Question
Describe the nursing management of neurological and neurosurgical disorders.
Answer :
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Nursing management of neurological and neurosurgical disorders focuses on maintaining cerebral perfusion, preventing complications, promoting functional recovery, and providing holistic care. A thorough neurological assessment is the priority, including monitoring level of consciousness using the Glasgow Coma Scale, pupillary response, motor and sensory function, and vital signs. Early identification of raised intracranial pressure is essential; nurses observe for headache, vomiting, altered consciousness, unequal pupils, and Cushing’s triad. The head of the bed is elevated to 30 degrees, neck alignment is maintained, and activities that increase intracranial pressure such as excessive suctioning or straining are avoided.
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