Show:
Phases of a Neurologic Deficit
Phases of a Neurologic Deficit cont'd
Definitions
Domains of Neurologic Impairments
Misc.
100
The focus of management during the acute phase is to?
What is stabilize the client and prevent further neurologic damage pg.642
100
During what phase is a client usually ill with signs and symptoms such as altered LOC, hypertension or hypotension, fever, difficulty breathing or paralysis?
What is Acute phase pg.642
100
Technique in which the client bends at the waist or presses inward and downward over the bladder to increase abdominal pressure and facilitate emptying the bladder
What is Crede's Maneuver pg. 651 table 40-2
100
A single deficit or combination of deficits involving the face, arms, and legs, which affects speech, swallowing, muscle tone and strength, gait,coordination, and ability to use objects for their intended purpose
What is Motor pg. 643 table 40-1
100
Altered mood, lability of mood
What is Affect pg.643 table 40-1
200
Do all clients with a neurologic deficit experience all three phases?
What is Not all clients with a neurologic deficit experience all three phases which include acute, recovery and chronic pg. 642
200
Medical management during this phase aims at keeping the client stable and preventing or treating complications.
What is Recovery phase pg.643
200
Technique in which the client lightly massages or taps the skin above the pubic area to stimulate relaxation of the urinary sphincter
What is cutaneous triggering pg. 651 table 40-2
200
Changes in memory, attention, orientation, calculation, and construction
What is Cognition pg.643 table 40-1
200
Name a few issues a client and his/her family faces when he/she returns home from rehab
What is fear, increased need for support, caregiver burden, financial strain, home adaptation, and relearning of employment skills pg. 644
300
The nurse works with team members to plan a rehabilitation program in several domains according to the clients abilities and limitations during what phase?
What is Recovery phase pg. 643
300
When does the recovery phase begin?
What is when the clients conditon is stabilized pg.642
300
Disorder in which a client lacks of the urge to void
What is reflex incontinence pg.651 table 40-2
300
Disturbances in comprehension, naming, repeating, clarity of speech, reading
What is Language pg.643 table 40-1
300
Examples of neurologic deficits include?
What is paralysis, muscle weakness, inability to recognize objects, impaired speech, memory, swallowing, abnormal gait, difficulty walking; abnormal bowel/bladder elimination. pg.642
400
In this phase the client shows little or no improvement, remains stationary, or progressively worsens.
What is chronic phase pg.644
400
The nurse focuses on preventing physical and psychological complications during this phase
What is Chronic pg. 644
400
compromised abiltity to put words together meaningfully when trying to communicate
What is expressive dysphagia pg. 645
400
Loss of vision in one eye or in the temporal or nasal fields; blindness
What is Vision pg.643 table 40-1
400
What constitutes a successful rehabilitation program?
What is when all team member such as physicians, nurses, cna's, social workers, PTs, OTs, speech therapists, prosthesist, dietitians, psychotherapists, pharmacists and vocational counselors work together pg. 10 in slide
500
Blood pressure, Physical therapy, dietary management and treatment of complications r/t disuse and immobility are all therapies and treatments for what phase?
What is chronic phase pg.644
500
An important nursing function during the acute phase is?
What is beginning basic rehabilitation pg.642
500
condition in which one or more functions of the central and peripheral nervous systems are decreased, impaired, or absent
What is neurologic deficit pg.642
500
Altered sensation (numbness, tingling, exaggerated sensation), or altered perception (inability to identify objects by touch, loss of writing ability)
What is Sensory pg.643 table 40-1
500
Clients who remain relatively immobile for the rest of their lives are subject to bladder infections and?
What is calculus (stone) formation in the urinary tract pg.51 table 40-2