Nursing Management of Subarachnoid Haemorrhage: A Reflective Case Study

Subarachnoid haemorrhage is a life-threatening event that presents with a number of discrete signs and symptoms making diagnosis problematic. A delay in diagnosis signifi cantly increases morbidity and mortality and therefore places vulnerable patients at risk. Advanced nursing assessment and management is imperative to promote optimum patient outcomes and therefore decrease morbidity and mortality in acutely ill patients. In this article a case study is discussed with reference to relevant literature to explore an evidence-based approach to the nurse’s role, care and management of an acutely ill neuroscience patient with subarachnoid haemorrhage. In keeping with the refl ective case study approach, Gibbs’s refl ective cycle (1988) and case study guidelines by Aitken and Marshall (2007) are used to identify areas of effective clinical practices and identify gaps in the literature. On the basis of this evaluation, suggestions for clinical improvements are made. A refl ective cycle can identify areas where clinical practice could be improved. It is hoped that this article will help nurses critically refl ect on their own practice in the care and management of an acutely ill patient with subarachnoid haemorrhage.