...Chapter 4 1. Explain what is meant by a chronic and acute health impairment. * Chronic Chronic is when the health impairment is long term. Chronic health impairments are defined to last more than a year after the first diagnosis. One example is diabetes. Pg. 83-84 * Acute Acute is when the health impairment is short term. Acute health impairments are ones that can be helped in a shorter time and not lasting over a life span. Pg. 83 2. Describe the impact of visible versus invisible related to health impairments. * When an impairment is visible there are more precautions and adaptions made. Pg. 84 * The people that interact with the person with a visible health impairment would know and not be surprised when something happens. Pg 84 * Although when health impairments are invisible some people may not be known as really ill and get the treatment and excess aid they need. Pg. 84 * They also may interact in activities that could be dangerous to them. Pg. 84 Asthma 3. Define Asthma and provide 4 facts about it. * Definition * Asthma is the most common pulmonary disease of childhood. Pg. 84 * 4 Facts * Asthma can begin in infancy or develop later in life. Pg. 84 * Asthma is a disease in result of many factors in that genetic predisposition interacts with circumstances in the environment. Pg. 85 * It develops beginning with allergen-induced inflammation followed by a consolidation phase characterized...
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...COMMENTS ON CENTRAL NERVOUS SYSTEM AND RADIOLOGICAL ANATOMY Radiological Anatomy Radiological anatomy is a medical specialty that employs the use of imaging to both diagnose and treat disease visualised within the human body. It explores various tissue densities to be able to determine structures. It could either be invasive or non-invasive. Radiologists use an array of imaging techniques which include: • Conventional radiography (X-ray) • Ultrasound • Computerized Tomography • Magnetic Resonance Imaging • Interventional Radiology • Radiation Therapy The acquisition of medical imaging is usually carried out by the radiographer or radiologic technologist. The radiologist then interprets or "reads" the images and produces a report of their findings and impression or diagnosis. Central Nervous System The nervous system is organized into two parts: the central nervous system, which consists of the brain and the spinal cord, and the peripheral nervous system, which connects the central nervous system to the rest of the body. In the central nervous system, the brain and spinal cord are the main centres where communication of nervous information occur. Both the brain and spinal cord are covered with a system of membranes, called meninges and are suspended in the cerebrospinal fluid; they are further protected by the bones of the skull and the vertebral column. The central nervous system is composed of large numbers of excitable...
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...Week 4 Chapter 10 Chapter Assessment: Terms: Cluster headache- a type of severe headache that tends to recur over a period of several weeks and in which the pain is usually limited to one side of the head Convulsion- a sudden, violent, irregular movement of a limb or of the body, caused by involuntary contraction of muscles and associated esp. with brain disorders such as epilepsy, the presence of certain toxins or other agents in the blood, or fever in children. Migraine headache- a recurrent throbbing headache that typically affects one side of the head and is often accompanied by nausea and disturbed vision. Multiple sclerosis- a chronic, typically progressive disease involving damage to the sheaths of nerve cells in the brain and spinal cord, whose symptoms may include numbness, impairment of speech and of muscular coordination, blurred vision, and severe fatigue. Neuroma- another term for neurofibrousa Paralysis- the loss of the ability to move (and sometimes to feel anything) in part or most of the body, typically as a result of illness, poison, or injury. Tay sachs- disease (also known as GM2 gangliosidosis or hexosaminidase A deficiency) is a rare autosomal recessive genetic disorder. Tension headache- headaches are the most common type of headaches among adults. They are commonly referred to as stress headaches Chapter 11 Chapter Assesment: Terms: Alzheimer’s disease- progressive mental deterioration that can occur in middle or old age...
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...Prenatal Alcohol Exposure Chapman University EDUU 606 January 6, 2010 Over use of alcohol is a growing social problem in our society. Alcohol has a long history of uses, during the early 1930’s alcohol consumption reached an all time high. In the 1980’s consumption of alcohol by adults leveled off; and in the 1990’s there was a decline in the number of adult’s consuming alcohol. Even though consumption in adults has leveled off and declined, there continues to be a growing concern over women who consume alcohol during pregnancy, its affects on the nervous system, and the unborn fetus. In this research I will provide you with an overview on the history and production of alcohol, the effects on the body and the damages that could occur to unborn fetus, demographics of those affected by alcohol. How the alcohol is transmitted from the mother to the unborn fetus, parts of the brain disrupted in development, and the impact it has on learning, as well as the implications and application to the classroom. It does not appear; that most people have a clear understanding of dangers of alcohol. Ethanol is a very addictive drug, which takes many, lives each year. Alcohol lowers ones ability to think rationally. People who consume alcohol lack good judgment because it often causes them to do things they normally wouldn’t when their sober. Alcohol has a major effect on ones overall...
