- Suction or encourage coughing cautiously as needed (suctioning and coughing
increase ICP).
- Humidification of oxygen may help loosen secretions.
- Sensory deprivation
- Periorbital edema may impair vision, announce presence to avoid startling the patient;
cool compresses over eyes and elevation of HOB may be used to reduce edema if not
contraindicated.
- Enhancing self-image
- Encourage verbalization.
- Encourage social interaction and social support.
- Attention to grooming.
- Cover head with turban and, later, a wig.
- Monitor I&O, weight, blood glucose, serum and urine electrolyte levels, and
osmolality and urine specific gravity.
- Preventing infections
- Assess incision for signs of hematoma or infection.
- Assess for potential CSF leak.
- Instruct patient to avoid coughing, sneezing, or nose blowing, which may increase the
risk of CSF leakage.
- Use strict aseptic technique.
- Patient teaching for self-care
Seizures
- Abnormal episodes of motor, sensory, autonomic, or psychic activity (or a
combination of these) resulting from a sudden, abnormal, uncontrolled electrical
discharge from cerebral neurons
- Classification of seizures Partial seizures: begin in one part of the brain
- Simple partial: consciousness remains intact
- Complex partial: impairment of consciousness
- Generalized seizures: involve the whole brain