OBJECTIVES PLAN OF LESSON. Upon completion of this unit the student will:

Transcription

1 Unit: Medical Surgical Nursing-Disorders of the Nervous System Implementation: Linton (2016) Ch. 27 Lesson: 1 Lecture/Discussion, Transparencies, Quizzing Title: Introductory to Neurological Disorders, Anatomy of the Evaluation: Written Test, Application in Patient Care Nervous System Integrated: Geriatrics 1 hour Time: Theory 1 Hour 1. Describe structural units and functions of CNS and PNS. 2. Describe structural units and function of autonomic nervous system. 3. Describe passage of impulses through neurons and neural pathways. 4. Identify different levels of consciousness. 5. Describe the normal age-related changes in the neurological system and differences in assessment findings. 6. Discuss and list reasons for neurological examination by MD. 7. Describe and discuss the significance of a neurological checks/assessment. 8. List signs and symptoms of increased intracranial pressure. Reviewed: 09/93, 07/97, 07/99; 07/06; 03/11; 07/14 I. Central Nervous System A. Location B. Functions C. Parts II. Peripheral Nervous System A. Location B. Functions C. Parts III. Autonomic Nervous System A. Location B. Functions C. Parts IV. Physiology of Nervous System A. Neural Conduction B. Excitability and Conductivity C. Oxygen Requirements V. Assessment of Levels of Consciousness VI. Normal Age-Related Changes A. Memory B. Vision C. Hearing D. Taste E. Smell F. Position Sense G. Muscle Strength H. Reaction Time VII. Neurological Exam A. Physical Preparation B. Nurse s Role C. Glasgow Coma Scale 1

2 Unit: Medical Surgical Nursing-Disorders of the Nervous System Implementation: Linton (2016) Ch. 27; Lecture/Discussion, Lesson: 2 Transparencies, Handout, Quizzing Title: Neurological Examination and Diagnostic Evaluation Evaluation: Written Test, Application in Patient Care Time: 1 Hour Integrated: N/A 1. Discuss and list six purposes of lumbar puncture. 2. Discuss sequelae and nursing care of patient undergoing lumbar puncture. 3. Discuss the preparation for contrast studies. 4. Discuss management of patient after contrast studies. 5. Describe, discuss, and list the purposes of E.E.G. 6. Describe, discuss, and list the purposes of brain scan. I. Diagnostic Evaluation A. Lumbar Puncture 1. Six Purposes 2. Management B. Contrast Studies; Preparation and Management After 1. Cerebral Angiography 2. Ventriculography 3. Pneumoencephalography 4. Myelography C. Other Diagnostic Studies 1. E.E.G 2. Brain Scan 3. C.T. Scan 4. MRI 5. Electromygraphy 2

3 Unit: Medical Surgical Nursing-Disorders of the Nervous System Implementation: Linton (2016) Ch. 27 ; Lecture/Discussion Lesson: 3 Transparencies, Case Studies, Quizzing Title: Specific Neurological Problems and Their Implications Evaluation: Written Test, Application in Patient Care for Nursing Integrated: Pharmacology 0.5 Hour Time: Theory 2.5 Hours 1. Define and list causes, medical treatment of Alzheimer s Disease and the nursing care required by a patient with Alzheimer s Disease. 2. List the signs and symptoms and medical treatment for IICP. 3. Define and list causes and types, medical treatment of seizures and the nursing care required by a patient with seizures. 4. Describe management of a patient during and after a grand mal seizure. 5. Define and list causes, medical treatment of headaches and migraine headaches and the nursing care required by a patient with headaches and migraine headaches. 6. Define and list causes, medical treatment of meningitis and the nursing care required by a patient with meningitis. 7. Define and list causes, medical treatment of encephalitis and the nursing care required by a patient with encephalitis. 8. Define and list causes, medical treatment of Guillain-Barre Syndrome and the nursing care required by a patient with Guillain-Barre. 9. Define and list causes, medical treatment of Parkinson s disease and the nursing care required by a patient with Parkinson s disease. Revised: 07/95, 07/01, 07/03, 07/04; 07/07; 07/08; 10/10; 03/11; 08/12; 1/16 I. Alzheimer s II. IICP A. Signs and symptoms B. Management III. Epilepsy D. Common Medications IV. Headaches V. Meningitis VI. Encephalitis VII. Guillian-Barre Syndrome VIII. Parkinson s Disease IX. Multiple Sclerosis A. Incidence B. Cause C. Symptoms D. Treatment E. Prognosis F. Emotional Response G. Complications X. Amyotrophic Lateral Sclerosis (ALS) XI. Huntington s Disease XII. Myasthenia Gravis XIII. Trigeminal Neuralgia XIV. Bell s Palsy XV. Herpes Zoster/Shingles 3