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...THE NEWBORN WITH SPECIAL CONSIDERATIONS A preterm infant is usually defined as a live-born infant born before the end of week 37 of gestation; another criterion is a weight of less than 2,500 grams (5lb 8oz) at birth I. INCIDENCE Occurs approximately 7% of live births of white infants, in Afro-American infants the rate is doubled 14% (Thilo & Rosenberg, 2003) CAUSES/FACTORS ASSOCIATED WITH PRETERM BIRTHS 1. Low socio-economic status 2. Poor nutritional status 3. Lack of prenatal care 4. Multiple pregnancy 5. Previous early birth 6. Race (non-whites have higher incidence than whites) 7. Cigarette smoking 8. Age of the mother (highest incidence is in mothers younger than age 20) 9. Order of birth (early termination is highest in first pregnancies and in those beyond 4th pregnancies) 10. Closed spaced pregnancies 11. Abnormalities of mother’s reproductive system, such as intrauterine septum 12. Infections (especially UTI) 13. Obstetric complications (PROM, premature separation of placenta 14. Early induction of labor 15. Elective cesarean birth ASSESSMENT A. History – detailed pregnancy history will reveal reason for the preterm birth; be careful not to convey disapproval of reported pregnancy behaviors such as smoking, etc. Being overburdened with guilt may be detrimental to her attempts to bond with her infant B. Appearance Criteria Posture Premature infant Resting posture – characterized by very little, if any, flexion in upper extremities and only partial flexion of...
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...Psychological Medicine, 1991, 21, 577-580 Printed in Great Britain EDITORIAL Eating disorders in pregnancy1 During pregnancy, most women will experience a short-lived and benign disturbance in their normal eating patterns. The majority report the onset of cravings or aversions to certain food-stuffs while a small number indulge in pica, the consumption of non-nutritious substances such as soap or clay (Dickens & Trethowan, 1971). These disturbances usually remit after delivery and rarely give rise to physical complications for mother or foetus. However, more serious and chronic eating disorders including bulimia nervosa and anorexia nervosa may also occur during pregnancy. These conditions are most prevalent among women of childbearing age and some evidence suggests that both disorders can also be precipitated by pregnancy (Weinfeld et al. 1977; Price et al. 1986). The prevalence of eating disorders among pregnant women is unknown, but the low body weight and sexual inactivity of anorexic women suggests that this disorder is much less common than in the general population. Markedly reduced fertility rates have been confirmed in long-term outcome studies of these patients (Brinch et al. 1988). Comparable data are not available for bulimia, but most of these patients are of normal weight and they are more likely to be married than anorexics. Although the prevalence rate for bulimia in women is approximately 1 % (King, 1986; JohnsonSabine et al. 1988), and partial syndromes...
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...An Overview of Dementia: How It Has Touched My Life Dementia is an illness that occurs when there is a loss of brain function as a result of the presence of certain diseases. Dementia affects a person’s memory, judgment, behavior, thinking, and language. Dementia includes Alzheimer’s disease (AD) and tends to increase the most from the age of 65. Various references and literature in reference to dementia indicate that the number of patients with dementia will increase significantly as society ages, especially within the next three decades. Dementia causes significant family issues and can become a financial burden on patients and their family members. These burdens impair the ability of a person to function independently and also have a tremendous impact on his or her relationships and quality of life. The subject of this paper will discuss an overview of dementia, treatments of dementia, how it affects human lives, and also the affect dementia has had on the life of the writer of this paper An Overview of Dementia: How It Has Touched My Life As a child growing up in the early 1970s, the writer of this paper can recall his neighborhood. It was peaceful and had a several people who were known elderly and considered as senior citizens. The writer of this paper also remembers when the adults of the neighborhood would speak of the elderly and tend to talk the most about their strange behaviors. Although this was often the case, the talk of...
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...bead between thumb and finger T d) Say up to five word clearly F e) Feed himself with a spoon F 5. if a child in the ward's develops measles, the following action are appropriate a) Close the wards to all admissions for one week F b) Actively immunized all the other patients against measles T c) Give gamma globulin to all patients who have not been immunized or had measles T d) Forbid visiting by the parents until the rash has gone F e) Give prophylactic antibiotics to all contacts at home T 6. Convulsion in the first week of life is characteristic of a) Hypocalcaemia T b) Post maturity F c) Craniopharyngioma T d) Hypomagnesaemia T e) Birth asphyxia T 7. Bronchial asthma: a) is associated with recurrent rather than chronic persistent cough T b) Is inherited in a Mendelian fashion F c) May be associated with flexural eczema T d) Rarely occurs in infancy T e) Requires laboratory investigation for diagnosis T 8. Both human breast milk and cow's milk can be used...
