Coma is the state in which a person is unconscious, does not respond to warnings, and didn’t awaken.
A coma patient who has a coma condition closed to the eyes and does not respond to the environment or sounds or pain, and is not able to communicate or move.
Basic reactions such as coughing and swallowing are low. But they can breathe alone or sometimes need to place on artificial respirators.
Causes that result in the patient entering a coma
- Severe injuries such as traffic accidents and falls from high.
- Cerebral vascular accidents (stroke)
- Alcoholic poisoning
- Infections affecting the brain and nervous system.
- Decreased or very high blood sugar in patients with diabetes.
How to care for a coma patient
The level of consciousness is assessed using a scale called the Glasgow Scale, which consists of three tests: eye opening, verbal response, and motor response. Each test is performed on its own and the result of the examination is collected between 3-15. The patient is in a deep coma, 15 means that the person is fully awake, but most people are coma and the total score is eight or less, which means that the chances of recovery are lower.
Patient care for coma includes :
Nutrition secured where the daily need of calories and essentials such as proteins, carbohydrates and fatty substances secured.
A coma patient is often fed by the gastric nose, an embryo containing holes at the end of the nose, which delivered to the stomach through the nasal cavity and preferably confirmed by the radiator, fearing that it will reach the lung instead. It is preferable to change the location of the tube every two weeks, such as changing the nose nozzle through which the tube is inserted.
The patient gave food and nutrients in liquid form to maintain his daily need.
Prevent infections and infections:
- Frequent and periodic flipping of the patient to prevent the occurrence of ulcers caused by compression due to prolonged recovery.
- Exercise joints and move them repeatedly to prevent stiffness.
Visit the coma patient:
People who have a coma patient advised to do the following when visiting:
- Self-identification upon arrival
- Talk to the patient permanently or talk to each other about his presence and talk about everyday things and events that the patient knows. Because the experience of coma varies from person to person, as some can feel around them and can remember some of what happened with them, others do not remember.
- Expressing the love and positive feelings of the patient, such as sitting near him and hugging him or holding his hand or tapping on his hands.
- Some of the music you like run by the patient and put some flowers in the room or spray his favorite perfume.
Studies have shown that such audio, visual and tactile improvements can help a coma patient recover.
The coma develops into recovery and healing or can settle on the following conditions:
- Plant status: where the person is awake but does not show any signs of awareness of his surroundings.
- Minimum awareness: A person has limited awareness, who moves his finger when asked to do so, or blinks at Approval of something specific. This awareness can continue or disappear.
finally,The coma sometimes completely cured and can suffer from severe disabilities for damage to their nervous system and brain caused by illness or accident that led to coma.
Recovery and recovery depends heavily on the severity of the injury and its location in the brain, as well as the factor causing the injury, and can’t predict accurately how and how much recovery and how much time it will take.