Preoperative nursing care for a patient with cerebral artery aneurysm rupture
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Preoperative Nursing Care for a Patient with Cerebral Artery Aneurysm Rupture. Ljubov Kinner North Estonian Medical Centre Foundation, Estonia Mentor: Eha Hõrrak, MA Tallinn Health Care College, Estonia.

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Preoperative nursing care for a patient with cerebral artery aneurysm rupture

Preoperative Nursing Care for a Patient with Cerebral Artery Aneurysm Rupture

Ljubov Kinner

North Estonian Medical Centre Foundation,

Estonia

Mentor: Eha Hõrrak, MA

Tallinn Health Care College, Estonia



Statistics
Statistics preoperative nursing care for a patient with cerebral artery aneurysm rupture.

  • The cause of subarachnoid haemorrhage is a rupture of an intracranial aneurysm in 75-80% of the cases.

  • Spontaneous subarachnoid haemorrhage causes immediate death in about 12-15% of the cases (Hedlund et al. 2007: 404).

  • The incidence of aneurysmal rupture is more common in women than in men by a ratio of 3:2 and increases with aging (Yamamoto et al. 2005:174).


Statistics1
Statistics preoperative nursing care for a patient with cerebral artery aneurysm rupture.

  • In the North Estonian Medical Centre Foundation in neurosurgery unit 60 subarachnoid haemorrhage cases and 5 unruptured aneurysm cases were recorded in 2008.

  • In 2009, 65 subarachnoid haemorrhage cases and 11 unruptured aneurysm cases were recorded.


An intracranial aneurysm preoperative nursing care for a patient with cerebral artery aneurysm rupture. is defined as abnormal saccular outpouching or dilatation of intracranial artery.

If the aneurysm bleeds, it is classified as a ruptured intracranial aneurysm, also known as a subarachnoid haemorrhage.


Nursing problems of a preoperative patient with ruptured cerebral artery aneurysm
Nursing problems of a preoperative patient with ruptured cerebral artery aneurysm

  • headaches, low back pain, stiff neck, nausea, vomiting, cloudiness of consciousness, photophobia, seizures which can cause injury, numbness or decreased sensitivity of the body parts, speech disorder;

  • self care deficit and constipation due to limitations of the physical activity;

  • worry.


Preoperative nursing care 1
Preoperative nursing care cerebral artery aneurysm (1)

  • providing a peaceful and secure environment,

  • providing information and its related risk factors and the nature of the cerebral artery aneurysm to patient and his/her relatives;

  • teaching and motivating apreoperative patient;

  • prevention of constipation and arterial blood pressure increase;


Preoperative nursing care 2
Preoperative nursing care cerebral artery aneurysm (2)

Endovascular therapy

  • monitoring of arterial blood pressure level, consciousness, body temperature maintenance, physical activity limitations, diet performance;

  • clarification of preoperative nursing principles and information about the operation nature, the possible surgery risks and the possible patient appearance changes.

Surgical clipping


Experience
Experience cerebral artery aneurysm

  • Based on the author´s own experience, it can be said that many pateints with cerebral aneurysm rupture have problems in memory abilities and perceptual speed.


Experience1
Experience cerebral artery aneurysm

  • To reduce anxiety, the information should be repeated to the patient several times.

  • It is an advantage if relatives and patients receive information concurrently, especially about the illness (Vogelsang et al. 2004: 557).

  • An important finding is that patients with cerebral aneurysm rupture have high level of anxiety.

  • Anxiety elevates the blood pressure, which increases the risk for bleeding (Smeltzer et al. 2008: 2228).


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