Presentation on theme: "BROOKLYN 3 STUDENTS Anna JACQUES Natasha COVIC Fri 30 th Aug 2013 Session 2 / Talk 4 11:10 – 11:25 ABSTRACT At Auckland City Hospital in 2004, 200 traumatic."— Presentation transcript:
BROOKLYN 3 STUDENTS Anna JACQUES Natasha COVIC Fri 30 th Aug 2013 Session 2 / Talk 4 11:10 – 11:25 ABSTRACT At Auckland City Hospital in 2004, 200 traumatic brain injury cases presented in the hospital, 83% of these patients survived due to effective treatment (Kejriwal & Civil, 2009). Traumatic Brain Injury (TBI) is a common psychopathology encountered in the radiographic clinical setting. The severity of the TBI varies between patients and the severity is indicated by the Glasgow Coma scale (GCS) (Rotheray, et al., 2011). Those with more severe TBl's commonly present in the resuscitation room in the emergency department with a GCS of less than eight (Office of Communications and Public Liaison, 2012). Although the scale is able to provide objective information about their responses, the nature of the condition is usually unpredictable. As radiographers, it is common to be involved in the patient's journey from their initial presentation in the emergency department through to their follow up routine x-rays at a later date. The questions to be addressed in this presentation are; how are we able to support the patient's successful recovery and how can we meet the patient's needs in the x-ray department? These questions will be explored through the humanistic psychological theory of Maslow's hierarchy of needs (1954). In this twelve-minute presentation, each of the needs, defined by Maslow including; physiological, psychological and self-actualization needs, will be investigated and related back to management of the patient in the radiology department. Although we may have a small overall influence on a patient's recovery, optimizing physiological and psychological support in this environment may aid in the patient reaching Maslow's stage of self-actualization.
What is a psychopathology? “A study of mental disorders; another name for abnormal psychology” (Colman, 2001, pg. 601)
Traumatic Brain Injury (TBI) Trauma: “injury that results when energy is transferred from the environment to human tissue” (Emergency Nurse Association, 2005, pg. 599) Mechanisms: -Open Head injury -Closed Head injury -Deceleration injury (Traumatic Brain Injury, n.d)
Glasgow Coma Scale (GCS) A scale that determines the neurological level of consciousness of a person through evaluation of motor, visual and verbal response. Each category is rated out of 5 – Fully conscious person = 15 – Brain dead = 3 (Traumatic Brain Injury, n.d)
TBI Mild GCS 13-15 Symptoms: Headache Confusion Light headedness Ears ringing (Office of Communications and Public Liaison, 2012) Moderate GCS 8-13 & Severe GCS <8 No conscious response Worsening headache Vomiting and Nausea Convulsions/ seizures Slurred speech Loss of co-ordination (Office of Communications and Public Liaison, 2012)
Fundamental Needs Safety needs: Nature of the Condition -Disorders of Memory -Disorders of Attention -Disorders of Language (Granacher, 2003) Treatment - Reassurance - Acceptance of loved ones Management in Radiography Department -Regular CXR -Encouragement and acceptance -Keeping the patients dignity in tact -Be aware of aggression and uncooperativeness
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