Physicians may not talk to comatose patients for several reasons. Comatose patients do not seem to hear or respond. Speaking may not affect their clinical outcome; time spent with them takes time away from other, more "viable" patients.
Coma Communication: Being overly quiet is not necessarily helpful. It is usually best to speak in your normal voice so patients are sure to hear you, and so you remain as comfortable as possible. That said, follow the mood or atmosphere of the person in coma.
They won't normally respond to sound or pain, or be able to communicate or move voluntarily, and basic reflexes, such as coughing and swallowing, will be greatly reduced. They may be able to breathe on their own, although some people require a machine to help them breathe.
Some people feel they can remember events that happened around them while they were in a coma, while others don't. Some people have reported feeling enormous reassurance from the presence of a loved one when coming out of a coma.
This means that unconscious beings are not only cognitively active, but might also experience emotions—both positive and negative.
Even though those in a persistent vegetative state lose their higher brain functions, other key functions such as breathing and circulation remain relatively intact. Spontaneous movements may occur, and the eyes may open in response to external stimuli. Individuals may even occasionally grimace, cry, or laugh.
Place objects in the person's hands. Use objects with pleasant tactile sensations and different textures such as soft toys, silk scarves or books. Put a bunch of flowers in the person's room or spray their favourite perfume.
It can be seen that the likelihood of a good recovery in all patients is only 10%. It is less than 5% in those who have suffered subarachnoid haemorrhage or stroke, about 10% in those with hypoxic–ischaemic injury, but as high as 25% in those metabolic or infective causes of coma.
Severe brain injury is usually defined as being a condition where the patient has been in an unconscious state for 6 hours or more, or a post-traumatic amnesia of 24 hours or more.
Familiar Voices And Stories Speed Coma Recovery
Patients in comas may benefit from the familiar voices of loved ones, which may help awaken the unconscious brain and speed recovery, according to research from Northwestern Medicine and Hines VA Hospital.
A coma doesn't usually last longer than several weeks. People who are unconscious for a longer time might transition to a lasting vegetative state, known as a persistent vegetative state, or brain death.
Someone in a coma usually needs to be cared for in the intensive care unit (ICU) of the hospital. There, the person can get extra care and attention from doctors, nurses, and other hospital staff. They make sure the person gets fluids, nutrients, and any medicines needed to keep the body as healthy as possible.
People in a coma are completely unresponsive. They do not move, do not react to light or sound and cannot feel pain.
Typically, a coma does not last more than a few days or couple of weeks. In some rare cases, a person might stay in a coma for several weeks, months or even years. Depending on what caused the person to go into a coma, some patients are able to return to their normal lives after leaving the hospital.
In a coma, a patient is alive and there is some brain activity. Depending on the severity of the injury, recovery time varies and comas can be temporary or permanent. Patients in a coma might have brain stem responses, spontaneous breathing and/or non-purposeful motor responses.
The brain is still working, however, and the degree of brain activity varies from patient to patient. New tools for mapping brain activity have helped doctors illuminate what is happening inside the brain, which informs their treatment and care. The brain reacts when the body does not.
The patient will be confused about where he or she is and what has happened. The patient will have difficulty with memory and behavior. The patient's confusion may lead to yelling, swearing, biting, or striking out.
Someone who is in a coma is unconscious and has minimal brain activity. It is not possible to wake a coma patient using physical or auditory stimulation. They're alive, but can't be woken up and show no signs of being aware.
What is a coma? A coma, sometimes also called persistent vegetative state, is a profound or deep state of unconsciousness. Persistent vegetative state is not brain-death. An individual in a state of coma is alive but unable to move or respond to his or her environment.
Comas are caused by damage to the brain, especially if there's bilateral damage to the cerebral cortex (which means damage on both sides), or damage to the reticular activating system. The reticular activating system controls arousal and awareness of the cerebral cortex.
Other studies have shown that up to 20 percent of patients in various vegetative states can hear and respond on at least some level. But at least some of the responses seen could be dismissed as simple reflexes, or at best akin to someone in a dream state responding to stimuli.
At home ICU needs to be set up to take care of a comatose or unconscious patient where certain equipments are to be set up. The necessity of administering ICU is due to severity of the situation of patient, so that the patient's vitals are always monitored carefully.
Rehabilitation centres and care homes. Most patients in a prolonged vegetative or minimally conscious state will eventually be transferred from hospital to a rehabilitation or long-term care setting.
The vast majority continue to be kept alive via hydration and nutrition delivered through a feeding tube.