Geronic Nursing Care for Elderly Parents with Acute Subdural Hematoma
DOI:
https://doi.org/10.37287/picnhs.v7i1.1695Keywords:
acute subdural haematoma, gerontic nursing, nasopharyngeal airway, older adultsAbstract
The aging process contributes to a decline in physiological function due to degenerative changes, increasing the vulnerability of older adults to neurological disorders, such as acute subdural hematoma (ASDH). This neurological emergency condition carries a high risk of mortality and morbidity in the elderly population. This case study aims to describe the implementation of gerontological nursing care in an older adult with a medical diagnosis of acute subdural hematoma accompanied by decreased level of consciousness, through the intervention of Nasopharyngeal Airway (NPA) insertion. This study employed a descriptive design using a case study approach. Data were collected through observation, physical examination, vital sign monitoring, and review of medical records. The initial assessment revealed posterior tongue displacement, which increased the risk of aspiration and airway obstruction. The results of nursing care showed that after NPA insertion, the patient’s airway patency was optimally maintained. Although the patient’s Glasgow Coma Scale (GCS) score remained at the baseline value, the NPA intervention was effective in preventing deterioration of respiratory status, as indicated by oxygen saturation (SpO₂) and respiratory rate remaining within normal limits. In conclusion, this case study demonstrates that comprehensive gerontological nursing care plays a crucial role in improving patient safety and the quality of care in older adults with acute neurological problems.
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