This week i have had an interesting case - a 69 year old male who was admitted to hospital due to an unwitnessed fall resulting in facial and head fractures, a head injury and rib fractures. His GSC was 3/15 - identifying a serious head injury! 3 is also the total minimum score
He presents with the following symptoms of a head injury:
-sensitivity to light/sound
-poor orientation (person and time)
-lack of understanding of reasoning for being in hospital
-impaired short term memory
-saying bizarre things e.g. "the particular month is"
I have commenced the PTA with this patient
Day 1 4/7
Day 2 5/12
From reading though my teck notes on PTA severity and if the patient stays in PTA for longer than 7 days this can be further classified as very severe head injury. Its sad to say but the longer the length of PTA the worser the outcomes...
After discussing my observations with my supervisor - we were able to determine that the patient was able to communicate basic "needs" e.g. thirst
It would be interesting to know if there has been any personality changes and get some information about pre-accident functioning so i can hand over to the rehab team
I have decided to do some reading about head injuries
McWilliams, S. (1996). Head injury. In Turner, A., Foster, M., & JOhnson, S. E. (Eds.), Occupational therapy and physical dysfunction/. Principles, skills and practice (pp 463-469). New York: Churchill Livingstone.