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It's not so much that a patient who has suffered a head injury cannot sleep, it's that depending on the injury, neurological tests need to be done. In the nursing world, we call them "neuro checks" and involve the patient answering questions. We need to determine if the patient is oriented to person (who they are), place (where they are, such as specific hospital, person's home, etc.) and time (the month, day and year). Since obviously this is harder with young children who are either not verbal or may not know the answers, we awaken them frequently and make sure they give age-appropriate answers, and are not too "sleepy" to awaken fully and maybe eat or interact with mom and dad. Neuro checks also involve observing the pupils for being reactive to light, and several other types of tests that involve neurological reactions. The length of time neuro checks go on for depends on the type and mechanism of injury, and if any of the neuro checks come back abnormal.

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Q: Why cant you sleep after a head injury?
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