Nervous System

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Santé & Médecine

The Nervous System By: Matt Melanson, Kyle Bermel, Seth Laughlin and Jonolson Mrs. Abbe Family Health Per. 6

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After spending 7 years in college without a degree, Van Wilder formulates his own life philosophy. 1. “Worrying is like a rocking chair, it gives you something to do, but doesn't get you anywhere.” 2. “If you're always thinking about the future, then you kinda forget about the present. Write that down.”  3. “Are you stalking me? 'Cause that would be super.”  4. “I've learned that you can't treat every situation as a life-and-death matter because you'll die a lot of times. Write that down.” 5. “Sometimes in life you need to realize a poor investment, and just cut your loses. Write That Down.”  6. “They said I did them a Mitzvah. That's Yiddish for ‘good deed.’ Write That Down”  7. “Sometimes you gotta let your heart lead you, even if you know it's someplace you know you're not supposed to be.”  8. “Don't take life too seriously, you'll never get out alive. Write That Down.” 

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Diseases of the Nervous System and the Special Senses C H A P T E R Learning Objectives After studying this chapter, you should be able to ■ Recognize the basic structure and functions of the nervous system and major sensory elements ■ Describe the etiology, signs and symptoms, diagnostic tests, and treatment of different types of headache ■ Compare and contrast different types of headache ■ Describe the etiology, signs and symptoms, diagnostic tests, and treatment of infectious diseases of the nervous system ■ Describe degenerative diseases of the central nervous system, including multiple sclerosis, Parkinson’s disease, and amyotrophic lateral sclerosis ■ Discuss inherited and congenital diseases of the nervous system ■ Describe the effects of trauma on the brain and sensory organs ■ Discuss the etiology, signs and symptoms, diagnostic tests, and treatment of seizure disorders ■ Discuss the etiology, signs and symptoms, diagnostic tests, and treatment of CVA (stroke) or related cerebrovascular disorders ■ Describe the etiology, signs and symptoms, diagnostic tests, and treatment of selected eye and ear diseases 13 Benign brain tumors are not very serious and therefore are not cause for concern. Fiction:Benign tumors tend to grow and crowd out precious cranial space and, thus, apply pressure or restrict blood flow to particular brain regions. If these benign growths are inoperable or uncontrolled, they will kill the victim. Malignant brain tumors may be lethal, but they may also be surgically removed or re- duced with medication or radiation. All brain tumors require at- tention and may be lethal if left untreated. Treatment with surgery, medication, or radiation is most successful for slowly growing, encapsulated tumors. Fact or Fiction? Photomicrograph of a neuro- fibrillary tangle. (© O.J. Staats/Custom Medical Stock Photo) IS B N 0-558-59446-8 Human Diseases: A Systemic Approach, Seventh Edition, by Mark Zelman, Ph.D., Elaine Tompary, PharmD, Jill Raymond, Ph.D., Paul Holdaway, MA, and Mary Lou Mulvihill, Ph.D. Published by Prentice Hall. Copyright © 2010 by Pearson Education, Inc. 337 Death to a Killer N ot so long ago, your great-grandparent or grandparent may have suffered from this tragic disease or feared it within his or her community. Your parents’ generation began to break free from the grip of this disease, and for today’s generation this disease has been nearly eradicated. What is this devastating killer disease? Polio. Polio thrived in the United States and around the world until the 1950s, especially impacting the postwar “baby boom” generation. By 1955, Dr. Jonas Salk and Dr. Albert Sabin had formulated vaccines that put this disease on the shelf. How was that incredible feat accomplished? Dr. Jonas Salk’s vaccine consisted of inactivated poliovirus in- jected intramuscularly, which stimulated production of antibodies against poliovirus. With the institution of broad-scale immunization programs ...

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Thoracotomy is the surgical procedure with an incision made to access the pleural space and the contents of the thoracic cavity. Given the structures to be accessed with in the cavity, different incisions have been established to easy the procedure and these incisions qualify the types of thoracotomies to be studied hereunder. PRE OP OPTIMIZATION FOR SPECIFIC FACTORS The outcome of surgical procedures is not measured only by clinical end points but also shorter stays and lower costs. Patients’ discharge is delayed commonly due to inadequate pain relief, infection, arrhythmias, prolonged air leak and debility. Many complications that occur from thoracic operations can be anticipated. An aggressive preoperative work up mitigates morbidity and shortens convalescence. APPROACH CONSIDERATIONS There are about three principles that can guides the choice of the thoracotomy incision to be used I. Adequate exposure must be achieved. The choice of incision is aided by a thorough understanding of the surface anatomy and a comprehensive review of the radiographic images that are obtained preoperatively. II. Chest-wall function and appearance should be preserved to the extent possible. This principle include non-spreading video-assisted thoracoscopic surgery (VATS) procedures, muscle-sparing techniques, avoidance of excessive rib retraction, and rib preservation when possible. III. The third principle is that closure must be meticulous and appropriate. Strict layered closure is the rule for thoracic surgical incisions. Every effort should be made to approximate the individual divided chest-wall muscles in appropriate layers; otherwise, a significant delay in the recovery of range of motion (ROM) may result. Care must be taken to avoid over approximating the ribs and to prevent an override; this will help minimize postoperative pain. POST-OPERATIVE CARE AND MONITORING

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Title: Application of Checklist-Based Nursing Care Process in Patients Undergoing Intervention for Coronary Chronic Total Occlusion: A Quasi-Randomized Study Presenter: Sonia Pal, M.Sc. Nursing 2nd Year Journal: BMC Nursing (2023) Authors: Xia Ge, Haiyang Wu, Zhe Zang, and Jiayi Xie DOI: 10.1186/s12872-023-03627-8 Study Overview: This presentation focuses on the effectiveness of a checklist-based nursing care process for patients undergoing interventions for coronary chronic total occlusion (CTO). The study employs a quasi-randomized design to assess improvements in patient care outcomes. Key Points: Background: CTO interventions are complex, and traditional nursing methods have not been highly effective, necessitating the exploration of new approaches. Objective: To investigate the effectiveness of a checklist-based nursing care process in improving care quality, reducing patient anxiety, increasing patient satisfaction, and minimizing adverse events. Methodology: Design: Quasi-randomized study Setting: Department of Cardiology, Shengjing Hospital, China Medical University, Shenyang, China Participants: 120 patients undergoing CTO interventions Groups: Intervention group (checklist-based care) and control group (standard care) Tools: Preoperative and postoperative PCI nursing care checklists, Zung Self-Rating Anxiety Scale, satisfaction questionnaires for doctors and patients Ethical Considerations: The study adhered to the Declaration of Helsinki, with informed consent obtained from all participants. Results: The study aimed to demonstrate that checklist-based nursing care could enhance nursing efficiency and patient outcomes compared to conventional methods. Quality Control: A quality control team ensured adherence to the checklist and study protocol, with regular training and supervision of nursing staff. Conclusion: The presentation concludes with findings supporting the effectiveness of checklist-based nursing care in CTO interventions, suggesting improvements in patient care processes and outcomes. The study highlights the importance of structured nursing protocols in complex medical procedures.

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