Need help with care plan: Unresponsive patient

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Hey everyone. I'm new here. My name's Nicole :)

I'm currently trying to do a care plan for school, and I'm confused as to what diagnoses to use.

The patient had a subdural hematoma (from a fall while he was on blood thinners), was brought in and received a craniotomy. It had been almost 2 weeks since the craniotomy, and the patient is not awake. He only responds to painful stimuli, and the response is very small. If you hold his eyelids open, he is able to follow you with his eye movements. Also, when suctioning, he does have a gag reflex. However, these are his only responsive actions.

I'm unsure as to what nursing diagnoses would take priority?

Any help would be appreciated.

Thanks so much!

These types of pt's have bad viens and I can remember all the patho, sorry. I believe it has to do with the blood not being filter in the Liver. Like running thick motor oil through your viens??? However, the best book I ever bought for ns was the Lipincott nursing manual. It goes from patho through assessment to evaluation. Basically a care plan. Hope that gets you on track :)

Specializes in Telemetry, Med-Surg.
These types of pt's have bad viens and I can remember all the patho, sorry. I believe it has to do with the blood not being filter in the Liver. Like running thick motor oil through your viens??? However, the best book I ever bought for ns was the Lipincott nursing manual. It goes from patho through assessment to evaluation. Basically a care plan. Hope that gets you on track :)

Thanks for the book suggestion. :up:I'll have to add that to my list!

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