ADN 221 Migraine Headache ATI Template

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! ACTIVE LEARNING TEMPLATE: System Disorder
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! STUDENT NAME _____________________________________
! Migraine Headaches
DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________ Ch. 12
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Alterations in Pathophysiology Related Health Promotion and
! Health (Diagnosis) to Client Problem Disease Prevention
! Primary headaches have no identifiable organic cause. They
include migraine, tension-like, and cluster headaches. They
Primary brain disorder in which neural events Promote stress management strategies and recognition of
triggers. Recommend use of a headache diary to help
can be managed in the primary care setting. Secondary result in dilation of blood vessels, causing pain identify type of headache and response to interventions.
headaches are associated with an organic cause, such as a and further nerve activation Promote hand hygiene to prevent the spread of viruses that
brain tumor or aneurysm, and warrant further investigation produce manifestations similar to the common cold.!
and medical management. Review pain management to include over-the-counter
medications and herbal remedies.!



! ASSESSMENT SAFETY
! CONSIDERATIONS
! Risk Factors Expected Findings
• Take note of OTC
• Certain medications ! Photophobia and phonophobia (sensitivity to
• Alcohol (especially red wine)! medication
sounds); Nausea and vomiting; Stress and
• Caffeine! administration
anxiety; Unilateral pain, often behind one eye
• Stress!
or ear; Health history and family history for guidelines"
• Sensory stimulation !
• Sleep changes! headache patterns; Alterations in ADLs for 4 to • Consult PCP
• Weather changes! 72 hr; Manifestations that are similar with each before taking OTC
• Certain foods (aged cheeses or processed foods) headache herbal remedies "
• Keep food journal"
• Avoid triggers"
! Laboratory Tests Diagnostic Procedures • Don’t skip meals
! Neuro-imaging if neurologic and stay hydrated "
• CBC!
! • Thyroid function test! findings present or client is older
• Get regular sleep "
• Downsize stress "
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ESR tests!
Glucose tests! than 50 years with a new onset • Watch out for
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Electrolytes and fluid tests!
Kidney function tests of headaches. caffeine intake
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! PATIENT-CENTERED CARE Complications
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Nursing Care Medications Client Education • Status
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• Aiding in relaxation "
For mild migraines: Keep a diary to record headache migrainosus
NSAIDs (ibuprofen, patterns and triggers.!
• Cool compress "
naproxen), & Report changes in headache intensity, or
(Migraine
• Med administration "
• Aid in identifying triggers "
acetaminophen; ! new visual or neurologic disturbances.! attack lasting
Antiemetics Remain in a cool, dark, quiet
• Assess effectiveness of medication
(metoclopramide) to environment.!
over 72 hours)"
relieve nausea and Elevate the head of the bed as desired.! • Migraine
vomiting.! Avoid Triggers
! For Severe migraines:! infarction "
! • Triptan preparations
(zolmitriptan
• Margarine
! Therapeutic Procedures sumatriptan, eletriptan)! Interprofessional Care aura-triggered
• Ergotamine
! • Yoga, meditation, tai chi, exercise, preparations with • Neurologist !
seizure "
biofeedback, and massage promote caffeine • Physical therapist ! • Loss of work "
relaxation and alleviate muscle (dihydroergotamine)! • Occupational therapist !
tension. ! • Isometheptene in • Acupuncturist !
• Depression "
• Acupuncture and acupressure combination • Dietitian ! • Anxiety "
therapy can be helpful for pain formulations when • Headache specialist
management.! other medications do • N/V "
• External trigeminal nerve stimulator not work • Vertigo "
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ACTIVE LEARNING TEMPLATES
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