Neurological Perceptual And Cognitive Complexities NRS 410V

Objectives:

  • Based on findings, evaluate functions of the neurological, perceptual, and cognitive systems.
  • Propose an intervention for a patient with cognitive complexity.

Topic 2 DQ 1

  • Identify a common perceptual, neurological, or cognitive issue and discuss contributing factors. Outline steps for prevention or health promotion for the patient and family.

Topic 2 DQ 2

  • Discuss characteristic findings for a stroke and how it affects the lives of patients and their families.
  • Discuss the nurse’s role in supporting the patient’s psychological, emotional, and spiritual needs. Provide an example of integrating concepts from the “Statement on the Integration of Faith and Work” in Class Resources.

CLC – Evidence-Based Practice Project: Intervention Presentation On Diabetes

Part 1

This is a Collaborative Learning Community (CLC) assignment.

  • As a group, identify a research or evidence-based article published within the last 5 years that focuses comprehensively on a specific intervention or new treatment tool for managing diabetes in adults or children. The article must be relevant to nursing practice.

Submit a reference and a working link to the article as a Word document.

Case Study: Mr. M

An RN-BSN-prepared nurse must demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the lifespan.

  • 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 known 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 post surgical repair with no obvious signs of complications.

Current medications include Lisinopril 20mg daily, Lipitor 40 mg 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 on many ADLs, whereas a few months ago, he could 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
  • BP 123/78 HR 93 RR 22 Pox 99%
  • Denies pain
  • Height: 69.5 inches; Weight 87 kg

Laboratory Results

  • WBC: 19.2 (1,000/uL)
  • Lymphocytes 6700 (cells/uL)
  • CT Head shows no changes since the previous scan
  • Urinalysis positive for a 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:

  • Describe the subjective and objective clinical manifestations present in Mr. M.
  • Based on the information in the case scenario, state what primary and secondary medical diagnoses should be considered for Mr. M. Formulate a nursing diagnosis from the medical diagnosis and explain why these should be considered and what data is provided for support.
  • What abnormalities would you expect to find and why when performing your nursing assessment using the identified primary and secondary medical diagnoses?
  • 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 implemented to support Mr. M. and his family.
  • Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide a rationale for each.

Resources

1.  Pathophysiology: Clinical Applications for Client Health

  • Read Chapter 2 in Pathophysiology: Clinical Applications for Client Health.

2.  Cost-Effectiveness of Emergent MRI During Stroke Alert to Diagnose Stroke Mimics:

Single-Center Experience

  • Read “Cost-Effectiveness of Emergent MRI During Stroke Alert to Diagnose Stroke Mimics: Single-Center Experience,” by Kapoor, Sharma, Iser, Chaudhari, Nalleballe, Brown, Veerapaneni, Sheng, Elkhider, Veerapaneni, Onteddu, and Sidorov, from Journal of Neurosciences in Rural Practice (2021). https://lopes.idm.oclc.org/login?url=

3.  Couples Coping in the Community After the Stroke of a Spouse: A Scoping Review

  • Read “Couples Coping in the Community After the Stroke of a Spouse: A Scoping Review,” by Ramazanu, Alie, and Vico Chung, from Nursing Open (2020). https://lopes.idm.oclc.org/l

4.  Long-Term Effects on Survival After a 1-Year Multifactorial Vascular Risk Factor Intervention After Stroke or TIA: Secondary Analysis of a Randomized Controlled Trial, a 7-Year Follow-Up Study

  • Read “Long-Term Effects on Survival After a 1-Year Multifactorial Vascular Risk Factor Intervention After Stroke or TIA: Secondary Analysis of a Randomized Controlled Trial, a 7-Year Follow-Up Study,” by Hagberg et al., from Vascular Health and Risk Management (2019).https://lopes.idm.oclc.org/l

5.  This Is Not Only About Memory: A Systematic Review on Neuropsychology Heterogeneity in Alzheimer’s Disease

  • 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). https://lopes.idm.oclc.org/lo

6.  This Is Our Life Now. Our New Normal: A Qualitative Study of the Unmet Needs of Carers of Stroke Survivors

  • 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). https://lopes.idm.oclc.

7.  Optional- Disentangling Heterogeneity in Alzheimer’s Disease and Related Dementias Using Data-Driven Methods 

For additional information, the following is recommended: “Disentangling Heterogeneity in Alzheimer’s Disease and Related Dementias Using Data-Driven Methods,” by Habes, Grothe, Tunc, McMillan, Wolk, and Davatzikos, from Biological Psychiatry (2020). https://www-sciencedirect-com

8.  Optional- 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