Learning Guide for Chronic Neurologic Disorders

Learning Guide for Chronic Neurologic Disorders - Learning...

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Learning Guide for Chronic Neurologic Disorders Match the chronic neurologic disorders with their pathophysiology descriptions. __3__ a. Multiple Sclerosis (MS) 1. Degeneration of motor neurons in brainstem and spinal cord __5__ b. Parkinson’s Disease 2. Deficiency of acetylcholine and GABA in basal ganglia and extrapyramidal system __4__ c. Myasthenia Gravis 3. Immune-mediated inflammatory destruction of myelin and replacement with glial scar tissue __2__ d. Huntington’s Disease 4. Autoimmune antibody destruction of cholinergic receptors at the neuromuscular junction __1__ e. Amyotrophic Lateral Sclerosis (AMS) 5. Degeneration of dopamine-producing neurons in substantia nigra of midbrain and basal ganglia A 38-year-old woman has newly diagnosed MS and asks the nurse what is going to happen to her. The best response by the nurse is, o “You need to plan for a continuous loss of movement, sensory functions, and mental capabilities.” o “Most people with MS have periods of attacks and remissions, with progressively more nerve damage over time.” o “You will most likely have a steady course of chronic progressive nerve damage that will change your personality.” o “It is common for people with MS to have an acute attack of weakness and then not have any other symptoms for years.” During assessment of a patient admitted to the hospital with an acute exacerbation of MS, the nurse would expect to find o Tremors, dysphasia, ptosis o Bowel and bladder incontinence and loss of memory o Motor impairment, visual disturbances, and paresthesias o Excessive involuntary movements, hearing loss, and ataxia The nurse explains to a patient newly diagnosed with MS that the diagnosis is made primarily by o MRI findings o T-cell analysis of the blood o Analysis of CSF
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o History and clinical manifestations (only these finding estabilish a dx of MS) A patient with MS has a nursing diagnosis of self-care deficit related to muscle spasticity and neuromuscular deficits. In proving care for the patient, it is most important for the
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Learning Guide for Chronic Neurologic Disorders - Learning...

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