Nursing Care: Psycho-social Support

The patient who has had an SAH is usually a young to middle aged adult in the prime of life. The event is sudden and obviously frightening to both the patient and any observers. The nurse can provide vital support by helping the patient and family with their knowledge deficit about SAH. The nurse should reinforce the primary physician and neurosurgeon's explanations about the pathophysiology of a SAH, diagnostic procedures, treatment measures, surgery, and complications. Family involvement in understanding why aneurysm precautions are important are critical measures. The nurse can provide important assistance for patient and family coping by orienting the patient frequently to time, place, and person, being alert for cues from the patient and/or family indicating areas of concern, and providing information in a simple and straightforward manner.

Even with technological advances that have improved care, most patients will have significant neurological deficits. Throughout hospitalization, the nurse will be involved in interdisciplinary patient management. The majority of patients who survive a SAH will require further rehabilitation. The nurse can assist the patient and family by providing information and resource assistance to help them in making future decisions.