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...amphetamines and, 266 course and outcome, 274 delusional, 16 in HIV patients, 345 in ICD-10, 42 in old age aetiology, 369 clinical features, 370 treatment, 370 in old age, 369–370 mixed state with depression, 255 sensations in, 6 stroke and, 344 stupor in, 31 manic states, 15–17 Marchiafava-Bignami syndrome, 206, 338 Marijuana Anonymous, 239 marital status, and suicide, 454 masculinity drunkenness and, 428 sense of, 395 Massachusetts Male Aging Study, 402 Massachusetts Women’s Health Study (MWHS), 442 masturbation, 396 McNaughton Rules, 558 McNaughton, Daniel, 558 m-CPP 435 , MDMA (3, 4-methylenedioxymethamphetamine; ‘ecstasy’), 328 medial temporal lobe volume in Alzheimer’s disease, 359 MRI for detecting, 75 medical conditions anxiety disorders in, 170 depression treatment, 521 detection of psychiatric illness, 483 feigned illness, 530–531 mental disorders due to, 327 anxiety disorders, 333 cannabis and psychosis, 330 catatonia, 332 cognitive disorders, 334 delusions, 329 depression and Parkinson’s disease, 332 general principles, 327 hallucinations, 328 mood disorders, 330 personality disorder, 333 psychotic disorder, 328 stimulant psychosis, 329 mental disorders due to, 326–335 relationship to affective change, 270 suicide risk and, 455 medically unexplained symptoms, 523 biological mechanisms, 526 epidemiology, 523 biological mechanisms, 526 epidemiology, 523 biological mechanisms, 526 epidemiology, 523 biological mechanisms...
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...MEDICAL-SURGICAL NURSING NERVOUS SYSTEM Overview of structures and functions: Central Nervous System Brain Spinal Cord Cranial Nerves Spinal Nerves Sympathetic nervous system Parasympathetic nervous system AUTONOMIC NERVOUS SYSTEM Peripheral Nervous System Autonomic Nervous System Sympathetic Nervous System (ADRENERGIC) - Involved in fight or aggression response. - Release of Norepinephrine (cathecolamines) from adrenal glands and causes vasoconstriction. - Increase all bodily activity except GIT EFFECTS OF SNS - Dilation of pupils(mydriasis) in order to be aware. - Dry mouth (thickened saliva). - Increase BP and Heart Rate. - Bronchodilation, Increase RR - Constipation. - Urinary Retention. - Increase blood supply to brain, heart and skeletal muscles. - SNS I. Adrenergic Agents - Give Epinephrine. Signs and Symptoms: - SNS Contraindication: - Contraindicated to patients suffering from COPD (Broncholitis, Bronchoectasis, Emphysema, Asthma). II. Beta-adrenergic Blocking Agents - Also called Beta-blockers. - All ending with “lol” - Propranolol, Atenelol, Metoprolol. Effects of Beta-blockers B – roncho spasm E – licits a decrease in myocardial contraction. T – reats hypertension. A – V conduction slows down. Should be given to patients with Angina Pectoris, Myocardial Infarction, Hypertension. ANTI- HYPERTENSIVE AGENTS 1. Beta-blockers – “lol” 2. Ace Inhibitors – Angiotensin, “pril” (Captopril, Enalapril) 3. Calcium Antagonist – Nifedipine (Calcibloc)...
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... such as ingested food or liquid, are a frequent cause of aspiration pneuomonitis. Accidental inhalation of small particles, such as tiny pieces of peanuts or vegetables, while swallowing is common in young children. • Chemical pneumonitis- is a type of aspiration pneumonitis that develops when you inhale chemicals that are toxic to your lungs. Industrial and household chemicals, such as chlorine gas, ammonia, solvents and pesticides can all cause chemical pneumonitis. • Hypersensitivity pneumonitis- is nicknamed “farmer’s lung,” “mushroom picker’s disease” and other colorful names with good reason. Dust from animal dander, molds and plants, all potential allergens, can provoke an inflammatory reaction in your lungs. Symptoms usually develop within six hours of exposure to the allergen. Some people are more susceptible to developing hypersensitivity pneumonitis than are others, although it’s not certain why. • Radiation pneumonitis. A few people who undergo radiation therapy for lung cancer, breast cancer, leukemia or lymphoma develop this type of pneumonitis. Taking some types of chemotherapy drugs during radiation treatment may increase your risk of developing radiation-induced pneumonitis. • Drug-induced pneumonitis. A variety of drugs used to treat other conditions can cause...
