nurs6512 week 9 discussion latest 2018 april

Week 9
discussion

Discussion: Assessing Neurological Symptoms

Imagine not being able to form new memories. This is the
reality patients with anterograde amnesia face. Although this form of amnesia
is rare, it can result from severe brain trauma. Anterograde amnesia
demonstrates just how impactful brain disorders can be to a patient’s quality
of living. Accurately assessing neurological symptoms is a complex process that
involves the analysis of many factors.

In this Discussion, you will consider case studies that
describe abnormal findings in patients seen in a clinical setting.

Note: By Day 1 of this week, your Instructor will have
assigned you to one of the following specific case studies for this Discussion.
Also, your Discussion post should be in the Episodic/Focused SOAP Note format,
rather than the traditional narrative style Discussion posting format. Refer to
Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week
5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP
notes have specific data included in every patient case.

Case 1: Headaches

A 20-year-old male complains of experiencing intermittent
headaches. The headaches diffuse all over the head, but the greatest intensity
and pressure occurs above the eyes and spreads through the nose, cheekbones,
and jaw.

Case 2: Numbness and Pain

A 47-year-old obese female complains of pain in her right
wrist, with tingling and numbness in the thumb and index and middle fingers for
the past 2 weeks. She has been frustrated because the pain causes her to drop
her hair-styling tools.

Case 3: Drooping of Face

A 33-year-old female comes to your clinic alarmed about
sudden “drooping” on the right side of the face that began this
morning. She complains of excessive tearing and drooling on her right side as
well.

To prepare:

With regard to the case study you were assigned:

Review this week’s Learning Resources, and consider the
insights they provide about the case study.

Consider what history would be necessary to collect from the
patient in the case study you were assigned.

Consider what physical exams and diagnostic tests would be
appropriate to gather more information about the patient’s condition. How would
the results be used to make a diagnosis?

Identify at least five possible conditions that may be
considered in a differential diagnosis for the patient.

Note: Before you submit your initial post, replace the
subject line (“Discussion – Week 9”) with “Review of Case Study
___.” Fill in the blank with the number of the case study you were
assigned.

By Day 3

Post an episodic/focused note about the patient in the case
study to which you were assigned using the episodic/focused note template
provided in week 5 resources. Provide evidence from the literature to support
diagnostic tests that would be appropriate for each case. List five different
possible conditions for the patient’s differential diagnosis and justify why
you selected each.

Note: For this Discussion, you are required to complete your
initial post before you will be able to view and respond to your colleagues’
postings. Begin by clicking on the “Post to Discussion Question” link
and then select “Create Thread” to complete your initial post.
Remember, once you click on Submit, you cannot delete or edit your own posts,
and you cannot post anonymously. Please check your post carefully before
clicking on Submit!

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different
days who were assigned different case studies than you. Analyze the possible
conditions from your colleagues’ differential diagnoses. Determine which of the
conditions you would reject and why. Identify the most likely condition, and justify
your reasoning.

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