Case- Study: Assessment of the Neurological System

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Case- Study: Assessment of the Neurological System

Case- Study: Assessment of the Neurological System

Case- Study: Assessment of the Neurological System

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Week 3: Assessment of the Neurological System 9191 unread replies.9191 replies. Randy Adams is a 38-year-old male patient of Dr. Joseph Reynolds who was admitted yesterday morning for 24-hour observation for mild concussion following a motor vehicle accident. Randy lost consciousness during the accident and was very confused when he arrived in the ER after EMS transport. He is an Iraq war veteran and he seemed to think after the accident that this all happened in Iraq. Dr. Reynolds is concerned that Randy has some residual problems from a couple of explosive incidents that occurred while he was in Iraq. The physician is unsure whether Randy’s current symptoms are from the car accident or from prior injuries so he has referred him for consultations to both a neurologist and to a behavioral health specialist. Based on the above please discuss the following. Pathophysiology of concussive injuries and treatment Neurological assessment tools used in your current practice setting (if not presently working, please describe one used during prior employment or schooling) Current best practices associated with post-traumatic stress disorder (PTSD) Nursing interventions you would include in this patient’s plan of care

neurological examination is the assessment of  and  responses, especially , to determine whether the  is impaired. This typically includes a  and a review of the patient’s , but not deeper investigation such as . It can be used both as a screening tool and as an investigative tool, the former of which when examining the patient when there is no expected neurological deficit and the latter of which when examining a patient where you do expect to find abnormalities. If a problem is found either in an investigative or screening process, then further tests can be carried out to focus on a particular aspect of the nervous system (such as  and ).

In general, a neurological examination is focused on finding out whether there are  in the  and  or there is another diffuse process that is troubling the patient. Once the patient has been thoroughly tested, it is then the role of the  to determine whether these findings combine to form a recognizable medical syndrome or  such as  or . Finally, it is the role of the physician to find the cause for why such a problem has occurred, for example finding whether the problem is due to inflammation or is congenita

 

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