Professional Documents
Culture Documents
Traumatic
Brain Injury
Submitted by:
Bangcoyo, Venne Jack
Bronola, Maricar
Dalumpines, Macey
Elatico, Ma. Gorgie
Loon, Sheila Mae
Machete, May-Ann
Monteroso, Sheila
Ostia, Divine Grace
Pantas, Mikee
Sanchez,Lovely Ceria
Silvano, Arfe
Medical Diagnosis :
Traumatic Brain Injury
Psychiatric Diagnosis :
To be considered Neurocognitive Disorder due to Traumatic Brain Injury
with Behavioural Disturbances
Traumatic Brain Injury from alleged MVC
TBI is generally the result of a sudden, violent blow or jolt to the head. The brain
is launched into a collision course with the inside of the skull, resulting in possible
bruising of the brain, tearing of nerve fibers and bleeding.
TBI severity varies enormously depending on which part of the brain is affected,
whether it occurred in a specific location or over a widespread area, as well as
the extent of the damage.
Epidemiology
TBI is a leading cause of death and disability around the globe and presents a
major worldwide social, economic, and health problem. It is the number one
cause of coma. It plays the leading role in disability due to trauma, and is the
leading cause of brain damage in children and young adults .
Findings on the frequency of each level of severity vary based on the definitions
and methods used in studies. A World Health Organization study estimated that
between 70 and 90% of head injuries that receive treatment are mild, and a US
study found that moderate and severe injuries each account for 10% of TBIs,
with the rest mild.
NURSING ASSESMENT
Patients Profile
Name: Gonzaga, Gerardo Age: 61 years old Sex: Male
Occupation: Carpenter Civil Status: Married Religion: Roman Catholic
Address: Brgy. Hibucawan, Jaro, Leyte Nationality: Filipino
No. of Children: 4 Work of Wife: Housewife
Date of Admission: February 13, 2017 Time of admission: 7:00 PM
Admitting Physician: Dr. Jay Stephen Cantay
Admitting Diagnosis: Traumatic Brain Injury from altered MVA
Source of Data: Patient and wife
HEALTH HISTORY
PRESENT HEALTH HISTORY
He was going home from work when another motorcycle bumped on his near
side. That one vehicle came into contact with another. According to the patient, his head
bumped into the road cement.
He was immediately brought in to Jaro Municipal Health Office and was referred
to Eastern Visayas Regional Medical Center for further evaluation at 7:00 PM last
February 13, 2017 and was examined by Dr. Jay Stephen Cantay, hence admission.
PAST MEDICAL HISTORY
Patient claimed that he was hospitalized at Carigara District Hospital due to
hypertension last December 2016. Before admission, he added that he was already
been prescribed with Metropolol and took it once a day. He confirmed that no other
hospitalization was experienced other than that.
FAMILY HEALTH HISTORY
Patient claimed of heredo-familial disease of asthma on his maternal side and
hypertension on his paternal side. No other known heredo-familial disease noted.