Question 1
According to Bickerstaff (2010), a concussion is a brain injury experienced during a traumatic event and which alters normal brain function. Although effects are temporary, early or late symptoms include headaches, memory and attention impairment, loss of balance and coordination, and an overall alteration of an individual’s mental status. This condition is usually associated with blows to the head, although it can also occur if one’s upper body and head are shaken violently. This aspect can be related to Randy’s situation, who was involved in a motor vehicle accident. In regards to treatment, rest is mostly suggested by health practitioners. This allows the brain to recover from the traumatic event, hence regaining normal brain activity. However, some pain relievers may be recommended for those with headaches.
Question 2
Since concussions are related to a disruption in the brain’s activity, neurological testing is often recommended. This involves the use of tests such as cognitive testing, which evaluates factors such as one’s concentration and memory. A neurologic assessment tool available at my current practice setting is a computerized Cranial Tomography (CT) Scan. This tool is considered as the standard test for brain assessments following injury. In Randy’s case, a CT scan can be adopted to assess whether his car accident may have caused any brain injury.
Question 3
Jarvis (2016), explains that an individual can be affected by Post Traumatic Stress Disorder (PTSD) in instances where they have been exposed to situations involving either real or threat of death, such as major accidents or military combats.
DeAngelis (2008) explains that the current best practices involve the consideration of advances in technology, which have been witnessed in PTSD treatment. In this case, medications and the adoption of virtual-reality simulations have improved the effectiveness of treatment.
Question 4
Various nursing interventions can be proposed for Randy’s situation. In this case, nurses should work towards building a good rapport with Randy. This is because it creates an environment of trust, hence allowing the patient share information freely without fear of judgment or condemnation, hence leading to improved patient experience and outcome. Also, the nurse assigned to Randy should also work towards desensitizing past events of his experience in the Iraqi war. This helps create a positive element that Randy can develop with time, an effective tool to tackle PTSD.
References
Bickerstaff, L. (2010). Frequently asked questions about concussions. New York: Rosen Publishers.
DeAngelis, T. (2008). PTSD treatments grow in evidence and effectiveness. American Psychological Association. Retrieved from https://www.apa.org/monitor/jan08/ptsd.aspx
Jarvis, C. (2016). Physical examination & health assessment (7th Ed.). Philadelphia, PA: Saunders.
