Neurologic System Patient Case

Subjective data

Mr. Green is a 52-years-old, visiting the office today.  He’s currently experiencing headaches and blurry vision. Mr. Green has a history of stroke and hypertension. He was previously admissions for blood transfusion, and history of surgeries. He is allergic to aspirin

Palliation– Mr. Green reports, wearing his glasses help him see better.

Quality- The pain is throbbing and pounding 

Region of the pain– Pain is located in his eye.

Severity-He describes the severity of (10/ 10)

Timing– present for the last few hours.

Understanding and impact– he reported unhappy due to the pain and blurred vision affect his daily living and life activities.

Objective data

The vital signs of Mr. Green include Temperature-36.8 C, HR- 88BPM, respiratory rate- 22BPM, and BP- 168/92 mmHg. The patient is alert but confused and oriented only to person and place and not oriented to time. He has a slurred speech.

Mr. Green, cranial nerves II and VII are impaired. Others cranial nerves are intact.

Upon examining his motor skills, Mr. Green’s muscle strength in the left arm is 2/ 5 while the left leg is 3/ 5. Sensory examination to assess the sensations, including temperature, vibration, pain, and proprioception are intact. 

Actual and potential risks. 

Mr. Green has blurred vision because the assessment findings indicate that the cranial nerve II (optic nerve) is impaired. The stroke might have affected the parts of the brain which control the optic nerve and therefore causing damage to the muscles. He also has hemiplegic headaches, which are throbbing, severe, and are accompanied by confusion.

Mr. Green is at risk of facial nerve paralysis because the assessment findings indicate that the cranial nerve VII (Facial nerve) is impaired, and the patient has left lower facial droop. It can affect the ability to blink a smile and difficulty in making various facial movements (Hinkle & Cheever, 2018). It can result when any part of the facial nerve muscles is either damaged or inflamed.
 

Module 2 – Case

DESCRIPTIVE STATISTICS

Case Assignment

This is a three-part assignment related to a study of contraceptive drug use among women. Table2A is a distribution of systolic blood pressures cross tabulated by age and pill use for women.

Table 2A. Distribution of systolic blood pressure, cross-tabulated by age and pill use.

Blood Pressure

(mm)

Age 35-44

Non-Users

Users

%

%

Under 90

1

1

91-95

2

1

96-100

5

4

101-105

9

5

106-110

11

7

111-115

15

12

116-120

16

14

121-125

9

11

126-130

10

11

131-135

8

10

136-140

5

7

141-145

4

6

146-150

2

5

151-155

1

3

156-160

1

1

160 and over

1

2

Total Percent

100

100

Total Number

3,494

1,028

First, state whether blood pressure in Table 2A would be a continuous variable or a discrete variable. Explain. Then supposing that the number of women in each of groups (non-users and users) were identified, would the number of women in each category be a continuous variable or a discrete variable? Explain.

Part 2: Use any free online histogram maker* to draw histograms for the blood pressures of the users and nonusers ages 35–44. Discuss one conclusion that can be made about blood pressure and pill use. *Here are some free resources: 

http://www.zweigmedia.com/RealWorld/stats/histogram.html

Part 3: Based on what you’ve learned in this module about normal distributions, explain why a normal approximation of data would be helpful to view the data. For example, you could describe the steps that one would take to estimate the percentage of women with blood pressures in an age group.

Assignment Expectations

Assessment and Grading: Your paper will be assessed based on the performance assessment rubric that is linked within the course. Review it before you begin working on the assignment.

Rubric Name: BSHS Case Performance Assessment Rubric J16

CriteriaLevel 5 – ExcellentLevel 4 – ProficientLevel 3 – DevelopingLevel 2 – ImprovingLevel 1 – EmergingTimeliness5 points

Demonstrate excellence by submitting assignment on or before due date.

4 points

Submitted 1–2 days late.

2 points

Submitted 3–4 days late.

0 points

Submitted more than 4 days late.

0 points

Submitted more than 4 days late.

Assignment-driven Criteria17 points

Demonstrate excellence in covering all key elements of the assignment in a substantive way. 

12 points
11 points
10 points
8 points
Critical Thinking13 points

Demonstrate excellence in understanding and interpreting the issue.

Use relevant, factual information to support statements.

Develop concepts in a manner that shows full comprehension of the issue.

Analyze, synthesize, and evaluate viewpoints of others.

Present logical conclusions and outcomes (consequences and implications) with appropriate rationale.

12 points
11 points
10 points
7 points
Scholarly Writing10 points

Demonstrate excellence in scholarly writing by using credible scholarly and professional information sources to support ideas and convey understanding.

Use proper in-text citation(s) and a properly formatted reference list as required.

Use headings and subheadings to organize the paper.

Proofread carefully.

8 points
7 points
6 points
5 points
Professionalism5 points

Demonstrate excellence by taking responsibility for learning.

Adhere to course requirements, policies, and expectations.

Address the assignment in a manner that is appropriate for a health professional in a multidisciplinary context.

4 points
3 points
2 points
0 points
Overall ScoreLevel 5
45 or moreLevel 4
40 or moreLevel 3
35 or moreLevel 2
30 or moreLevel 1
0 or moreClose

 Due Date: Dec 01, 2017 23:59:59       Max Points: 150

Details:

In this assignment, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following:

Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one.

Complete the “Health History and Screening of an Adolescent or Young Adult Client” worksheet.

Complete the assignment as outlined on the worksheet, including:

1. Biographical data
2. Past health history
3. Family history: Obstetrics history (if applicable) and well young adult behavioral health history screening
4. Review of systems
5. All components of the health history
6. Three nursing diagnoses for this client based on the health history and screening (one actual nursing diagnosis, one wellness nursing diagnosis, and one “risk for” nursing diagnosis)
7. Rationale for the choice of each nursing diagnosis.
8. A wellness plan for the adolescent/young adult client, using the three nursing diagnoses you have identified.

Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors. Use correct acronyms or abbreviations when indicated.

 APA format is required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Evidence-Based Practice Proposal – Section C: 

Literature Support

Details:
To begin, work through the reference list that was created in the “Section B: Problem Description” assignment in Topic 2. Appraise each resource using the “Rapid Critical Appraisal Checklists,” available in the textbook appendix. The specific checklist you use will be determined by the type of evidence within the resource.

Develop a research table to organize and summarize the research studies. Using a summary table allows you to be more concise in your narrative description. Only research studies used to support your intervention are summarized in this table. Refer to the “Evaluation Table Template,” available in the textbook appendix. Use the “Evaluation Table Template” as an adaptable template.

Write a narrative of 750-1,000 words (not including the title page and references) that presents the research support for the projects problem and proposed solution. Make sure to do the following:

Include a description of the search method (e.g., databases, keywords, criteria for inclusion and exclusion, and number of studies that fit your criteria).
Summarize all of the research studies used as evidence. The essential components of each study need to be described so that readers can evaluate its scientific merit, including study strengths and limitations.
Incorporate a description of the validity of the internal and external research.
It is essential to make sure that the research support for the proposed solution is sufficient, compelling, relevant, and from peer-reviewed professional journal articles.

Although you will not be submitting the checklist information or the evaluation table you design in Topic 3 with the narrative, the checklist information and evaluation table should be placed in the appendices for the final paper.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Upon receiving feedback from the instructor, refine “Section C: Literature Support” for your final submission. This will be a continuous process throughout the course for each section.