Posted: September 4th, 2023

Discuss characteristic findings for a stroke and how it affects the lives

Neurological, Perceptual And Cognitive Complexities NRS410V

Objectives:

Evaluate functions of the neurological, perceptual, and cognitive systems based on findings.
Propose an intervention for a patient with a cognitive complexity.
Topic 2 DQ 1
Identify a common perceptual, neurological, or cognitive issue and discuss contributing factors. Outline steps for prevention or health promotion for the patient and family.

Topic 2 DQ 2
Discuss characteristic findings for a stroke and how it affects the lives of patients and their families. Discuss the nurse’s role in supporting the patient’s psychological, emotional, and spiritual needs. Provide an example integrating concepts from the “Statement on the Integration of Faith and Work” located in Class Resources. Neurological, Perceptual And Cognitive Complexities NRS410V

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Topic 2 DQ 1
Identify a common perceptual, neurological, or cognitive issue and discuss contributing factors. Outline steps for prevention or health promotion for the patient and family.

Topic 2 DQ 2
Discuss characteristic findings for a stroke and how it affects the lives of patients and their families. Discuss the nurse’s role in supporting the patient’s psychological, emotional, and spiritual needs. Provide an example integrating concepts from the “Statement on the Integration of Faith and Work” located in Class Resources. Neurological, Perceptual And Cognitive Complexities NRS410V

Topic 2 DQ 1

One common cognitive issue is dementia, which is a progressive decline in cognitive function that affects memory, thinking, and behavior. There are several contributing factors to dementia, including age, genetics, chronic medical conditions (such as hypertension, diabetes, and heart disease), traumatic brain injury, and lifestyle factors (such as smoking, alcohol abuse, and physical inactivity).

Prevention and health promotion strategies for dementia include maintaining a healthy lifestyle by eating a balanced diet, engaging in regular physical activity, managing chronic medical conditions, and avoiding smoking and excessive alcohol consumption. Additionally, cognitive stimulation, such as engaging in mentally stimulating activities like crossword puzzles, reading, or learning a new language, has been shown to improve cognitive function and may help reduce the risk of developing dementia. Finally, regular cognitive and memory screening, particularly in older adults, can help identify early signs of cognitive decline and allow for early intervention and treatment.

Families can also play a role in preventing and promoting health by being aware of risk factors and encouraging healthy behaviors. They can provide emotional support and encouragement for engaging in healthy behaviors, help with medication management and doctor visits, and assist with safety measures, such as fall prevention and monitoring for wandering behavior.

Topic 2 DQ 2

Stroke is a neurological event that occurs when blood flow to the brain is interrupted, leading to brain cell damage and potentially permanent disability. Characteristic findings of a stroke include sudden onset of weakness or numbness in the face, arm, or leg, especially on one side of the body; difficulty speaking or understanding speech; vision problems; and severe headache. Stroke can affect the lives of patients and their families in many ways, including physical disabilities, changes in communication abilities, and emotional and psychological distress.

As a nurse, supporting the psychological, emotional, and spiritual needs of stroke patients is critical. This includes providing emotional support and reassurance, facilitating communication with family members, and connecting patients with support groups and resources for coping with the challenges of stroke recovery. Integrating concepts from the “Statement on the Integration of Faith and Work,” the nurse can also help patients and families identify spiritual resources and support that may help them cope with the emotional and existential challenges of stroke recovery. For example, the nurse may facilitate a conversation about the patient’s spiritual beliefs and provide resources for spiritual guidance or support, such as a chaplain or a spiritual counselor. By addressing the psychological, emotional, and spiritual needs of stroke patients, nurses can provide holistic care that supports the patient’s overall well-being and quality of life.
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CLC – Evidence-Based Practice Project: Intervention Presentation on Diabetes Part 1
This is a Collaborative Learning Community (CLC) assignment.

As a group, identify a research or evidence-based article published within the last 5 years that focuses comprehensively on a specific intervention or new treatment tool for the management of diabetes in adults or children. The article must be relevant to nursing practice.

Submit a reference and a working link to the article as a word document.

