(1) Identify the subjective and objective assessments that support Mrs. Seaborn admitting diagnosis of Bell's palsy? (2) What is the main cranial nerve involved with Bell's palsy? How is testing done for this nerve?
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- A/An _______________ is performed to gain access to the brain or to relieve intracranial pressure.History of Present IllnessTwo hours prior to admission, at 4am, patient Jake was jogging along LacsonStreet when a group of bystanders had approached him and stabbed himmultiple times. He claims that he does not know these people. He tried todefend himself resulting to multiple injuries in his upper extremities where hehad 3 lacerations, cheeks where he had a laceration on the left, right chest andright upper abdominal quadrant. Medications: Tetanus Toxoid 0.5 ml/amp, give 1 ampule via deep IM, now at right deltoid ATS 3,000 IU/amp, give 1 ampule via deep IM, now, ANST at left deltoid Piperacillin Tazobactam 2.25 grams/vial, give 1 vial via IV drip to run for 3 hours Q8H Tramadol 50 mg/amp, give 1 ampule very slow IV push now then Q6 PRN for pain Omeprazole 40 mg/amp, give 1 ampule via IVTT ODHS Latest Vital Signs : Blood Pressure: 90/60 mmHg Heart Rate: 121 bpm Respiratory Rate: 26cpm Temperature: 37.3 ⁰C Pain Scale: 10/10 NURSING CARE PLANHISTORY OF PRESENT ILLNESS: Edith Martens is a 66-year-old female who is recovering fromviral pneumonia. When her daughter came to check on her, she found Edith in bedcomplaining of weakness, constant fatigue and abdominal pain.For the past few days, Edith has been complaining of thirst and frequent urination. She alsoreports that she cannot see very well. Edith has lost approximately 4 lbs over the last week.Her daughter brought Edith to the ER. PAST HISTORY: There is a history of osteoarthritis that responds well to ASA. Edith wasdiagnosed with Type 2 diabetes approximately two years ago. She takes glyburide 10 mg everymorning before breakfast and is on an 1800 calorie diet, which she follows closely. SOCIAL HISTORY: Edith has lived alone since the death of her husband. She is not physicallyactive; her activities consist of light housework and occasional shopping trips. FAMILY HISTORY: Edith’s father had Type 2 diabetes complicated by peripheral vasculardisease. He died at the age of…
- HISTORY OF PRESENT ILLNESS: Edith Martens is a 66-year-old female who is recovering fromviral pneumonia. When her daughter came to check on her, she found Edith in bedcomplaining of weakness, constant fatigue and abdominal pain.For the past few days, Edith has been complaining of thirst and frequent urination. She alsoreports that she cannot see very well. Edith has lost approximately 4 lbs over the last week.Her daughter brought Edith to the ER. PAST HISTORY: There is a history of osteoarthritis that responds well to ASA. Edith wasdiagnosed with Type 2 diabetes approximately two years ago. She takes glyburide 10 mg everymorning before breakfast and is on an 1800 calorie diet, which she follows closely. SOCIAL HISTORY: Edith has lived alone since the death of her husband. She is not physicallyactive; her activities consist of light housework and occasional shopping trips. FAMILY HISTORY: Edith’s father had Type 2 diabetes complicated by peripheral vasculardisease. He died at the age of…THE NERVOUS/NEUROLOGICAL SYSTEM Client Profile: Mrs. Seaborn is a 43-year-old woman who presents to the emergency department with complaints of weakness of the left side of her face. She is married and is an interior decorator who owns her own business. Earlier today she was working at a client's home when she started to have increased facial weakness and was unable to taste her lunch. She states a history of two days of numbness in her forehead. Case Study: Mrs. Seaborn's vital signs are temperature 98.2°F, blood pressure 148/60, pulse 83, and respiratory rate of 26. She is fearful, crying, and states, "My mother died of a stroke, I am sure that is what is going on. Am I going to die?" She complains of pain behind and in front of her left ear. She is exhibiting unilateral facial paralysis. Her left eye is drooping and she says it feels dry. Her inability to raise her eyebrow, puff out her cheeks, frown, smile or wrinkle her forehead is suspicious for Bell's palsy. A healing cold sore…Client Profile: Mrs. Giammo is a 59-year-old woman who was brought to the emergency department by her husband. Mr. Giammo noticed that all of a sudden, his wife “was slurring her speech and her face was drooping on one side.” Mrs. Giammo told her husband that she felt some numbness on the right side of her face and in her right arm. Mr. Giammo was afraid his wife was having a stroke so he brought her to the hospital.Case Study: In the emergency department, Mrs. Giammo is alert and oriented. Her vital signs are temperature 98.28F (36.78C), blood pressure 148/97, pulse 81, and respiratory rate 14. An electrocardiogram (ECG, EKG) monitor shows a normal sinus rhythm. Mrs. Giammo is still complaining of “numbness” of the right side of her face and down her right arm. Her mouth is noted to divert to the right side with a slight facial droop when she smiles. Her speech is clear. She is able to move all of her extremities and follow commands. Her pupils are round, equal, and reactive to light…
- pathophysiology hyperreflexia (primary/secondary, types, clinical manifestations, assessment tools)pathophysiology of CVA (simple and easy)Mr. Jones, 22 yr old AA male, comes into the Emergency Room with an exacerbation of Sickle Cell crisis. States his pain is a 20 out of 10.Give examples of a non-pharmacologic pain relief.Give examples of pharmacological pain relief.Which would be appropriate for the physician to prescribe at this point.
- Briefly discuss the various mental illnessesWhat complications is Mr. E at risk for following general anesthesia and a below-the-knee amputation (BKA)? Please explain Note: -Mr. E is a smoker, has heart disease and diabetes type 1 as well as PVD -This is during the postoperative Phasepathophysiology head injury/ spinal cord injury (primary/secondary, types, clinical manifestations, assessment tools, etc)