NRS-410V Topic 2: Neurological, Perceptual, and Cognitive Complexities
NRS-410V Topic 2: Neurological, Perceptual, and Cognitive Complexities
NRS-410V Topic 2: Neurological, Perceptual, and Cognitive Complexities
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Description
Objectives:
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Evaluate functions of the neurological, perceptual, and cognitive systems based on findings.
Propose an intervention for a patient with a cognitive complexity.
Study Materials
This Is Our Life Now. Our New Normal: A Qualitative Study of the Unmet Needs of Carers of Stroke Survivors
Description:
Read “‘This Is Our Life Now. Our New Normal’: A Qualitative Study of the Unmet Needs of Carers of Stroke Survivors,” by Denham et al., from PLOS ONE (2019).
This Is Not Only About Memory: A Systematic Review on Neuropsychology Heterogeneity in Alzheimer’s Disease
Description:
Read “This Is Not Only About Memory: A Systematic Review on Neuropsychology Heterogeneity in Alzheimer’s Disease,” by Martorelli, Sudo, and Charchat-Fichman, from Psychology and Neuroscience (2019).
The Relationship Between Thyroid Function and Cerebral Blood Flow in Mild Cognitive Impairment and Alzheimer’s Disease
Description:
Read “The Relationship Between Thyroid Function and Cerebral Blood Flow in Mild Cognitive Impairment and Alzheimer’s Disease,” from PLOS ONE (2019).
Suicidal Ideation and Traumatic Exposure Should Not Be Neglected in Epileptic Patients: A
Multidimensional Comparison of the Psychiatric Profile of Patients Suffering From Epilepsy and Patients Suffering From Psychogenic Nonepileptic Seizures
Description:
Read “Suicidal Ideation and Traumatic Exposure Should Not Be Neglected in Epileptic Patients: A Multidimensional Comparison of the Psychiatric Profile of Patients Suffering From Epilepsy and Patients Suffering From Psychogenic Nonepileptic Seizures,” by Guillen et al., from Frontiers in Psychiatry (2019).
Poststroke Seizure: Optimizing Its Management
Description:
Read “Poststroke Seizure: Optimizing Its Management,” by Michael Y Xu, from Stroke and Vascular Neurology (2019).
Antibiotics, Gut Microbiota, and Alzheimer’s Disease
Description:
Read “Antibiotics, Gut Microbiota, and Alzheimer’s Disease,” by Angelucci, Cechova, Amlerova and Hort, from Journal of Neuroinflammation (2019).
Experimental Necrotizing Enterocolitis Induces Neuroinflammation in the Neonatal Brain
Description:
Read “Experimental Necrotizing Enterocolitis Induces Neuroinflammation in the Neonatal Brain,” by Biouss et al., from
Journal of Neuroinflammation (2019).
Tasks
Case Study: Mr. M.
Description:
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mr. M., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.
Case Scenario
Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.
Objective Data
Temperature: 37.1 degrees C
2. BP 123/78 HR 93 RR 22 Pox 99%
Denies pain
Height: 69.5 inches; Weight 87 kg
Laboratory Results
1. WBC: 19.2 (1,000/uL)
Lymphocytes 6700 (cells/uL)
CT Head shows no changes since previous scan
Urinalysis positive for moderate amount of leukocytes and cloudy
Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:
1. Describe the clinical manifestations present in Mr. M.
Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
When performing your nursing assessment, discuss what abnormalities would you expect to find and why.
Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
Discuss what interventions can be put into place to support Mr. M. and his family.
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
Case Study: Mr. M. – Rubric
Criteria Description
Clinical Manifestations of Mr. M.
Criteria Description
Diagnoses and Secondary Diagnoses
Criteria Description
Explanation of Expected Abnormalities During Nursing Assessment
Criteria Description
Effects of Health Status on Physical, Psychological, and Emotional Aspects of Patient and Family
Criteria Description
Interventions for Support
Criteria Description
Actual or Potential Problems Based on Condition
Criteria Description
Thesis Development and Purpose
Criteria Description
Argument Logic and Construction