Herzing NU 621 Unit 6 Discussion Neurologic Disorders
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Herzing NU 621 Unit 6 Discussion Neurologic Disorders
Unit 6 Discussion Neurologic Disorders
Discussion Question
Read the following case study and answer the posed
questions
Case
#1: For over 15 years, James, aged 64, has had
severe, intermittent headaches. These headaches are characterized by an intense
burning pain on one side of his head, accompanied by tearing in his eye and a
runny nose. When they strike, the attacks typically occur several times a day
and usually last about an hour. James can be headache free for months at a
time, but the attacks always return.
- Describe the pathology of a headache.
- Based on the different etiologies for headaches which of those fit
this patients situation?
- What additional aspects of the history and physical examination
could provide relevant information to help in the diagnosis?
- Based on the history provided and using the
following diagnostic tool https://headaches.org/resources/the-complete-headache-chart/ (Links to an external site.) as a quick reference of the guideline, you diagnose migraine
without aura. List the evidence that supports your diagnosis.
Case
#2: Mr. Smith is a new patient with a
history of recent stroke approximately 3 months ago. He was hospitalized
in another state, but you don’t have his records now. The patient’s wife is
extremely anxious and worried about him because he hasn’t been “acting
right”. She wants him checked out. She does not think he had
hypertension but adds “he does not like to go to doctors.”
- Regarding the patient’s available history, create a detailed plan
of care for this patient.
- In recognition of the morbidity of recurrent brain
ischemia, the evidence-based recommendations for the prevention of future
stroke among survivors of ischemic stroke or TIA can be found in the
current AHA/ASA Recommendations for Antithrombotic Therapy for
Noncardioembolic Stroke or TIA https://www.ahajournals.org/doi/pdf/10.1161/str.0000000000000024 (Links to an external site.). Based on these current guidelines what goals would you recommend
for this patient to insure prevention of another brain ischemic event?
Cite current research findings, national guidelines, and
expert opinions and controversies found in the medical and nursing literature
to support your position.
Responses need to address all components of the question,
demonstrate critical thinking and analysis, and include peer reviewed journal
evidence to support the student’s position.
Please be sure to validate your opinions and ideas with
citations and references in APA format.
Please
review the rubric to ensure that your response meets the criteria.
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