Week 3- Asses. of the Neurological System .docx

Week 3- Asses. of the Neurological System .docx - Week 3...

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Week 3: Assessment of the Neurological System No unread replies.No replies. This week's graded discussion topic relates to the following Course Outcomes (COs). " CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors while differentiating between normal findings, variations, and abnormalities. (PO 1) " CO2 Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO 1) " CO3 Utilize effective communication when performing a health assessment. (PO 3) Randy Adams is a 38-year-old male patient of Dr. Joseph Reynolds who was admitted yesterday morning for 24-hour observation for a mild concussion following a motor vehicle accident. Randy lost consciousness during the accident and was very confused when he arrived in the ER after EMS transport. He is an Iraq war veteran, and he seemed to think after the accident that this all happened in Iraq. Dr. Reynolds is concerned that Randy has some residual problems from a couple of explosive incidents that occurred while he was in Iraq. The physician is unsure whether Randy's current symptoms are from the car accident or prior injuries, so he has referred him for consultations to both a neurologist and to a behavioral health specialist. Based on the above, please discuss the following. 1. Pathophysiology of concussive injuries and treatment 2. Neurological assessment tools used in your current practice setting (if not presently working, please describe one used during prior employment or schooling) 3. Current best practices associated with post-traumatic stress disorder (PTSD) 4. Nursing interventions you would include in this patient's plan of care Thank you Melissa Hello Professor and Class I am currently working at a Level I Trauma hospital, we often receive patients with traumatic brain injury, strokes and brain cancer. The concussion is the most commonly recognized type of traumatic brain injury(TBI). According to PM&R research article, "Concussion is defined as a biomechanically induced brain injury characterized by the absence of gross anatomic lesions" (Volume 3, Issue 10, Supplement 2, October 2011, Pages S359-S368). Another name of a Concussion is Mechanical Insult. Mechanical Insult could initiate neuronal homeostatic brain changes including neurotoxicity and energetic metabolism disruption, caused by mitochondrial dysfunction. Brain injuries usually are classified into mild, moderate, and severe types. Treatment depends on the severity of traumatic brain injury and previous history of post- traumatic stress disorder (PTSD), and different type of injuries. In our case scenario, Mr. Adams is admitted with a mild concussion following a motor vehicle accident, with level of consciousness (LOC) and episodes of confusions. Re-occurrence of the trauma leads our patient to think, that this all happened in Iraq and that leads us to consider his history of post-traumatic stress disorder. According to Zeke Ogburn, "A visual image of what had been seen and felt during the most frightening moment of an acute-fear experience is
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