Week 9 Initial Post Neurological disorders Case Study# 2 Headaches are horrid pains in the head that can trigger pressure and ache. The pain can vary from slight to severe, and they typically happen on both sides of the head. Additionally, a headache can linger anywhere from thirty minutes to a week. Therefore with the presenting symptoms, I believe this patient is suffering from a migraine. Migraine Headaches: a Migraine is a neurological disorder that can cause numerous indications. It’s frequently described by penetrating, incapacitating headaches (Mannix, Skalicky, Buse, Desai, Sapra, Ortmeier, Widnell and Hareendran, 2016 p 2). Migraines can start in childhood or might not ensue until early adulthood. Furthermore, females are more prone than males to have "migraines" (Mannix et al., 2016 p 3). Symptoms: Migraines frequently run in relatives and affect all ages (Mannix et al., 2016 p 3). The usual groupings of a migraine headache are those without aura also known as common migraines and migraine with aura described as classic migraines (Mannix et al., 2016 p 3). Therefore, signs may involve but not limited to nausea, vomiting, trouble speaking, numbness or tingling, and sensitivity to light and sound (Mannix et al., 2016 p 3). Diagnosis: The diagnosis of migraine headaches is explained based on thorough history, reported indications, and physical examination (Mannix et al., 2016 p 5). Treatment: it is essential for the nurse practitioner to understand that migraines cannot be cured. Nonetheless, the practitioner can help manage the disorder to prevent frequent reoccurrence (Mannix et al., 2016 p 7). Lifestyle changes, incorporating stress management and circumventing migraine triggers as well as OTC pain or migraine medications, such as NSAIDs or acetaminophen (Tylenol) can aid in managing migraines (Mannix et al., 2016 p 7). Cluster headaches: Cluster headaches are painful headaches that follow on a single side of the head and present in clusters. Series of headache attacks, followed by headache-free periods are described (Leone, Giustiniani and Cecchini, 2017 p s45).
Cluster headaches are incredibly agonizing, and it is prominent between adolescence and middle age, although can strike at any age (Leone et al.,2017 p s45). The two types of cluster headaches are episodic, "headaches" which frequently befall between one week and one year relieves by a headache- free phase of one month or more (Leone et al.,2017 p s45). And chronic "headaches" that regularly trigger for longer than one year followed by a headache-free period that lingers for less than one month (Leone et al.,2017 p s45). Symptoms: Cluster headaches presents a unilateral pain on one side of the head, however, it can change "sides" in some individuals, and is usually situated behind or around the eye (Leone et al.,2017 p s46). It is explained as a continuous and profound scorching or penetrating pain.
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- Spring '15
- Blood vessel, Headaches, ischemic stroke, Mannix et al., Dierick et al.