient. Biological as well as psycho-social aspects of his condition will be presented and the impact on his health condition; He is an active smoker and occasionally drinking over the weekend (2 bottles of wine), recently retired and used to work as a lorry driver for Ford. He lives alone, independently. His wife died 2 years ago and his only daughter lives nearby. He is…

Prevention of Inpatient Falls Patient falls remain the most common adverse event in acute care facilities, with 2%-15% of hospitalized patients reported to fall at least once. Falls can lead to pain, loss of function, fear of further falls and even death (Tanaka, Sakuma, Ohtani, Toshiro, Matsumura, & Morimoto, 2012). An increased focus is being placed on inpatient falls because of morbidity, mortality, increased cost of care, and lack of reimbursement (Cumbler, Simpson, Rosenthal, & Likosky,…