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401173

Brain Death: A Comprehensive Overview of Nursing Interventions-An Updated Review

Article

Last updated: 20 Jan 2025

Subjects

-

Tags

Biochemistry

Abstract

Background: Brain death, defined as the irreversible cessation of all brain functions, represents a critical point in medical and legal decision-making. Advances in life-support technologies have necessitated uniform guidelines, such as those from the American Academy of Neurology (AAN), to standardize diagnostic protocols.
Aim: This review aims to provide an updated synthesis of nursing interventions, diagnostic criteria, and management strategies for brain-dead patients, emphasizing evidence-based practices and compassionate care.
Methods: The article examines current protocols for assessing brain death, including apnea testing, brainstem reflex evaluation, and ancillary diagnostic tools. It also reviews nursing diagnoses, risk factors, medical and nursing management, and interdisciplinary care coordination.
Results: Key findings highlight that brain death arises from intracranial or extracranial causes such as traumatic brain injuries and cardiopulmonary arrest. Accurate diagnosis requires excluding reversible conditions and ensuring comprehensive clinical assessments. Nursing interventions include physiological monitoring, prevention of complications, and family counseling. A structured checklist for diagnosis and organ donation readiness enhances procedural accuracy.
Conclusion: Brain death presents profound medical, ethical, and emotional challenges. Multidisciplinary collaboration, stringent adherence to diagnostic criteria, and empathetic family communication are pivotal. Nurses play a vital role in managing the physiological and emotional aspects of care, bridging clinical processes with patient dignity and family needs

DOI

10.21608/ejchem.2024.344321.10979

Keywords

brain death, Nursing interventions, diagnostic criteria, Organ Donation, multidisciplinary care, Clinical Guidelines

Authors

First Name

Fatma Hussein

Last Name

Najmi

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

fnajmi@moh.gov.sa

City

-

Orcid

-

First Name

Mona Ali Mohammed

Last Name

Otayf

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

mootayf@moh.gov.sa

City

-

Orcid

-

First Name

Sabah Ali Abdowllah

Last Name

Harby

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

sharby@moh.gov.sa

City

-

Orcid

-

First Name

Ethar Mousa Hamad

Last Name

Mousa

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

emmousa@moh.gov.sa

City

-

Orcid

-

First Name

Amani Ahmed

Last Name

Abusharha

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

aaboshrha@moh.gov.sa

City

-

Orcid

-

First Name

Zamzam Monawer Haider

Last Name

Alshaikh

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

zalshik@moh.gov.sa

City

-

Orcid

-

First Name

Noha Abdualrahman

Last Name

Babgi

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

nbabgi@moh.gov.sa

City

-

Orcid

-

First Name

Ashgan Mohammad Ahmed

Last Name

Zeela

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

azeela@moh.gov.sa

City

-

Orcid

-

First Name

Saba Monawer Haider

Last Name

Alshaikh

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

smalshaik@moh.gov.sa

City

-

Orcid

-

First Name

Sahar Abdallah Ibrahim

Last Name

Hozimi

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

shuzami@moh.gov.sa

City

-

Orcid

-

First Name

Amani Mohd

Last Name

Mokhadri

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

amohhadry@moh.gov.sa

City

-

Orcid

-

First Name

Wafa Atifah Maber

Last Name

Faraj

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

wafaraj@moh.gov.sa

City

-

Orcid

-

First Name

Ghusun Abdulla

Last Name

Hozimi

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

ghusunhozimi@gmail.com

City

-

Orcid

-

First Name

Safaa Abdullah

Last Name

Abdo Khafi

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

skhafi@moh.gov.sa

City

-

Orcid

-

First Name

Ashjan Hussein Nasser

Last Name

Almodir

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

ahalmoder@moh.gov.sa

City

-

Orcid

-

First Name

Nawal Mabruk Hasib

Last Name

Farhan

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

nmfarhan@moh.gov.sa

City

-

Orcid

-

First Name

Suzan Nasser Ahmed

Last Name

Mahdi

MiddleName

-

Affiliation

Nursing, Ministry of Health, Saudi Arabia

Email

suzan4224@gmail.com

City

-

Orcid

-

First Name

Eman Ali Mosa

Last Name

Bethey

MiddleName

-

Affiliation

Nursing Damad General Hospital, Ministry of Health, Saudi Arabia

Email

ebethy@moh.gov.sa

City

-

Orcid

-

Volume

67

Article Issue

13

Related Issue

46555

Issue Date

2024-12-01

Receive Date

2024-12-14

Publish Date

2024-12-01

Page Start

1,781

Page End

1,785

Print ISSN

0449-2285

Online ISSN

2357-0245

Link

https://ejchem.journals.ekb.eg/article_401173.html

Detail API

http://journals.ekb.eg?_action=service&article_code=401173

Order

401,173

Type

Review Articles

Type Code

444

Publication Type

Journal

Publication Title

Egyptian Journal of Chemistry

Publication Link

https://ejchem.journals.ekb.eg/

MainTitle

Brain Death: A Comprehensive Overview of Nursing Interventions-An Updated Review

Details

Type

Article

Created At

13 Jan 2025