front 1 Neurologic Deficit: Acute Phase What are some causes of a acute phase neurologic Deficit? | back 1 Sudden neurologic event: Cerebrovascular Accident Head Injury Spinal Cord injury |
front 2 The client present w/ Altered level of consciousness LOC Hypertension/Hypotension Fever Difficulty Breathing Paralysis | back 2 Neurologic Deficit Acute Phase |
front 3 Medical TX for Acute Phase of Neurologic Deficit | back 3 Stabilize the client and prevent further damage CVA: manage hyper/hypotension w/drug therapy Head or Spinal Cord injury: required respiratory support through mechanical ventilation or surgical intervention to stabilize the injured area or remove bone fragments, blood clots, or foreign objective. |
front 4 What are nursing management for the Acute Phase of Neurologic Deficit? | back 4 Neurologic Assessment (evaluate the client status) Check the need for additional medical or surgical intervention and response to treatment Glasgow Coma Scale or Mini-Mental Status Exam report significant changes to provider Assesses VS and BP (ensure adequate cerebral oxygenation) I's/O's observe for electrolyte imbalance and dehydration report UOP <500mL/day or urinary or bowel incontinence Begin basic rehabilitation (Position changes, Skin breakdown, and Contractures are essential ) Goal is to prevent complication that will interfere with recover function |
front 5 Neurologic Deficit Recovery Phase The recovery Phase begin when the client is? | back 5 Condition is stabilized Several days or weeks after the initial event can last or weeks or months |
front 6 Medical TX's for recovery phase of neurologic deficit? | back 6 Aim to keep the client stable prevent or treating complications (Pneumonia, or further neurologic impairment) |
front 7 What are nursing intervention for neurologic deficit recovery phase? | back 7 work with team members to plan a rehabilitation program according to the clients abilities and limitations. |
front 8 Review Table 40-1 Domain of neurologic impairment | back 8 Review Table 40-1 Domain of neurologic impairment |
front 9 Neurologic Deficit Chronic Phase: How long is is neurologic phase? | back 9 Long standing or For life |
front 10 What diseases are consider to be a chronic phase of neurologic deficit? | back 10 Amyotrophic lateral Sclerosis (ALS) AKA Lou Gehring disease Alzheimer disease |
front 11 The client present w/ the below are in what neurologic deficit phase little or no improvement remains stationary progressively worsens | back 11 Chronic Phase |
front 12 Why does physical and Psychologic rehabilitation continue in the Chronic Phase? | back 12 Prevent pressure ulcers and muscle contractures |
front 13 Medical TX's for Chronic Phase of neurologic deficit? | back 13 Control of BP Physical Therapy Dietary management Treatment of complication related to Disuse(not being use) and immobility Surgery is done to correct deformities or problems that developed Ex. muscle and skin graft to close pressure ulcer removal or kidney stones(stones from the immobility) |
front 14 What are nursing management for the chronic phase of neurologic deficit? | back 14 Focus on preventing physical and psychologic complication |
front 15 In the Chronic phase of neurologic deficit what does rehabilitation therapy consist of? | back 15 retraining in skill like using telephone, handling money, shopping, using public transportation, maintain household, vocational training |
front 16 Why are client in the chronic phase of neurologic deficit are transferred to skilled and long-term care facility? | back 16 When family member can't no longer care for them or the disease has worsen. |
front 17 What are some nursing management with psychosocial issues and home management? | back 17 listen to client and family's adaptation to the client's change in functional status Ask direct question to identify problems and needs evaluate the clients ability to perform self-care and resume their role in the family and call on support team take steps to help client and family to maintain a home life near normal as possible help with getting aid for home like wheelchairs, shower chair, cane walker encourage family to help plan for client return home |
front 18 What coping intervention can a nurse do to help client with a Neurologic deficits disease? | back 18 Offer reassurance and emotional support for the client provide encouragement and praise through out rehabilitation, no matter how small helps client to accept what they cannot or never will be able to do give client time to talk about their problems, fears, and concerns encourage client to set reachable goals will help with independence. work with family and client to develop solution and alternatives suggest support groups for client with neurologic deficit for emotional social and support. |
front 19 Socialization Nurse intervention for client w/ Neurologic deficit are? | back 19 encourages socialization with others |
front 20 What problems affect communication in neurology deficits clients? | back 20 expressive aphasia, the inability to produce language, but may be able to write information; receptive aphasia, the inability to understand spoken or written language, but may retain the ability to understand very common words that are used most often dysarthria, difficulty using the tongue, lips, palate, vocal cords, larynx, or breathing to produce speech |
front 21 What interacting technique can you do for Client with Receptive Aphasia? | back 21 Gain the person's attention's provide sensory aids such as glasses limit environmental distractions, such as background noise or multiple people talking use gestures, facial expressions, drawings and pictures speak in a normal tone of voice use simple language on one topic at a time |
front 22 What interacting technique can you do for Client with Expressive Aphasia? | back 22 Provide a list of words for the client's reference or use a communication board Allow time for a response Guess the word that the client has difficulty saying, and ask if it is correct Do not interrupt when the client speak admit that you do not understand limit questions to yes or no answers |
front 23 What interacting technique can you do for Client with Dysarthria? | back 23 Consult with a speech therapist practice exercises recommended by speech therapist such as a whistling: blowing bubbles, balls, or through straws Use a communication board or software Suggest pausing briefly between words Have the client write the word that is not understood utilize Prosthetics such as Dental retainer Enlist the aid of speech generating device for creating a synthetic voice |
front 24 How should the nurse encourage socialization with the family or care team? | back 24 By discussing current events and motivate the client to response |
front 25 Nurse allows: the family time to deal with and accept the changes provides the family with opportunities to talk and openly express their anger fear guilt and helplessness | back 25 The nurse way of helping the family to process the changes. |
front 26 Client and family teaching 40- 1 page 687 Home care for clients with a Neurologic deficit | back 26 Client and family teaching 40- 1 page 687 Home care for clients with a Neurologic deficit |
front 27 What should you do for a client with dysphasia who takes pills? | back 27 Liquid medications (in syrup form) can be an alternative be aware that many of these contain sorbitol. cause diarrhea if multiple medications are given in syrup form. |
front 28 NURSING PROCESS FOR THE CLIENT WITH A NEUROLOGIC DEFICIT. 687-690 | back 28 NURSING PROCESS FOR THE CLIENT WITH A NEUROLOGIC DEFICIT 687 - 690 |
front 29 NURSING GUIDELINES 40-2 and 40-3 690 page | back 29 NURSING GUIDELINES 40-2.and 40-3 690 page |