Week
3: Assessment of the Neurological System
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Randy Adams is a 38-year-old male patient of
Dr. Joseph Reynolds who was admitted yesterday morning for 24-hour observation
for mild concussion following a motor vehicle accident. Randy lost
consciousness during the accident and was very confused when he arrived in the
ER after EMS transport. He is an Iraq war veteran and he seemed to think after
the accident that this all happened in Iraq. Dr. Reynolds is concerned that
Randy has some residual problems from a couple of explosive incidents that
occurred while he was in Iraq. The physician is unsure whether Randy’s current
symptoms are from the car accident or from prior injuries so he has referred
him for consultations to both a neurologist and to a behavioral health
specialist.
Based on the above please discuss the
following.
1. Pathophysiology
of concussive injuries and treatment
2. Neurological
assessment tools used in your current practice setting (if not presently
working, please describe one used during prior employment or schooling)
3. Current
best practices associated with post-traumatic stress disorder (PTSD)
4. Nursing
interventions you would include in this patient’s plan of care
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