Unit III Nursing Management of Chronic Neurologic Problems
Learning Objectives:
Upon completion of this unit of instruction, the student will be able to:
1.
Describe the etiology, clinical manifestations, diagnostic studies, collaborative
care, and nursing management of chronic neurologic diseases.
2.
Discuss patient risk factors and health promotion to maintain optimal health in
patients with sensorineural alterations.
*3.
Utilize the nursing process in planning care for a patient with a neurologic
disorder in acute as well as community based health care setting.
4.
Discuss the physical and psychological adjustments required of culturally
diverse patients with neurologic disorders.
*5.
Perform a focal assessment of systems at risk, including history taking and
physical examination techniques.
*6.
Interpret collected assessment data related to the functional health patterns of
a patient with a neurologic dysfunction.
*7.
Implement individualized planning interventions when caring for a patient with
a neurologic dysfunction.
*8.
Evaluate the patient’s response to the implemented interventions to meet the
established patient outcomes.
*Indicates a Clinical Objective
Content Outline Unit 3
I. Multiple Sclerosis
A. Etiology and Pathophysiology
B. Clinical Manifestations
C. Diagnostic Studies
D. Collaborative Care
E. Collaborative Management
F. Nursing Management
II. Parkinson’s Disease
A. Etiology and Pathophysiology
B. Clinical Manifestations
C. Complications
D. Diagnostic Studies
E. Collaborative Care
F. Nursing Management
G. Planning/Overall goals for patient
H. Nursing Management
III. Myasthenia Gravis
A. Etiology and Pathophysiology
B. Clinical Manifestations
C. Diagnostic Studies
D. Collaborative Care
E. Nursing Management
1. Nursing Implementation
2. Evaluation
IV. Amyotrophic Lateral Sclerosis (ALS)
A. Etiology and Pathophysiology
B. Collaborative Care
C. Nursing Management
Learning Activities
Kwong, J.,Roberts, D.,Hagler, D., and Reinisch, C. (2020). Lewis’s Medical Surgical
Nursing: Assessment and management of clinical problems. (11th ed.). St.
Louis: Elsevier.
Chapter 58: pp. 1366-1379
OR
Lewis, S.L., Dirksen, S.R., Heitkemper, M.M., and Bucher, L. L. (2016). Medicalsurgical nursing: Assessment and management of clinical problems. (10th ed.).
St. Louis: Mosby Elsevier.
Chapter 58 pp. 1383-1395
Unit IV – Nursing Management of Peripheral Nerve and Spinal Cord Problems
Learning Objectives:
Upon completion of this unit of instruction, the student will be able to:
1. Describe the clinical manifestations, diagnostic studies, and nursing
collaborative management of dementia and Alzheimer’s Disease.
2. Explain the etiology, clinical manifestations, collaborative care and nursing
management of trigeminal neuralgia, Bell’s palsy and Guillain-Barre
syndrome.
3. Describe the diagnostic studies, clinical manifestations, collaborative care and
nursing management of patients with peripheral nerve and spinal cord
problems.
4. Describe the nursing management and clinical manifestations of the major
physical and psychological problems of the patient with a spinal cord injury.
*5. Utilize the nursing process in planning care for a patient with a neurologic
disorder in acute as well as community-based health care settings.
6. Identify pertinent ethical and legal issues, which the nurse may encounter
when caring for the older adult patient experiencing cognitive perceptual
alterations associated with neurological disorders.
7. Identify some of the economic, social and emotional factors impacting the
patient adapting to a neurologic disorder.
*8. Perform a focal assessment of systems at risk, including history taking and
physical examination techniques.
*9. Interpret collected assessment data related to the functional health patterns of
a patient with a neurologic dysfunction.
*10. Implement individualized planned interventions when caring for a patient with
a neurologic dysfunction.
*11. Evaluate the patient’s response to implemented interventions to meet the
established patient outcomes(s).
*Indicates a Clinical Objective
Content Outline unit 4
I. Alzheimer’s Disease
A. Etiology and Pathophysiology
B. Clinical Manifestations
C. Diagnostic Studies
D. Collaborative Care
E. Nursing Management
1. Nursing Assessment
2. Goals for Caregiver
a) Reduce caregiver stress
b) Maintain personal, emotional, and physical health
c) Cope with long term effects of caregiver
II. Dementia and Delirium Independent Student Review
A. Etiology and Pathophysiology
B. Clinical Manifestations
C. Diagnostic Studies
D. Nursing and Collaborative Management
III. Trigeminal Neuralgia
A. Etiology and Pathophysiology
B. Clinical Manifestations
C. Diagnostic Studies
D. Collaborative Care
E. Surgical Interventions
IV. Bell’s Palsy
A. Etiology and Pathophysiology
B. Clinical Manifestations
C. Diagnostic Studies
D. Collaborative Care
E. Nursing Management
1. Nursing Assessment
2. Nursing Diagnoses
V. Guillain-Barre Syndrome
A. Etiology and Pathophysiology
B. Clinical Manifestations
C. Complications
D. Diagnostic Studies
E. Collaborative Care
F. Nursing Management
G. Planning/overall goals for patient
VI. Spinal Cord Tumors
A. Etiology and Pathophysiology
B. Clinical Manifestations
C. Diagnostic Studies
D. Nursing and Collaborative Management
VII. Spinal Cord Injury
A. Etiology and pathophysiology
B. Classification of spinal cord injury
C. Classification of spinal cord injury
D. Clinical Manifestation
E. Diagnostic Studies
F
Collaborative Care
VIII. Initial Injury
A.
Spinal Shock
B.
Neurogenic Shock
C.
Hypovolemic Shock
Learning Activities
Kwong, J.,Roberts, D.,Hagler, D., and Reinisch, C. (2020). Lewis’s Medical Surgical
Nursing: Assessment and management of clinical problems. (11th ed.). St.
Louis: Elsevier.
Chapter 59 pp.
Chapter 60 pp.
Chapter 60 pp.
Chapter 66 pp.
1383-1401
1421-1425
1403-1428
1566-1583
A.
OR
Lewis, S.L., Dirksen, S.R., Heitkemper, M.M., and Bucher, L. L. (2016). Medicalsurgical nursing: Assessment and management of clinical problems. (10th ed.).
St. Louis: Mosby Elsevier.
Chapter 59 pp. 1399-1417
Chapter 60 pp. 1437-1441,
Chapter 60 pp. 1419-1437
Chapter 66 pp.1587-1592