Mark Robinson, a 67-year-old male transferred to the high dependency unit from the emergency department (ED) earlier today. He presented to ED post a fall three metres from a ladder. He sustained a...

Mark Robinson, a 67-year-old male transferred to the high dependency unit from the emergency department (ED) earlier today. He presented to ED post a fall three metres from a ladder. He sustained a brief loss of consciousness at the time. His CT scan showed a depressed occipital fracture. His vital signs have been within normal parameters throughout the shift. His Glasgow Coma Score (GCS) has been recorded regularly as 14-15 (occasionally drowsy) this morning. As you go to take his afternoon observations you notice that he is difficult to rouse, and slurring his speech and is confused to time and place.

For this question you are asked to demonstrate an understanding of the significance of the assessment to the patient.

To identify what nursing interventions would be appropriate in this situation and to provide an evidence based rationale for your interventions