A case report of preoperative care of management protocol for craniotomy after digital subtraction angiography (DSA)

Abstract

Abstract Background: A brain tumor is an unnatural or abnormal mass growth of brain tissue that develops uncontrollably. Petroclival meningioma represents a serious challenge in neurosurgical cases. Surgical procedures or tumor removal via craniotomy have a significant risk of the patient's post-operative condition which will affect the patient's quality of life in the future, so holistic and comprehensive nursing care is needed. Purpose: To analyze cases of brain tumors in patients with petroclival meningioma after digital subtraction angiography (DSA) was performed in preparation for tumor removal via craniotomy. Method: Case study involving respondents through a nursing care analysis approach using the Roy adaptation model. The patient was a 51-year-old woman who underwent a digital subtraction angiography (DSA) procedure in preparation for surgical craniotomy to remove the tumor. Results: The main needs found from the nursing assessment process were sensation (chronic pain), neurological (risk of ineffective perfusion of brain tissue), activity or mobility (barriers to physical mobility), protection (risk of injury or falls), and personal. protection. concept (anxiety). Providing appropriate nursing care can help patients prepare for surgery, speed up the post-operative recovery process, and help patients adapt to post-operative conditions with the aim of shortening the treatment period and improving the quality of life of post-operative patients. Conclusion: Nursing care using the Roy adaptation model approach is quite useful in handling petroclival meningioma cases because it focuses on the patient's ability to adapt to the condition of the disease. Suggestion: Future researchers need to apply nursing care using the Roy adaptation model approach which is supported by the development of nursing interventions for petroclival meningioma patients through the application of evidence based nursing (EBN), so that it will further improve the quality of nursing services. Keywords: Roy Adaptation; Nursing care; Petroclival Meningioma; Craniotomy.