Care of Unconscious Patient
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Questions and Answers

How can unconsciousness be defined?

  • A state of hyperactivity
  • A state of partial consciousness
  • A state of awareness
  • A state of complete unconsciousness (correct)
  • Which of the following are common causes of unconsciousness? (Select all that apply)

  • Diabetic Hypoglycemic Attacks (correct)
  • Alcoholism (correct)
  • Dehydration
  • Stroke (correct)
  • What is the term for a state of partial consciousness?

    Stupor

    Coma Vigil is a state where the patient's eyes are wide open.

    <p>True</p> Signup and view all the answers

    What is the purpose of Glasgow Coma Scale?

    <p>to assess patients in coma</p> Signup and view all the answers

    According to Virginia Henderson, how does she define a nurse?

    <p>temporarily the consciousness of the unconscious, the love of life for the suicidal, the leg of the amputee, the eyes of the newly blind, a means of locomotion for the infant, knowledge and confidence for the young mother, the 'mouthpiece' for those too weak or withdrawn to speak</p> Signup and view all the answers

    What are common causes of unconsciousness?

    <p>All of the above</p> Signup and view all the answers

    Coma is a state of complete consciousness.

    <p>False</p> Signup and view all the answers

    What is the state of partial consciousness where the patient is not capable of answering simple questions?

    <p>Stupor</p> Signup and view all the answers

    Match the following care requirements to the unconscious patient:

    <p>Bath trolley = Assisting with hygiene and care tasks Mouth care tray = Ensuring oral hygiene Oxygen cylinder with its apparatus = Providing respiratory support Sphygmomanometer and stethoscope = Monitoring vital signs</p> Signup and view all the answers

    Study Notes

    Care of an Unconscious Patient

    • An unconscious patient is defined as a state of unawareness, requiring the nurse to organize activities to meet the patient's needs.

    Common Causes of Unconsciousness

    • Diabetic hypoglycemic attacks
    • Grand mal seizures
    • Alcoholism
    • Electrical burns
    • Stroke (heatstroke, CVA, etc.)
    • Intra-cranial embolism (head injury)
    • Poisoning (food, lead, chemical, etc.)
    • Shock (hemorrhagic, anaphylactic, traumatic, etc.)
    • Febrile convulsions
    • Allergies (drugs, insect bites, etc.)

    Types of Unconsciousness

    • Stupor: a state of partial consciousness, where the patient responds to painful stimuli but cannot answer simple questions.
    • Coma: a state of complete unconsciousness, where all reflexes are absent, and the patient does not respond to any stimuli.
    • Coma vigil: a state of complete unconsciousness, where the patient's eyes are wide open, indicating extreme exhaustion.

    Requirements for Care

    • Bath trolley
    • Mouth care tray
    • Diagnostic sets
    • TPR tray
    • Injection tray
    • Oxygen cylinder with apparatus
    • Sphygmomanometer and stethoscope
    • Naso-gastric tube feeding tray
    • Suction apparatus

    Nursing Care

    • Psychological support: establish a good rapport with the patient and relatives, explain procedures, reassure and treat with respect and dignity.
    • Maintenance of airway: establish a patent airway, suction if necessary, and administer oxygen when necessary.
    • Position and rest: place the patient in the lateral or semi-prone position, change position every 2 hours, and use sandbags to prevent foot drop.
    • Observation: check temperature, BP, and Glasgow Coma Scale (GCS) regularly, record intake and output, and observe for twitching.
    • Personal hygiene: give bed baths, keep patient warm, give mouth care, and treat pressure areas.
    • Nutrition: provide intravenous feeds or infusions, naso-gastric tube feeding, and oral feeds when swallowing reflex returns.
    • Elimination: catheterize the patient, change soiled linen, and record accurate intake and output.
    • Administration of medication: give prescribed drugs as ordered and observe for desired and side effects.
    • Prevention of injury: raise side rails, pad them to prevent injury, and assist with physiotherapy exercises.

    Last Offices (Care of the Dead)

    • Purpose: maintain dignity, prevent infection, and ensure legal and cultural considerations.
    • Requirements: listed on a trolley, including bowl, soap, comb, nail brush, and scissors.
    • Procedure: screen the bed, contact nurse in charge, note the time vital signs ceased, remove appliances, straighten limbs, close eyes and mouth, cover the body, and inform relatives.
    • Additional procedures: give the deceased a bed bath, clean nostrils, ears, and mouth, replace dentures, trim nails, and shave male patients.

    Conclusion

    • Nursing care involves assisting the individual in performing activities that contribute to health or recovery, or peaceful death.
    • The nurse's unique function is to provide care that promotes health, recovery, or peaceful death.

    Care of an Unconscious Patient

    • An unconscious patient is defined as a state of unawareness, requiring the nurse to organize activities to meet the patient's needs.

    Common Causes of Unconsciousness

    • Diabetic hypoglycemic attacks
    • Grand mal seizures
    • Alcoholism
    • Electrical burns
    • Stroke (heatstroke, CVA, etc.)
    • Intra-cranial embolism (head injury)
    • Poisoning (food, lead, chemical, etc.)
    • Shock (hemorrhagic, anaphylactic, traumatic, etc.)
    • Febrile convulsions
    • Allergies (drugs, insect bites, etc.)

    Types of Unconsciousness

    • Stupor: a state of partial consciousness, where the patient responds to painful stimuli but cannot answer simple questions.
    • Coma: a state of complete unconsciousness, where all reflexes are absent, and the patient does not respond to any stimuli.
    • Coma vigil: a state of complete unconsciousness, where the patient's eyes are wide open, indicating extreme exhaustion.

    Requirements for Care

    • Bath trolley
    • Mouth care tray
    • Diagnostic sets
    • TPR tray
    • Injection tray
    • Oxygen cylinder with apparatus
    • Sphygmomanometer and stethoscope
    • Naso-gastric tube feeding tray
    • Suction apparatus

    Nursing Care

    • Psychological support: establish a good rapport with the patient and relatives, explain procedures, reassure and treat with respect and dignity.
    • Maintenance of airway: establish a patent airway, suction if necessary, and administer oxygen when necessary.
    • Position and rest: place the patient in the lateral or semi-prone position, change position every 2 hours, and use sandbags to prevent foot drop.
    • Observation: check temperature, BP, and Glasgow Coma Scale (GCS) regularly, record intake and output, and observe for twitching.
    • Personal hygiene: give bed baths, keep patient warm, give mouth care, and treat pressure areas.
    • Nutrition: provide intravenous feeds or infusions, naso-gastric tube feeding, and oral feeds when swallowing reflex returns.
    • Elimination: catheterize the patient, change soiled linen, and record accurate intake and output.
    • Administration of medication: give prescribed drugs as ordered and observe for desired and side effects.
    • Prevention of injury: raise side rails, pad them to prevent injury, and assist with physiotherapy exercises.

    Last Offices (Care of the Dead)

    • Purpose: maintain dignity, prevent infection, and ensure legal and cultural considerations.
    • Requirements: listed on a trolley, including bowl, soap, comb, nail brush, and scissors.
    • Procedure: screen the bed, contact nurse in charge, note the time vital signs ceased, remove appliances, straighten limbs, close eyes and mouth, cover the body, and inform relatives.
    • Additional procedures: give the deceased a bed bath, clean nostrils, ears, and mouth, replace dentures, trim nails, and shave male patients.

    Conclusion

    • Nursing care involves assisting the individual in performing activities that contribute to health or recovery, or peaceful death.
    • The nurse's unique function is to provide care that promotes health, recovery, or peaceful death.

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