I had gone into her room to do yet another vital signs check. I had noticed a change in that her pupils that had previously been equal and reactive to light. One pupil was now extremely large, dilated, now non reactive to light. The other pupil was somewhat smaller and reacted poorly. Changes of this sort are considered very ominous. Her neurosurgeon was on our unit at the time and I went and got him. As I recall I interrupted him from what he was doing and he came immediately to see her.
Testing done by the neurosurgeon the following morning revealed brain death. The difficult decision was made to remove her from life-support as there was no possibility of survival. Her husband was incapable of coping with such devastating news, understandably so. His focus was on wondering what would happen to him and his daughter without her mother. In the end, her father signed permission for us to remove her from life-support and let her pass peacefully.