1. Basic need: A good neurosurgeon
2.Basic hope: the bleed isn't in the frontal lobes causing permanant personality change.
3. Basic need: Restraints for the post coma wake up wacky time
4. Basic need: nutrition via NGT as the person usually can't swallow for a long time
5: Basic need: airway protection if GCS is 8 or less, usually in form of an ETT and ventilator- Remember GCS 6-7-8=intubate
6: Frequent need: ICP monitoring with an art line to keep CPP (cerebral perfusion pressure 'MAP-ICP=CPP') about 70 or greater
7: Another frequent need: control hypertension if patient will rebleed.
8: Old geezers on coumadin who fall and have a hematoma swell less than kids with traumatic subdural hematomas. Kids sometimes need craniectomies (frozen skull bone for a couple months) while swelling subsides.
9: Coumadin patients get out of trouble after a load of FFP. (usually)
10.Basic need: family members to hang out and keep patient from going too crazy when waking up
11: Basic need: family members to sit tight and not make noise for three days after neurosurgery when you can't overstimulate or the ICP goes to 40.
12: Code status and donor cards are also a basic need for the SDH patient.
I don't know about nursing diagnosis as I try and keep it simple.
Good luck with the care plan