While nurses are the primary care givers of patients in vegetative state, it comes to a point that sometimes, an intervention isn’t as effective. Baker mentioned the following to be possible issues that can affect sensory stimulation negatively. Visual and memory arousal can be achieved by placing pictures, posters in the environment, all the while making sure that it is within the patient’s range of vision. Variety is one of the keys to this stimulation. Auditory arousal through music and television should be carefully watched out. The brain has the ability to switch off to regular sounds.
Some patients might eventually get distracted in this kind of activity. Conclusions: Over the course of the years, studies have been made that speak of the efficacy of sensory stimulation as means of hastening recovery process of patients in vegetative state. By hastening of the recovery period, it means that improving chances of pulling out of the comatose state. Literature reviews proved that there are significant findings as to the relationship that exists between sensory stimulation and shortening the duration of coma.
While other factors come into play (such as age, degree of damage, part of the brain involved, etc.) in the success rate, literature reviewed undeniably shows that sensory stimulation indeed has positive impact on comatose patients, in such that it increases chances of good prognosis. While that has been established, it is also important to realize the impact of this in healthcare. Policy-makers have yet to include this in their list of interventions that must be implemented across the board. Aside from this, as being patient advocates, nurses must also take it upon themselves to have the initiative to include it in their care plan without anyone dictating it to them.
References:
Empire Blue Cross Blue Shield (2006) Sensory Stimulation for Brain-Injured Patients in Coma or Vegetative State [online] available from <http://www. empireblue. com/provider/noapplication/f2/s5/t9/pw_ad084887. pdf> [25 July 2009] Maiese M. D. , K. (2008) ‘Vegetative State’ Merck Manuals [online] available from <http://www. merck. com/mmpe/sec16/ch212/ch212b. html> [25 July 2009] Nicholson, J. (2009) ‘What is Sensory Stimulation? ’ Articlesbase [online] available from <http://www. articlesbase. com/babies-articles/what-is-sensory-stimulation-786544. html> [25 July 2009]