The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
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This case study describes the management of a 54-year-old male who presented to the Hospital of the University of Pennsylvania (HUP) with a traumatic brain injury (TBI) after being assaulted. He underwent an emergent bifrontal decompressive hemicraniectomy for multiple, severe frontal contusions. His postoperative course included monitoring of intracranial pressure, cerebral perfusion pressure, partial pressure of brain oxygen, brain temperature, and medical management based on HUP's established TBI algorithm. This case study explores the potential benefit of combining multimodality monitoring and TBI guidelines in the management of severe TBI.
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Stroke is estimated to occur in approximately 2.5-3.2 children per 100,000 annually. While some aspects of mothering a disabled child are currently known, there are other aspects of this experience that remain unknown. Much of the research focuses on children who are severely disabled, thus leaving a gap in what is known about the experience of mothers of mildly to moderately disabled children. ⋯ In-depth, face-to-face interviews were conducted, audiotaped, and transcribed verbatim. By using Colaizzi's method for data analysis, the following six themes emerged: (1) Mothers' Way to Know, (2) Being Blown Away, (3) Gradual Awakening to an Uncertain Future, (4) Fiercely Advocating for My Child, (5) Living in a Middle World, and (6) A Heart Filled with Joy and Sorrow. This study provided data that were used to provide a beginning description of the experience of mothering a child with hemiparesis.