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...Bad Bug Book Handbook of Foodborne Pathogenic Microorganisms and Natural Toxins Introduction Food safety is a complex issue that has an impact on all segments of society, from the general public to government, industry, and academia. The second edition of the Bad Bug Book, published by the Center for Food Safety and Applied Nutrition, of the Food and Drug Administration (FDA), U.S. Department of Health and Human Services, provides current information about the major known agents that cause foodborne illness. The information provided in this handbook is abbreviated and general in nature, and is intended for practical use. It is not intended to be a comprehensive scientific or clinical reference. Under the laws administered by FDA, a food is adulterated if it contains (1) a poisonous or otherwise harmful substance that is not an inherent natural constituent of the food itself, in an amount that poses a reasonable possibility of injury to health, or (2) a substance that is an inherent natural constituent of the food itself; is not the result of environmental, agricultural, industrial, or other contamination; and is present in an amount that ordinarily renders the food injurious to health. The first includes, for example, a toxin produced by a fungus that has contaminated a food, or a pathogenic bacterium or virus, if the amount present in the food may be injurious to health. An example of the second...
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...DO NOT delegate what you can EAT! E - evaluate A - assess T - teach addisons= down, down down up down cushings= up up up down up addisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia cushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemia No Pee, no K (do not give potassium without adequate urine output) EleVate Veins; dAngle Arteries for better perfusion A= appearance (color all pink, pink and blue, blue [pale]) P= pulse (>100, < 100, absent) G= grimace (cough, grimace, no response) A= activity (flexed, flaccid, limp) R= respirations (strong cry, weak cry, absent) TRANSMISSION-BASED PRECAUTIONS: AIRBORNE My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB or remember... MTV=Airborne Measles TB Varicella-Chicken Pox/Herpes Zoster-Shingles Private Room - negative pressure with 6-12 air exchanges/hr Mask, N95 for TB DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or meningeal pneumonia An - Adenovirus Private Room or cohort Mask 1 CONTACT PRECAUTION MRS.WEE M - multidrug resistant organism R - respiratory infection S - skin infections * W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis SKIN INFECTIONS VCHIPS ...
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...DO NOT delegate what you can EAT! E - evaluate A - assess T - teach addisons= down, down down up down cushings= up up up down up addisons= hyponatremia, hypotension, decreased blood vol, hyperkalemia, hypoglycemia cushings= hypernatremia, hypertension, incrased blood vol, hypokalemia, hyperglycemia No Pee, no K (do not give potassium without adequate urine output) EleVate Veins; dAngle Arteries for better perfusion A= appearance (color all pink, pink and blue, blue [pale]) P= pulse (>100, < 100, absent) G= grimace (cough, grimace, no response) A= activity (flexed, flaccid, limp) R= respirations (strong cry, weak cry, absent) TRANSMISSION-BASED PRECAUTIONS: AIRBORNE My - Measles Chicken - Chicken Pox/Varicella Hez - Herpez Zoster/Shingles TB or remember... MTV=Airborne Measles TB Varicella-Chicken Pox/Herpes Zoster-Shingles Private Room - negative pressure with 6-12 air exchanges/hr Mask, N95 for TB DROPLET think of SPIDERMAN! S - sepsis S - scarlet fever S - streptococcal pharyngitis P - parvovirus B19 P - pneumonia P - pertussis I - influenza D - diptheria (pharyngeal) E - epiglottitis R - rubella M - mumps M - meningitis M - mycoplasma or meningeal pneumonia An - Adenovirus Private Room or cohort Mask 1 CONTACT PRECAUTION MRS.WEE M - multidrug resistant organism R - respiratory infection S - skin infections * W - wound infxn E - enteric infxn - clostridium difficile E - eye infxn - conjunctivitis SKIN INFECTIONS VCHIPS V - varicella zoster C - cutaneous diphtheria H -...
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...A kid with Hepatitis A can return to school 1 week within the onset of jaundice. 2. After a patient has dialysis they may have a slight fever...this is normal due to the fact that the dialysis solution is warmed by the machine. 3. Hyperkalemia presents on an EKG as tall peaked T-waves 4. The antidote for Mag Sulfate toxicity is ---Calcium Gluconate 5. Impetigo is a CONTAGEOUS skin disorder and the person needs to wash ALL linens and dishes seperate from the family. They also need to wash their hands frequently and avoid contact. positive sweat test. indicative of cystic fibrosis 1. Herbs: Black Cohosh is used to treat menopausal symptoms. When taken with an antihypertensive, it may cause hypotension. Licorice can increase potassium loss and may cause dig toxicity. 2. With acute appendicitis, expect to see pain first then nausea and vomiting. With gastroenitis, you will see nausea and vomiting first then pain. 3. If a patient is allergic to latex, they should avoid apricots, cherries, grapes, kiwi, passion fruit, bananas, avocados, chestnuts, tomatoes and peaches. 4. Do not elevate the stump after an AKA after the first 24 hours, as this may cause flexion contracture. 5. Beta Blockers and ACEI are less effective in African Americans than Caucasians. 1. for the myelogram postop positions. water based dye (lighter) bed elevated. oil based dye heavier bed flat. 2.autonomic dysreflexia- elevated bed first....then check foley...
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