Nurses Compass
Care Plan for Head Injury
Category: Injury Management
Assessment
Patient presents with headache, confusion, and signs of increased intracranial pressure.
Diagnosis
Risk for ineffective cerebral tissue perfusion related to head injury.
Goals
Patient will maintain normal intracranial pressure and be free from secondary brain injury. Patient and caregivers will verbalize understanding of head injury management and safety precautions.
Interventions
Monitor neurological status and vital signs regularly. Administer prescribed medications to manage symptoms and reduce intracranial pressure. Educate patient and caregivers on the importance of rest and avoiding activities that may worsen symptoms. Provide safety measures to prevent falls and further injury.
Rationale
These interventions help manage symptoms, prevent complications, and support patient and caregiver understanding of head injury management.
Evaluation
Patient's neurological status, intracranial pressure, and understanding of management strategies will be monitored to evaluate the effectiveness of interventions.