NURS6531 week 9 discussion latest 2018 September Week 9 discussion Discussion: Diagnosing Neurological Disorders
Discussion: Diagnosing Neurological Disorders
As an advanced practice nurse, you will likely observe
patients who experience neurological disorders. Challenging to the diagnosis of
neurological disorders is the realization that many manifestations of disease
may not be overt physically.
For this Discussion, consider the following three case
studies of patients presenting with neurological disorders.
Case Study 1
80-year-old male Caucasian male brought to the clinic by his
wife concerned about his “memory problems”. Per the wife, she has noticed his
memory declining but has never interfered with his daily activities until now.
He is unable to remember his appointments and heavily relies on written notes
for reminder. Just last week, he got lost driving and was not found by his
family until 8 hours later. He is unable to use his cell phone or recall his
home address or phone number. He has become a “hermit” per his wife. He has
withdrawn from participating with church activities and has become less
PMH: HTN, controlled
Prostate cancer 20 years ago
SH: no alcohol or tobacco use; needs assistance with
PE: VS stable, physical exam unremarkable
Case Study 2
A 30-year-old Asian female presents to the clinic with
headaches. History of headaches since her teen years. Headaches have become
more debilitating recently. Describes the pain as sharp, worsens with light and
accompanied by nausea and at times vomiting. Rates the pain as 7/10. Typically
takes 2 tabs of OTC Motrin with ‘some help’. “Sleeping it off in a darkened
room’ helps alleviate the headache. VS WNL, physical exam unremarkable.
Case Study 3
A 50-year-old African American male presents with complaints
of dizziness left arm weakness and fatigue. PMH: poorly controlled diabetes,
PE: Upon exam, you noted a very mild dysarthria, he
understands and follows commands very well. Mild weakness on the left side of
the face is noted, and left sided homonymous hemianopsia but no ptosis or
nystagmus or uvula deviation.