MARYVILLE NURS 623 EXAM 4

What is important to note when a patient has traumatic injury - If taking Blood Thinners Define delirium - Underlying acute cause, abrupt onset, hours to days, reversible, hallucinations, incoherent speech, confusion Define Dementia - Various causes, gradual change with mental status, months to years, progressive to irreversible (speech, memory, mood, judgment) An older adult with delirium would present with what type of behaviors? - Agitation and restlessness At the onset of alzheimers, what category of medications should be initiated? - Cholinesterase inhibitors what factors contribute to a patient being high risk for falls? - History of falls medications vision impairment heart rate/rhythm abnormalities footwear issues home environment gait/mobility issues poor reflexes What is the primary reason people have long term effects after a Stroke - living at home and calling PCP instead of 911 leads to prolonged stroke symptoms and long term effects S/S of an Absense Seizure - Blank stare (upward rotation of eye) Red Flags of back/neck pain - Incontinence Fever Cancers Unexplained wt loss Long term steroids Trauma IV drug abuse Intense local pain No comfy Position Diagnosing of Alzheimer's - Impaired ability to learn new info along with a disturbance in language, function, or perception S/S of Alzheimer's - *C/O memory problems * ↑ cognitive difficulty * ↑ slow response to cognitive challenge *Word-finding difficulty * ↑ difficulty with simple tasks cardinal features of Parkinson's (TRAP)? - *T-remor at rest (or pill rolling) *R-igidity *A-kinesia/Bradykinesia *P-ostural Disturbances What disease is "freezing phenomenon" a characteristic of? - Parkinson's A 62 y/o patient calls and c/o of a headache what statement would cause the most concern? - It's the worst headache I've ever had the headache from a subdural hematoma is of venous origin, typically resulting from ahead injury that is usually mild and easily forgotten by the patient. - Temporal arteritis s/s of temporal (giant cell) arteritis - * unilateral HA (temporal artery, orbital) * jaw claudication (pain with chewing) * temporary blindness (Medical Urgency) Polymyalgia rheumatica (pain/stiff muscles shoulders and hips) What age group is at higher risk for temporal arteritis - >50 Clinical manifestations of Articular disorders? - *characterized by deep or diffuse pain, pain or limited ROM on active and passive movement *swelling *crepitus Clinical manifestations of Non-Articular disorders? - *Tend to be painful on active but not passive (assisted) ROM. *Seldom demonstrate swelling, crepitus, instability, or deformity by itself.