Theresa has lived in nursing homes with constant care since 1990; by 1996, Theresa's CAT scans showed abnormal structure, her cerebral cortex was gone and was replaced by cerebral spinal fluid. Over the span of a decade, Theresa's brain was starting to deterioraet due to the lack of oxygen that it suffered
Also, she was seeing the neurologist for a workup of her episodes of loss of consciousness. She is seeing me today for followup after a concussion. She is from Florida and is expecting to go back in two weeks. The patient does have several episodes of loss of consciousness. She states she usually loses consciousness while she is lying down, but sometimes she will find herself on the floor and not knowing how she got there.
Retrieved October 27, 2015, from http://www.medscape.com/viewarticle/778505_3 Sheila, R., & Cynthia, T. (2014). Nursing Diagnosis Reference Manual (9 th. ed.). Wolters Kluwer Health| Lippincott Williams & Wilkins. Taylor, C., Lillis, C., Lynn, P., & LeMone, P. (2015). Fundamentals of nursing (8th
It provides the opportunity for prompt evaluation of the patient and possibly administer tests and treatments for reversing and determining the causes of memory loss. In addition, early diagnosis provides time for patients and families to prepare for the future and most importantly it maximizes the patients opportunity to contribute to their own care planning process. As previously stated, the diagnosis of dementia most commonly takes place in the primary care setting. During primary care visits with older or elderly people the interactions tend to be brief and patients often present multiple health conditions that they are experiencing. It can be challenging for the physician to pin point those intersecting health concerns with Alzheimer’s if they are not properly trained to do so.
CAM-ICU Quantitative Analysis Critically ill patients admitted to the Intensive Care Unit (ICU) are at an increased risk for developing delirium. A prevalence is seen with acute brain dysfunction, such as brain attacks, and increases morbidity and mortality rates. The Confusion Assessment Method for the Intensive Care (CAM-ICU) is an assessment tool utilized by critical care nurses to evaluate and distinguish the development of delirium in ICU patients. Implementing CAM-ICU will provide a consistent assessment tool for the detection of delirium, allowing for early recognition, and decrease adverse effects created by delirium in critically ill patients. CAM-ICU in critical care CAM-ICU is an effective assessment tool in the early recognition of delirium.
There are ranges of specialists who work on the rehabilitation team, each member of the team has a goal to help patient with a focus of promote QOL. The Case Managers are will be the primary contact person, with whom patient and family/caregiver can direct raise matters and ask for information. It is advised that a neuropsychologist should conduct a cognitive and behavioural/emotional assessment. Cognitive include perception and awareness, orientation, memory, though processing, problem solving, personality and decision making. Behavioural/emotional include emotional status, mood changes, adjustment difficulties, personality changes, inappropriate sexual behaviour, motivation level, substances misuse, depression, anxiety and psychosis.
Overall the book teaches us a number of lessons about the progression of dementia. This knowledge can be applied today in nursing practice to provide better patient teaching and understanding of the
She is transferred to a long-term care facility for intravenous antibiotics, ventilator weaning, and rehabilitation (Prizio, n.d.). Annette’s goals by
For example, the patient might need
Ongoing assessment and monitoring for injured patient is essential in the rehabilitation settings. Taylor will undertake a general neurological assessment including history of presented problem, previous medical history, results of specific examinations (X-rays, blood reports, CT scan). Other collection of information such as social state (family help, occupation, accommodation), pain, other ongoing treatment, everyday routine, mobility, vision and hearing, continence, swallowing, lethargy, expectations of treatment and functions of position and balance, range of movement, reflexes and sensory A neurological assessment has two functions: the current neurological level and the observation for changes in neurological level. It is divided in to five components such as brain function, cranial nerves, motor response, sensory level and reflexes. Taylor’s level of consciousness and cognition level must be considered and specific observation regarding changes in mental status, emotional status and intellectual functioning should be recorded and documented and compare over the
You patient, Jerry, is a 67 year old male who recently had a cerebral vascular attack (CVA) affecting the right side of his body. You have been working with Jerry for the past six weeks on strength, ROM, balance, and coordination and he has been progressively gaining more function. In the past few sessions however, you have noticed that he has plateaued. The insurance company needs to see that the patient’s status is improving in order to continue paying for their therapy. It is noted that studies have shown that it is normal for a patient to see a plateau in the middle of their therapy timeframe, but if therapy is continued a positive progression can be seen; conversely if therapy is stopped then a loss of gains and function can occur.
The term substance abuse is predominately used to signify an unhealthy and devitalizing obsession on a mind-altering chemical substance. In addition, it is most often used to refer to illegal drugs as well as legal, regulated substances such as prescription medications and alcohol. Drug abuse is usually considered a punishable offence by many countries and is also regarded as being personally and socially detrimental. Three major sociological paradigms including functionalism, conflict theory, and symbolic interactionism delve in to the world of addiction as well as the controversies that surround this social issue.
21 Scales for assessment of delirium in clinical and research setting are: 22 A. Instruments for assessment of arousability of the patient: RASS. B. Instruments for screening for premorbid cognitive disturbances: IQCODE. C. Screening instruments: NEECHAM Confusion Scale, Nursing Delirium Screening Scale, Delirium Observation Screening Scale, ICDSC, Pediatric Anesthesia Emergence Delirium scale, Global
Long Day’s Journey into Dysfunction Most people consider family to be pivotal aspect of their life. Yet sometimes, unfortunate circumstances can compromise family connections. Many significant examples of this are shown within the Tyrone family from Long Day’s Journey into Night, by Eugene O’Neill.
In the realm of literature, magical realism is a genre that serves as a medium for an author to create a world that is not bound to the same reality as we are. While the foundation of the world is based on the same reality we live in, it is riddled with magical elements. The focus in magical realism novels is not on the supernatural elements, but the presence of said elements allows for a transcendence of ordinary human limitations which, in doing so, allows for a more extensive and nuanced view of the already complex themes we see in our world. In the case of Isabel Allende's The House of the Spirits, we see Allende acknowledge and confront the patriarchal oppression that women faced and continue to face through the character Clara and her
