Head Trauma Case Study In Nursing
Nursing Considerations for Mr. J.’s Visit to the E.R.
Mr. J. is an 84 year old man who was admitted to the hospital for assessment after a fall. His physical assessment indicated multiple contusions to the face and shoulder, an unkept appearance and possible malnourished state. While a CAT scan and x-ray showed no fractures or bleeding, the fact that the patient had head trauma was most alarming. Traumatic injury to the head could lead to a hemorrhagic stroke or cerebrovascular accident, could be life threatening, and would require immediate intervention from the healthcare team. In particular, a thrombus could occur up to several days after head trauma (National Institute of Neurological Disorders and Stroke [NINDS], 2013). Head trauma …show more content…
J. is 84 and is possibly unable to live on his own. He deserves the quality of care required by the American Nurses Association (ANA) Code of Ethics. Provision 1.3 of the ANA Code of Ethics (2001) states that “the worth of the person is not affected by disease, disability, functional status, or proximity to death.” In order to meet her ethical obligations, a nurse must maintain the patient’s right to dignity, his lifestyle choices, and his value system. Mr. J.’s neurovascular checks were normal and there was no suggestion that he is mentally incapable of making decisions regarding his care. The nurse should discuss with Mr. J., his opinion of his ability to live on his own while keeping in mind her role to advocate for his protection and prevention from harm (ANA, 2001). Mr. J. has “the moral and legal right to determine what will be done with their own person” (ANA, 2001, Provision …show more content…
P., Bazaldua, O. V., Pierce, B., & Espino, D. V. (2001). Common infections in older adults. American Family Physician, 63(2), 257-269. Retrieved from http://www.aafp.org/afp/2001/0115/p257.html
National Chronic Care Consortium. (2000). Case management: Methods and issues. [PDF document]. Retrieved from http://www.nccconline.org/pdf/CaseManagement.pdf
National Institute of Neurological Disorders and Stroke. (2013). Traumatic brain injury: Hope through research. Bethesda, MD. Retrieved from http://www.ninds.nih.gov/disorders/tbi/detail_tbi.htm
U. S. Department of Health and Human Services. (n.d.a). A healthcare provider’s guide to the HIPAA privacy rule: Communicating with a patient’s family, friends, or others Involved in the patient’s care. [PDF document]. Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/understanding/coveredentities/provider_ffg.pdf
U. S. Department of Health & Human Services. (n.d.b). Administration for Community Living. Retrieved March 5, 2013 from http://acl.gov/About_ACL/Index.aspx
U. S. Department of Health and Human Services. (n.d.c). Summary of the HIPAA privacy rule. [PDF document]. Retrieved from
Mr. J. is an 84 year old man who was admitted to the hospital for assessment after a fall. His physical assessment indicated multiple contusions to the face and shoulder, an unkept appearance and possible malnourished state. While a CAT scan and x-ray showed no fractures or bleeding, the fact that the patient had head trauma was most alarming. Traumatic injury to the head could lead to a hemorrhagic stroke or cerebrovascular accident, could be life threatening, and would require immediate intervention from the healthcare team. In particular, a thrombus could occur up to several days after head trauma (National Institute of Neurological Disorders and Stroke [NINDS], 2013). Head trauma …show more content…
J. is 84 and is possibly unable to live on his own. He deserves the quality of care required by the American Nurses Association (ANA) Code of Ethics. Provision 1.3 of the ANA Code of Ethics (2001) states that “the worth of the person is not affected by disease, disability, functional status, or proximity to death.” In order to meet her ethical obligations, a nurse must maintain the patient’s right to dignity, his lifestyle choices, and his value system. Mr. J.’s neurovascular checks were normal and there was no suggestion that he is mentally incapable of making decisions regarding his care. The nurse should discuss with Mr. J., his opinion of his ability to live on his own while keeping in mind her role to advocate for his protection and prevention from harm (ANA, 2001). Mr. J. has “the moral and legal right to determine what will be done with their own person” (ANA, 2001, Provision …show more content…
P., Bazaldua, O. V., Pierce, B., & Espino, D. V. (2001). Common infections in older adults. American Family Physician, 63(2), 257-269. Retrieved from http://www.aafp.org/afp/2001/0115/p257.html
National Chronic Care Consortium. (2000). Case management: Methods and issues. [PDF document]. Retrieved from http://www.nccconline.org/pdf/CaseManagement.pdf
National Institute of Neurological Disorders and Stroke. (2013). Traumatic brain injury: Hope through research. Bethesda, MD. Retrieved from http://www.ninds.nih.gov/disorders/tbi/detail_tbi.htm
U. S. Department of Health and Human Services. (n.d.a). A healthcare provider’s guide to the HIPAA privacy rule: Communicating with a patient’s family, friends, or others Involved in the patient’s care. [PDF document]. Retrieved from http://www.hhs.gov/ocr/privacy/hipaa/understanding/coveredentities/provider_ffg.pdf
U. S. Department of Health & Human Services. (n.d.b). Administration for Community Living. Retrieved March 5, 2013 from http://acl.gov/About_ACL/Index.aspx
U. S. Department of Health and Human Services. (n.d.c). Summary of the HIPAA privacy rule. [PDF document]. Retrieved from