Acute brain bleeds are very serious. They occur within minutes to hours after a head injury, and the symptoms are severe. Symptoms can include confusion, slurred speech, or sleepiness. In brain bleeds after a fall in the elderly, the pressure on the brain can build quickly. Sometimes this can be addressed through an emergency removal of the blood from the brain. However, if the bleed is not quickly diagnosed and treated, the injury can be fatal.
These types of bleeds can also occur after a traumatic head injury, such as a fall. With subacute brain bleeds, the symptoms can take days to weeks to appear. Sometimes this injury occurs simultaneously with a concussion. Symptoms may have more gradual onset and include confusion and inability to speak properly. For treatment, physicians may take a “wait and monitor” approach or surgery may be necessary.
A common type of hematoma in the elderly is when bleeding occurs slowly. Symptoms of a chronic brain bleed, such as gradual onset of confusion and cognitive decline, may not be seen for weeks or even months. A chronic hematoma can be caused by even a minor head injury and brain atrophy.
Unfortunately, many elderly nursing home residents do not survive a brain bleed. According to a study published in Science Direct, elderly individuals have a 42% mortality rate after a brain bleed. Too often, a nursing home fails to provide the proper care to prevent the fall or other accident that causes these injuries. The nursing home might be responsible for the resident’s brain bleed if: