University of the East RAMON MAGSAYSAY MEMORIAL MEDICAL CENTER, INC. #64 Aurora Blvd., Brgy. Doña Imelda, Sta. Mesa, Quezon City COLLEGE OF NURSING NCM 116: MEDICAL-SURGICAL NURSING Name: Campos, Jessica Linell M. Section: N3B Professor: Rupert Asesor Instructions: Search and study a case study about Neuro-Anatomy and Assessment and answer the following questions using the format below. Please include references. What is the journal all about? What did I learn from it? Application of learning in the clinical area The research focused on an 87-year-old man who went to the emergency room after falling. His Glasgow Coma Scale (GCS) was initially 15, but he rapidly dropped to a GCS of 10 (E3V2M5) with anisocoria (left pupil: 4 mm, right pupil: 2 mm) and bilateral sensitivity to light. Corneal and gag reflexes were not affected. The CT scan revealed bilateral acute subdural hematomas (SDH), with the left side having a bigger mass impact (maximal diameter: 1.5 cm; and midline-shift). Following a neurological consultation, the patient was given phenytoin and levetiracetam, and an electroencephalography (EEG) revealed non-convulsive status epilepticus in the left hemisphere. Soon after, Even after we have lost everything, our memories live on. In times of adversity, we recall happier moments in order to endure. Every instant we live, we create memories. They might be good or bad, but each of us has our own memories, a means to live on. Memory is our soul's journal, including all of our previous delights, sufferings, challenges, and tribulations. This is why I strive for a decent life with purpose. It is a life in which you make the most of every circumstance, good or terrible, and where you remain cool, collected, and able to perceive through the worst of situations. It is a life shared with family, friends, and other loved ones. It is one in which I do not regret my actions and do not consider what would have Patient death is unavoidable in many medical settings, where nurses play an important role in organizing and administering hospital care. Clinical nurses are essential resources for all nations. Their health and safety are critical in order to treat diseases, save patients' lives, and provide "good dying" care. The promotion of patient engagement in the management of their care (self-management) in the context of the growth of person-centered care models is increasingly viewed as a role of primary care nurses. The importance of nurses considering the psychosocial components of chronic disease and the client's living environment is emphasized. Every nurse has a duty to electrographic activity in both hemispheres showed a burst suppression pattern, which was followed by ventricular tachycardia with apneustic respirations and clinical cardiorespiratory arrest. Throughout the transition phase to death, the researchers obtained a continuous EEG recording from the patient's brain. The spectral analysis demonstrated a surge in absolute gamma power following neural activity suppression in both hemispheres, followed by a significant reduction after cardiac arrest. After bilateral suppression and theta rhythm decrease, the percentage gamma power over total signal power increases in relative terms. The relative quantity of gamma power increased after cardiac arrest compared to the interictal period, but delta, beta, alpha, and absolute gamma waves decreased. Cross-frequency coupling demonstrated that the alpha band strongly modulated the low- and broad-gamma power. Inter-regional coherence research revealed that following cardiac arrest, global coherence decreased for slower frequency bands while remaining stable or slightly increased for faster bands for narrow-band gamma. These results show that a complex interaction between lowand happened if I had done things differently, i.e. it is a life without any 'what ifs'. As Derek Shepherd on Grey’s Anatomy always say before he operates, “It’s a beautiful day to save lives”. I want to be entitled to use the quote someday as well, I want to live my life filled with memories saving the lives of other people. Furthermore, this article/case study made me realize that neuroscience is an art. The human brain is hugely complex. There is still much that scientists don’t understand about this incredible organ — and the things that we do know can often be hard to visualize and communicate. accommodate their patients' requests about their end-of-life care preferences. As nurses, we cannot guarantee that each of our patients' dying processes will be without complications. The progression of advanced illnesses and fatal diseases varies from person to person. An intervention that works well for one cancer patient may not work for another. What we can do is equip ourselves with the most up-to-date information on symptom management throughout the dying process and use it as required. The purpose of this book is to educate all nurses, independent of the practice environment, on the finest nursing care techniques towards the end of life. This is so that we may enable a "good death" for our patients, noting that a good death entails meeting patients' desires and managing symptoms via open dialogue. One of the most essential things we can do for people with chronic conditions is to give the finest possible care for them and their family from the end of life to death. This is especially true during the "imminent" phase. This is the stage before death, and it is also when the patient normally loses consciousness. The care provided by the nurse at this stage will have an impact on the family's memory of their loved one's high-frequency bands occurs after progressive cessation of brain activity and continues until cerebral blood flow is stopped (post cardiac arrest). Given that cross-coupling of alpha and gamma activity is involved in cognitive processes and memory recall in healthy persons, it is interesting to consider that such activity may promote a last "recall of life" that may occur in the near-death condition. last days and hours on earth. It is critical that the nurse conducts comprehensive assessments, responds quickly to changes in status, titrates medicines quickly, and discontinues and introduces treatments targeted at promoting comfort on time. Reference: Enhanced Interplay of Neuronal Coherence and Coupling in the Dying Human Brain Vicente, R., Rizzuto, M., Sarica, C., Yamamoto, K., Sadr, M., Khajuria, T., Fatehi, M., Moien-Afshari, F., Haw, C. S., Llinas, R. R., Lozano, A. M., Neimat, J. S., & Zemmar, A. (2022). Enhanced interplay of neuronal coherence and coupling in the dying human brain. Frontiers in Aging Neuroscience, 14. https://doi.org/10.3389/fnagi.2022.813531
