On admission The chief complaints are: Weakness of left upper and lower limb since 40days Grade-III & IV pressure ulcers on the buttock from left upper quadrant to right lower quadrant of right thigh, right upper quadrant of left thigh. Unresponsiveness from since 1day The patient gives past history of frequent attacks
of headache due to heavy workload and taken medications himself without any prescription or consultation of physician for relieving pain and not at informed to the family members. Acute onset of vomittings-6-8times Severe headache for since 1day Loss of strength and power in left upper and lower limbs occurred since 40days back. Then taken treatment in Multi Speciality hospital for acute illness, there he diagnosed as hypertensive, cerebro vascular accident due to middle cerebral artery infarct and stays in 40days. Nursing interventions are maintenance of gas exchange, maintaining skin integrity, pain management, maintainance of activity level. conclusion: respiratory effort by T-oxygena tor support, wound was reddened and healing is good , tissue growth is present, comfortable, relieved pain, improved the nutritional status, improved some extent of the strength and ability in the left upper and lower limbs, GCS was improved to E4 M6 V- none-but writing the needs clearly.
Memory and thought process is good.
Key words: Case report, craniotomy, Nursing care.
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