A patient was chosen with longstanding chronic problems that included atrial fibrillation, diabetes, and hypertension. Two of the longstanding chronic problems, atrial fibrillation and hypertension, were diagnosed in 1992. One longstanding chronic problem, diabetes, was diagnosed in 2005. The patient reports that the chronic problems were managed on an outpatient basis and he has never required hospitalization until now. The patient reports that he was under the care of two physicians to manage his chronic problems, a cardiologist and an internist. The patient has required recent hospitalization for the diagnosis of intracranial hemorrhage. The patient has transitioned between two physicians and most recently has had a total…
of an act that a reasonably prudent person would or would not do. It is a form of conduct which is caused by the carelessness of the standard of care on reasonable members of the society; In the medical field it is consider malpractice. The person who shows negligence does not use their best judgment against possible risk. For example, in the case Dr. Haskins did not examine Kelly nor review his chart. He then advises Mr. Niles to take his son home. A red alert for negligence was also during…
in turn lowers the ICP (Urden el at., 2014). Repositioning the patient, also aids in lowering the ICP at 5 minutes as mention by Olsen et al. (2013). Therefore, it is an important nursing intervention. Furthermore, it is important for the nurse to administer mannitol if the physician has order it. Mannitol is a osmatic agent which aids reduction of ICP by decreasing the edema. Next, it is important for the nurse to administrate sedation and analgesia to promote comfort and to prevent pain…
An Arteriovenous Malformation (AVM) can be described simply as a tight rubber band ball of abnormal blood vessels with weak walls. These can be located anywhere in the body. Arteries carry blood containing oxygen from the heart to the brain. An AVM bypasses normal brain tissue and directs blood from the arteries to the veins without a capillary bed in between. Brain AVM’s occur in less than one percent of the population (per 100,000 people) and are more common in males than females. Being…
compromise function of the frontal brain networks resulting in cognitive and behavioral deficits. FTNCD is a common cause of dementia among patients’ ages 45 – 65 years. This group of neurodegenerative conditions is characterized by progressive and relatively selective atrophy of frontal lobes, temporal lobes, or both, and deterioration in behavior and personality or in language abilities culminating in dementia (DynaMed, 2016). Vascular neurocognitive disease (VND) This spectrum of cognitive…
Running head: INTRACRANIAL REGULATION 1 Intracranial Regulation Name Institution Introduction Cerebrospinal fluid is a colorless body fluid that is found in the brain and spinal cord. It is produced by the choroid plexuses of the ventricle of the brain. It protects the cortex of the brain providing many mechanical protections. Also, it provides immunological to the brain in the skull. The brain produces about…
of injury for the student in this case study (how it occurs). (4 points) A primary injury is the initial damage to the brain as a result of an accident (Hinkle & Cheever, 2014). The primary injury in this case occurred as a result of acceleration, deceleration and then impact. The acceleration, deceleration and impact resulted in a closed head injury, damaging the brain tissue (Hinkle & Cheever, 2014). 2. Define the term secondary head injury and describe the mechanism of injury (how it…
Elevated intracranial pressure (ICP) is a common and potentially life threatening condition arising from a variety of pathological conditions including traumatic brain injury (TBI), intracranial hemorrhage, disturbance of cerebral spinal fluid (CSF) circulation and brain tumors. Although ventriculostomy continues to be the gold standard modality, the potential risks of misplacement, infection, hemorrhage and obstruction have led to development and implementation of alternative intracranial…
diagnosis is decreased intracranial adaptive capacity related to brain injury as evidenced by failure of normal compensatory mechanisms resulting in increased intracranial pressure (Bauman & McCourt, 2014). According to Rangel-Castilla, Salinas, and Hanbali (2016), the major focus of management in head injuries is the prevention of secondary injuries and the preservation of neurological functions that were not damaged in primary injury. Adhiyaman et al. (2002) noted altered mental status and…
Many people have a memorable event that shapes their lives; unfortunately, I was in a coma for mine. In February 2012 -- mid-way through my freshman year -- I suffered a brain aneurysm. There were no big warning signs, no red flags...just a nagging headache two days before. I went to sleep one night, and woke up two days later in a hospital room, surrounded by a dozen strange people, with a breathing tube down my throat...and everyone telling me to RELAX. Are you kidding me?! The good news is…