Traumatic brain injury

Emerald Green 30-year-old female was admitted for Traumatic brain injury you’re falling off of her four-wheeler. She has a history of borderline hypertension, Polynephritis, bipolar type 1, diabetes type 2. She is alert to person only. She cannot Express words but understands when you talk to her. She has weakness on the left side upper and lower extremities. She says her pain is 3 /10 and it’s in her head as a headache. She’s taking oxycodone 20 mg 4 hours pro re nata (PRN). She has a 5-year-old child and a 7-year-old child. Her husband works over the road and does not visit her often. Her and her mother have a good relationship. Her mother visits every day brings the children to see her. She is a two assist with a walker and only can ambulate 5 ft. The last lab values were white blood cells elevated, red blood cells normal, lipid panel normal, urinalysis showed 2+ white blood cells, specific gravity 0.145. She needs assistance with dressing, bathing, and grooming. Vital signs T 101.1 B/P 128/ 80 P 88 RR 20 O2 saturation 98% on rheumatoid arthritis. Patient currently on thicken liquids and has healing trach incision on neck. Trach was removed 3 days ago. Patience is a Seventh Day Adventist. Her mother practices as a Jehovah witness and it’s very upset with the staff when they gave her a blood transfusion when she was admitted her trauma. She has threatened the staff that she wants to sue the hospital for going against her and her daughter’s religious practices.

Read scenario above and answer the following questions:

1. What are some things that you would implement when caring for this traumatic patient? What would you evaluate after your implementations have been made?

2. How would you respond to the mother and take care of the situation? After reviewing vital signs, assessment & findings, and labs, what can you conclude?

3.What are some nutritional and cultural implementations would you want to do for this patient? What would your narrative document look like?