Common Neurological Disorders NP06L029 Study Guide References: Adult Health Nursing, 4th Edition Introductory Medical-Surgical Nursing, Timby and Smith, 8th Edition, Chpt 45, pp 606-608 & Chpt 46, pp 640-644. Student Study Assignment: Christensen, pages 612-622 Terminal Learning Objective:Given a patient with a selected neurological disorder, provide safe and effective care IAW Christensen Enabling Learning Objectives: A: Describe the etiology of common types of headaches and their characteristics. B: Identify the nursing assessment, diagnostic test, medical management and nursing interventions for headache patient. C: Describe the causes, symptoms, diagnosis medical treatment and nursing assessment of neurological pain D: Relate the signs and symptoms of increased intracranial pressure to the brain pathophysiology involved. E: Describe the medical/surgical, pharmacological and nursing management of a patient with increased intracranial pressure F: Identify the medical and nursing management of the patient with an alteration in muscle tone and motor function G: List the medical and nursing interventions for a patient with an alteration in sensory and perceptual function A. Describe common types of headaches and their characteristics. 1. The three categories of headaches are: B. Identify the nursing assessment, diagnostic test, medical management and nursing interventions for a headache patient. 1. Assessment for a patient with headaches would include what subjective and objective data? a. Subjective data b. Objective data 1 Common Neurological Disorders NP06L029 Study Guide 2. Diagnostic test for headaches include what? 3. Discuss medical management for a patient with headaches. a. Diet Changes b. Psychotherapy c. Medication 4. The Primary nursing interventions are: C. Describe the causes, symptoms, diagnosis, medical treatment and nursing assessment of neurological pain. 1. A common cause for neurological pain is lesions involving: 2. Pain receptors can be activated by: 3. What data would you collect during you assessment of the patient with neurological pain? (1) Subjective data (2) Objective data 2 Common Neurological Disorders NP06L029 Study Guide 4. Discuss transcutaneous electrical nerve stimulation (TENS) or Spinal cord stimulation 5. List four surgical procedures for neurological pain. 6. Name two nursing interventions for the following diagnoses: Disuse syndrome, risk for related to lack of use of a body part as a result of pain Self-care deficit: feeding, bathing/hygiene, related to pain D. Relate the signs and symptoms of increased intracranial pressure to the brain pathophysiology involved. 1. List some common causes of ICP. 2. The cranial vault is rigid and not expandable. As pressure increases within the cranial cavity compensation occurs by: 3. Define supratentorial shift. 4. Discuss the subjective and objective data to be collected during an assessment of a patient with increased ICP. 3 Common Neurological Disorders NP06L029 Study Guide E. Describe the medical/surgical, pharmacological and nursing management of a patient with increased intracranial pressure. 1. Diagnosis of ICP includes: 2. There are three types of ICP monitoring devices, what are they: 3. Treatment for ICP includes: 4. Medical therapies can be categorized as ___________________, ________________, or _____________________. 5. Discuss mechanical treatments for increased ICP. 6. List five nursing interventions for the patient with increased ICP. F. Identify the medical and nursing management of the patient with an alteration in muscle tone and motor function. 1. Motor function disturbance results from 2. Manifestations of motor function disturbance are: 3. When assessing a patient, a nurse understands that he/she must collect subjective and objective data. What specific data is important? 4 Common Neurological Disorders NP06L029 Study Guide (a) Subjective (b) Objective 4. Diagnostic test performed for a patient with a motor function disturbance is_________________. 5. Describe the three medical management techniques used: 6. Identify the three most important nursing interventions: 8. As a nurse, patient teaching must be done from the time of admission to discharge. Name five patient teaching items you would cover with your patient: G. List the medical and nursing interventions for a patient with an alteration in sensory and perceptual function. 1. List two nursing interventions for the following: Safety needs Activity needs Activities of daily living 5