Denizli Servergazi Public Hospital, Turkey
Bilgin Savran graduated from Denizli Anatolian Vocational School of Health in 2014. She started Nursing Department of Pamukkale University in the same year and she is still studying there. She has been working as the Nurse at 3rd level Intensive Care Unit of Denizli Servergazi Public Hospital since 2015. She made an official patent application to the Turkish patent Institution with “Portable Compact Blood Glucose Meter” in 2018.
Hemorrhagic cerebra vascular case is a vascular disorder resulting from a vascular incident with no traumatic reason and damaging central nervous system. The glaskow coma scale of the 84 year old male patient admitted to the emergency department with complaints of not being able to wake up was low (GCS=232) and he was found to have left hemiparesis and dementia picture. In tomographic scan of the head, it was seen that there was edema in the right frontal lobe and intracerebral hemorrhage focus, sporadic hemorrhage in subarachnoid space and increase in density. In the CT taken four days later, it was observed that the hemorrhagic focuses increased and thus, operation was planned, however, since his family did not give their consent, he was not undergone an operation. Upon physical examination of the patient in the intensive care unit (GCS = 231), it was found that he had light reflexes and pupils were found to be anisocoric and dyspnea and arrhythmia was also present. Total parenteral nutrition was provided; osmotic diuretic and prophylactic antibiotics were administered as the drug. The patient was set a semi-fowler position with head 30 degree and given oxygen at 4-6 lt./min. The patient's consciousness, pupil, and blood sugar were followed. He was further given decubitus, body and oral care. On the 10th day of the intensive care period, mechanical ventilation was performed after hypoventilation and on the 12th day, cardiopulmonary arrest developed and he became ex. In the nursing process of the case; nursing diagnosis such as impaired breathing pattern, impaired memory, deterioration in thinking processes, deterioration in the definition of cognitive identity, malnutrition, activity intolerance, disruption of skin integrity, impaired sensory perception, ineffective thermoregulation, deterioration in physical mobility, impaired oral mucosal membrane, risk of reduction in cardiac tissue perfusion, risk of aspiration risk of infection, risk of fluid-volume imbalance, electrolyte imbalance and risk of falling can be specified.
Key Words: Cerebra vascular case, dementia, nursing care