Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association
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Review Case Reports
Subarachnoid haemorrhage: case study and literature review.
More younger people are affected by subarachnoid haemorrhage (SAH) than by any other form of stroke, and fatality rates are high (van Gijn et al 2007). Classic signs and symptoms include sudden onset of 'thunderclap' headache but patients can present with atypical symptoms such as neck stiffness. For patients who survive SAH, the psychosocial consequences can be devastating and can affect their families or carers. This article describes the management of one patient who attended an emergency department with atypical symptoms of SAH, and discusses the incidence of, investigations into, and treatment for SAH.
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It has been increasingly recognised that nursing sisters and charge nurses have a crucial role to play in the care of patients. Many of them believe, however, that they are not granted the appropriate authority to fulfil their roles adequately; some of them also claim that they are not paid enough. This article reports on the Nursing Standard Power to Care campaign, which is intended to improve the status of such staff. It also presents a case study of two nominees for last year's Nursing Standard awards in the ward sister and charge nurse role category, and their views on what staff in their position need to succeed in their role.