Promoting recovery is necessary in the event of brain injury through intracranial pathophysiological changes progression but a brain death procedure should be done in case of refractory injury and a final brain stem herniation. Te final stage in refractory brain injury as a result of trauma, hmorrhage, ichemia or infarction, itracranial tumors and infections such as meningitis or encephalitis is terminal brain stem herniation. A the injury progresses and neurological function declines mostly due to non survivable traumatic injury of the brain serious brain hemorrhage could rostral or caudal path with matching results at the end.
Ptients who have progressed brain edema and high intracranial pressure tend to have their cerebral cortex compressed against the inside surface of the skull. Tis leads to compromised micro vascular blood flow in higher centers of the brain and eventually dysfunction as can be seen by the progressive loss of consciousness. I the injury progresses further, i could result to pathological posturing and seizure activity (Savel & Munro, 2012). Bain stem distortion leads to a hypersensitive state as a reflex with an aim of maintaining brain perfusion.
Fnal brain stem herniation leads to a total loss of sympathetic control. Ealuating changes in major signs after brain dysfunction can be included in the brain’s neurological assessment as there is a link between vital signs and brain stem herniation severity. Dtermining brain death is mainly is founded on clinical findings which affect the nursing professional directly clinical neurological examination included, ppillary examination, a well as brain stem and apnea testing. .Less brain stem function, wrrying findings on neurological examinations recognition brain damage calls for optimal care.
Nrses have the responsibility of quickly identifying progressive injury and terminal brain stem herniation and as such should provide aggressive care to minimize the numbers of silent brain deaths (Arbour, 2013). Hwever, te nurses may miss opportunities to intervene during the progression of the injury, rcognizing the injury managing and declaring brain death. I the nurses could quickly recognize such problems, dnor recognition could be improved; i could also lead to optimizing utilization of resources in the intensive care. ..
Please type your essay title, choose your document type, enter your email and we send you essay samples