NUR 600 Discussion 8.1: Common and Less-Common Diagnoses for the Neurologic System

Sample Answer for NUR 600 Discussion 8.1: Common and Less-Common Diagnoses for the Neurologic System

One of the most prevalent neurological illnesses is headaches, which can afflict anyone at any age. While a headache often isn’t anything to be overly concerned about, if the patient’s headaches start to occur abruptly and frequently, there may be signs of an underlying issue. Severe headaches that appear out of the blue, headaches accompanied by fever, photosensitivity, and neck stiffness are all warning signs of more dangerous conditions including meningitis or cerebral hemorrhage (Filler et al., 2019). Managing chronic pain may be crippling, even though headache disorders like migraine and tension-type headaches are not life-threatening. Nowadays, there are several headache therapy choices available including NSAIDs.

A very uncommon neuromuscular ailment that damages the nerve cells in the spinal cord and brain is ALS, often known as Lou Gehrig’s disease (Masrori & Van Damme, 2020). Although doctors are unaware of the precise origin of ALS, environmental and genetic factors are thought to play a role. Muscle twitching, stiffness, impaired speech, and breathing and swallowing issues are among the symptoms. Sadly, this ailment is challenging to identify and frequently needs a neuromuscular neurologist’s assessment.

A thorough medical history and physical examination are the first steps a healthcare professional takes to identify a nervous system problem. To diagnose a headache in an emergency, the doctor must first take a complete history and do a focused physical examination. The unilateral location, extended duration (4–72 hours), frequency, concomitant symptoms including nausea and/or vomiting, and light sensitivity are only a few of the migraine’s primary distinguishing characteristics (Anarte-Lazo et al., 2021). For ALS, a neurologic examination will evaluate the patient’s reflexes, muscular strength, and other reactions. It will also be conducted regularly to see whether symptoms such as muscle weakness, muscle atrophy, and spasticity are progressively worsening (Quinn & Elman, 2020).

References

Anarte-Lazo, E., Carvalho, G. F., Schwarz, A., Luedtke, K., & Falla, D. (2021). Differentiating migraine, cervicogenic headache and asymptomatic individuals based on physical examination findings: a systematic review and meta-analysis. BMC Musculoskeletal Disorders, 22(1). https://doi.org/10.1186/s12891-021-04595-w

Filler, L., Nimlos, P., & Akhter, M. (2019). Evaluation and Management of the Emergency Department Headache. Seminars in Neurology, 39(01), 020–026. https://doi.org/10.1055/s-0038-1677023

Masrori, P., & Van Damme, P. (2020). Amyotrophic lateral sclerosis: a clinical review. European Journal of Neurology, 27(10), 1918–1929. https://doi.org/10.1111/ene.14393

Quinn, C., & Elman, L. (2020). Amyotrophic Lateral Sclerosis and Other Motor Neuron Diseases. CONTINUUM: Lifelong Learning in Neurology, 26(5), 1323–1347. https://doi.org/10.1212/con.0000000000000911

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NUR 600 Discussion 9.1 Patient Comfort During Genital Exams

Patient Comfort During Genital Exams 

The genitalia should be examined as part of a comprehensive medical examination. During the genital examination, the health care professional gathers and analyses objective data about the patient’s body using many procedures such as inspection or palpation (Bickley, 2021). Bearing in mind that genital exams might be intrusive or uncomfortable for the patient, I will try to put myself in their position and consider their point of view before approaching them. Before starting a genital examination, several things need to be done with each patient.  

First and foremost, it is critical to gain the patient’s trust (Kirubarajan et al., 2021). Begin earning thg H./                   

 
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\]JMMMM//’XCzSMounter with them. It is critical to handle the patient calmly and confidently. The patient may use your voice tone or other body language clues to gauge your level of trustworthiness as a healthcare provider. If you don’t project self-assurance to the patient, it will simply make them feel more anxious since they could be concerned that there is something terribly wrong with their body. 

To lessen the patient’s fear and help them feel appropriately prepared for what is about toDF 
n happen, it is imperative to thoroughly explain the genital examination to the patient (O’Laughlin et al., 2021). Be truthful and detailed when describing the procedure of the exam.  Also, when speaking with the patient, I will utilize ordinary language to make sure the patient comprehends what I just said and allow them to ask any questions or express any concerns. When a patient is in a medical setting, they frequently feel exposed. It’s crucial to ensure that their modesty and privacy are upheld (Tillman, 2020). 

References 

Bickley, L. (2021). Bate’s guide to physical examination and history taking (13th ed.). Wolters Kluwer. 

Kirubarajan, A., Li, X., Got, T., Yau, M., & Sobel, M. (2021). Improving Medical Student Comfort and Competence in Performing Gynecological Exams: A Systematic Review. Academic Medicine, 96(9), 1353–1365. https://doi.org/10.1097/acm.0000000000004128 

O’Laughlin, D. J., Strelow, B., Fellows, N., Kelsey, E., Peters, S., Stevens, J., & Tweedy, J. (2021). Addressing Anxiety and Fear during the Female Pelvic Examination. Journal of Primary Care & Community Health, 12, 215013272199219. https://doi.org/10.1177/2150132721992195 

Tillman, S. (2020). Consent in Pelvic Care. Journal of Midwifery & Women’s Health, 65(6), 749–758. https://doi.org/10.1111/jmwh.13189 

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