NU610-7B Unit 6 Discussion – Neuro Case Study Herzing

 NU610-7B Unit 6 Discussion – Neuro Case Study Herzing

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Initial Discussion Question/Prompt

A 60-year-old man is brought to the ER by ambulance because of slurred speech and left side weakness. His wife states they went to bed at 11pm and woke up at 5am when she noticed his symptoms. He is right-handed with a history of coronary artery disease, hypertension, and hypercholesterolemia and a heart attack at age 50.

·         He currently is unable to move his left arm and leg.

·         He had an episode of amaurosis fugux (blindness)in his right eye one month ago that lasted for 5 minutes.

·         Around 3 months ago his wife states he had bilateral pain in his legs while they were on a walk that lasted about 15 minutes.

·         He is taking a baby aspirin a day an ACE inhibitor, and statin as well.

·         He does have a history of alcohol use and smoking in the past but stopped after his heart attack.

·         His blood pressure is 195/118 Pulse 106, Respiratory rate 18, Temperature 99.8, O₂ sat is 97% on room air.

·         Although his pupils are equal and reactive, and the ocular movements are intact, he is unable to turn his eyes voluntarily toward the left side.

·         The neck is supple, there is no jugular vein distension, and there are no bruits.

·         The lungs are clear heart sounds regular without murmurs, and abdomen is normal.

·         The limbs are not well perfused distally.

·         The neurologic examination reveals that he is alert and oriented, although he does not recognize he is sick.

·         He shows loss of awareness and attention with respect to objects or stimuli on his left side.

·         He has mild dysarthria but, his speech is fluent, and he understands and follows commands very well.

·         There is mild weakness on the left side of the face and left sided homonymous hemaianopsia, but there is no nystagmus or ptosis, and no tongue or uvula deviation.

·         He is not able to move his left arm and leg, has hyperreflexia, and the left great toe is upgoing.

o    What are two questions you would ask this patient?

o    Identify the subjective data for this patient.

o    Identify the objective data for this patient.

o    What Social Determinants of Health would be relevant for this patient?

 

Discussion Peer/Participation Prompt

Instructions:

Please respond to at least 2 of your peer’s posts.  To ensure that your responses are substantive, use at least two of these prompts:

·         Do you agree with your peers’ assessment?

·         Take an opposing view to a peer and present a logical argument supporting an alternate opinion.

·         Share your thoughts on how you support their opinion and explain why.

·         Present new references that support your opinions.

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 in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

 

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