A patient with a subacute subdural hematoma shows residual mental and emotional changes; what should be explained to family?

• A. Continuous improvement to pre-trauma status
• B. Complete recovery may take years, and the family should plan for long-term dependent care
• C. Long-term emotional and mental changes that may require continued professional help
• D. Role changes in family members will be necessary because the patient will be dependent on his family for care and support

Answer: (C)

After a subacute subdural hematoma, brain injury can leave lasting effects on thinking, mood, and personality even if basic mental status improves. Residual emotional and cognitive changes are common and may persist for months or years, so the family should be prepared for ongoing needs. Continued professional support—such as neuropsychology testing, counseling, psychiatric care, and rehabilitation services—may be required to manage these changes and aid recovery. This helps set realistic expectations and guides planning for long-term support, rather than assuming full recovery or immediate long-term dependency.