4 Unit: Medical Surgical Nursing-Disorders of the Nervous System Implementation: Linton (2016) Ch. 27; Lecture/Discussion Lesson: 3 Transparencies, Case Studies, Quizzing Title: Specific Neurological Problems and Their Implications Evaluation: Written Test, Application in Patient Care for Nursing Integrated: Pharmacology 0.5 Hour (continued) Time: Theory 2.5 Hours (continued) 10. Define and list causes, medical treatment of multiple sclerosis and the nursing care required by patients with multiple sclerosis. 11. Define and list causes, medical treatment of ALS and the nursing care required by a patient with Amyotrophic Lateral Sclerosis. 12. Define and list causes, medical treatment of Huntington s Disease and the nursing care required by a patient with Huntington s. 13. Define and list causes, medical treatment of myasthenia gravis and the nursing care required by a patient with myasthenia gravis. 14. Define and list causes, medical treatment of trigeminal neuralgia and the nursing care required by a patient with trigeminal neuralgia (tic douloureux). 15. List the signs and symptoms and medical treatment of Bell s Palsy. 16. Define and list causes, medical treatment of herpes zoster/shingles and the nursing care required by a patient with herpes zoster/shingles. 17. Define and list causes, medical treatment of poliomyelitis and the nursing care required by a patient with poliomyelitis. 18. Define and list causes, medical treatment of brain tumors and the nursing care required by a patient with brain tumors. 19. List the signs and symptoms of brain injury. 20. Define the different types of injuries to the brain. XVI. Polio XVII. Brain Tumors B. Complications C. Features D. Management E. Nursing Care XVIII. Brain Injury Revised: 07/95, 07/01, 07/03, 07/04; 07/07; 07/08; 10/10; 03/11; 08/12; 1/16 4

5 Unit: Medical Surgical Nursing-Disorders of the Nervous System Implementation: Linton (2016) Ch. 28 Lesson: 4 Lecture/Discussion, Transparencies, Case Studies, Quizzing Title: Care of a Patient with Cerebrovascular Disease Evaluation: Written Test, Application in Patient Care Time: Theory 1.5 Hours Integrated: Pharmacology 0.5 Hours 1. Define cerebrovascular disease. 2. Define atherosclerosis and arteriosclerosis. 3. Understand special problems with cerebrovascular disease. 4. Define CVA/stroke. 5. Define cerebral insufficiency. 6. Define aneurysms of blood vessels of the brain. 7. List nursing management of a CVA patient in the acute phase. 8. Discuss nutritional considerations of CVA patients. 9. Discuss drug therapy in a patient with CVA. 10. Discuss phases of rehabilitation of the CVA patient. I. Cerebrovascular Disease A. Pathophysiology B. Symptoms C. Treatment II. Atherosclerosis/Arteriosclerosis A. Differences B. Symptoms III. Problems of Cerebrovascular Disease A. Behavior B. Changes and Orientation C. Dependence D. Independence E. Families IV. Cerebral Insufficiency A. Treatment B. Nursing Management V. Aneurysms A. Medical Treatment B. Surgical Treatment C. Nursing Management of Each VI. CVA s A. Signs and Symptoms B. Diagnosis C. Treatment D. Nursing Management E. Nutritional Considerations 1. Thick It 2. Role of Speech Therapist F. Drug Therapy 1. Anticoagulants 2. Stoll Softeners 3. Sedatives of Tranquilizers VII. Rehabilitation A. ADL 5

6 Unit: Medical Surgical Nursing-Disorders of the Nervous System Implementation: Linton (2016) Ch. 29;Quizzing, Case Studies, Lesson: 5 Lecture/Discussion, Transparencies Title: The Patient with Spinal Cord Impairment Evaluation: Written Test, Application in Patient Care Time: Theory 3 Hours Integrated: N/A 1. Know the areas of functions of the spinal cord. 2. List causes and treatments of cord and spinal nerve root compression. 3. List pre- and post-operative management of a patient with a laminectomy. 4. Define paraplegia and its cause. I. Functions of Spinal Cord II. Causes of Spinal Nerve Root Compression A. Trauma B. Herniated Intervertebral Disc C. Cervical Spondylosis D. Tumor Management III. Treatment and Management A. Conservative Therapy B. Nursing Management C. Surgery 1. Pre-op Care 2. Post-op Care IV. Paraplegia A. Early Treatment B. Assessment and Management 1. Complications 2. Nutrition 3. Elimination 4. Psychological Problems 5. Rehabilitation V. Tumors of Spinal Cord B. Signs & Symptoms C. Treatment 6