Chen Yu-Chieh
Kaohsiung Municipal Da-Tung Hospital, Taiwan
Title: The nursing experience in a stroke patient after lumbar surgery at surgical intensive care unit
Biography
Biography: Chen Yu-Chieh
Abstract
The purpose of this report was to present the nursing experience and case of an unexpected cerebellar hemorrhagic stroke with acute hydrocephalus patient after lumbar spine surgery. The patient had been suffering from an emergent external ventricular drainage and stayed in the Surgical Intensive Care Unit from July 8, 2016 to July 22, 2016. During the period of case, the data were collected for attendance, evaluation, observation, interview, searching medical records, etc. An integral evaluation about the patient’s physiological, psychological, social and spiritual states was also noted. The author noticed the following major nursing problems including ineffective tissue cerebral perfusion, physical activity dysfunction and family resource preparation inability. The author provided nursing care to maintain normal intracranial pressure, along with a well-therapeutic relationship and applied interdisciplinary medical/nursing team to draft an individualized and appropriate nursing plan for them to face the psychosocial impact of the patient disabilities. We also actively participated in the rehabilitation treatments to improve self-control and self-confidence. This was deemed necessary in order to empower them to a more positive attitude in the future.