Case Study: Mr. M.
It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no known allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN. Neurological, Perceptual And Cognitive Complexities NRS410V

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

Temperature: 37.1 degrees C
BP 123/78 HR 93 RR 22 Pox 99%
Denies pain
Height: 69.5 inches; Weight 87 kg
Laboratory Results

WBC: 19.2 (1,000/uL)
Lymphocytes 6700 (cells/uL)
CT Head shows no changes since previous scan
Urinalysis positive for moderate amount of leukocytes and cloudy
Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L
Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

Describe the subjective and objective clinical manifestations present in Mr. M.
Based on the information presented in the case scenario, state what primary and secondary medical diagnoses should be considered for Mr. M. Formulate a nursing diagnosis from the medical diagnosis and explain why these should be considered and what data is provided for support.
What abnormalities would you expect to find and why when performing your nursing assessment using the identified primary and secondary medical diagnoses.
Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
Discuss what interventions can be put into place to support Mr. M. and his family.
Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide a rationale for each. Neurological, Perceptual And Cognitive Complexities NRS410V
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Resources
Pathophysiology: Clinical Applications for Client Health
Read Chapter 2 in Pathophysiology: Clinical Applications for Client Health.

2. Cost-Effectiveness of Emergent MRI During Stroke Alert to Diagnose Stroke Mimics: Single-Center Experience

Read “Cost-Effectiveness of Emergent MRI During Stroke Alert to Diagnose Stroke Mimics: Single-Center Experience,” by Kapoor, Sharma, Iser, Chaudhari, Nalleballe, Brown, Veerapaneni, Sheng, Elkhider, Veerapaneni, Onteddu, and Sidorov, from Journal of Neurosciences in Rural Practice (2021).

https://lopes.idm.oclc.org/login?url=

3. Couples Coping in the Community After the Stroke of a Spouse: A Scoping Review

Read “Couples Coping in the Community After the Stroke of a Spouse: A Scoping Review,” by Ramazanu, Alie, and Vico Chung, from Nursing Open (2020).

https://lopes.idm.oclc.org/l

4. Long-Term Effects on Survival After a 1-Year Multifactorial Vascular Risk Factor Intervention After Stroke or TIA: Secondary Analysis of a Randomized Controlled Trial, a 7-Year Follow-Up Study

Read “Long-Term Effects on Survival After a 1-Year Multifactorial Vascular Risk Factor Intervention After Stroke or TIA: Secondary Analysis of a Randomized Controlled Trial, a 7-Year Follow-Up Study,” by Hagberg et al., from Vascular Health and Risk Management (2019). Neurological, Perceptual And Cognitive Complexities NRS410V

https://lopes.idm.oclc.org/l

5. This Is Not Only About Memory: A Systematic Review on Neuropsychology Heterogeneity in Alzheimer’s Disease

Read “This Is Not Only About Memory: A Systematic Review on Neuropsychology Heterogeneity in Alzheimer’s Disease,” by Martorelli, Sudo, and Charchat-Fichman, from Psychology and Neuroscience (2019).

https://lopes.idm.oclc.org/lo

6. This Is Our Life Now. Our New Normal: A Qualitative Study of the Unmet Needs of Carers of Stroke Survivors

Read “‘This Is Our Life Now. Our New Normal’: A Qualitative Study of the Unmet Needs of Carers of Stroke Survivors,” by Denham et al., from PLOS ONE (2019).

https://lopes.idm.oclc.or

7. Optional- Disentangling Heterogeneity in Alzheimer’s Disease and Related Dementias Using Data-Driven Methods

For additional information, the following is recommended:

“Disentangling Heterogeneity in Alzheimer’s Disease and Related Dementias Using Data-Driven Methods,” by Habes, Grothe,Tunc, McMillan, Wolk, and davatzikos, from Biological Psychiatry (2020).

https://www-sciencedirect-com.l
8. Optional- Suicidal Ideation and Traumatic Exposure Should Not Be Neglected in Epileptic Patients: A Multidimensional Comparison of the Psychiatric Profile of Patients Suffering From Epilepsy and Patients Suffering From Psychogenic Nonepileptic Seizures

For additional information, the following is recommended:

“Suicidal Ideation and Traumatic Exposure Should Not Be Neglected in Epileptic Patients: A Multidimensional Comparison of the Psychiatric Profile of Patients Suffering From Epilepsy and Patients Suffering From Psychogenic Nonepileptic Seizures,” by Guillen et al., from Frontiers in Psychiatry (2019). Neurological, Perceptual And Cognitive Complexities NRS410V

Suicidal Ideation and Traumatic Exposure Should Not Be Neglected in Epileptic Patients: A Multidimensional Comparison of the Psychiatric Profile of Patients Suffering From Epilepsy and Patients Suffering From Psychogenic Nonepileptic Seizures – PMC (nih.gov)

Case Study: Mr. M. – Rubric

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