Exam (elaborations)
NUR 6111 Adv Nursing Practice 1 Case Study_5__2__week 5
- Institution
- William Paterson University
NUR 6111 Adv Nursing Practice 1
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Case Study#51. An older woman is transported to the hospital on Thanksgiving Day. While visiting with family for
the holiday, the woman fell out of her chair and was unresponsive to her family. Upon arrival to
the emergency department, the family reports that the woman lives independently. Before her
current state, she recognized family members and was speaking normally. She begins to arouse,
and her family notes that she seems unaware of her surroundings and does not respond to
questions.
A defect of recognition may be tactile, visual, or auditory. These are known as:
Answer: These are known as Agnosia. Agnosia is a defect of pattern association. It is the inability to
recognize the nature or form of objects. This is a defect of recognition that may be tactile, visual, or
auditory. Usually, only one of these senses are affected. Agnosia is a result of a dysfunction in
interpretive area or the primary sensory area of the cerebral cortex. It can occur with cerebrovascular
accidents, tumors, degeneration of the brain tissue, or any pathologic process that causes injury to a
specific area of the brain. This woman had a defect of visual recognition. She did not recognize her
family. Visual agnosia happens when there is an injury to the brain along the pathway connecting the
occipital with the parietal and temporal lobe. Occipital lobe is where the sensory nerves are located, and
the parietal and temporal lobes interpret information from the occipital lobe.
2. After multiple tests and a thorough evaluation of her physical, mental, and emotional status, the
woman is diagnosed as having suffered a unilateral stroke. As she begins her rehabilitation, the
physical and occupational therapists notice that she suffers from confusion, memory loss, loss of
muscle tone, and difficulty with equilibrium and gait.
Alterations in complex motor performance include disorders of posture, disorders of gait,
and disorders of expression. The type of gait one would expect in a patient with a unilateral
injury is a:
Answer: The type of gait one would expect in a patient with a unilateral injury is a spastic gait. A spastic
gait is manifested by a shuffling gate with the leg extended and held stiff, causing the foot to drag along
the floor while you walk. The leg swings improperly around the body rather than being appropriately
lifted and placed. The foot may drag on the ground, and the person tends to fall to the affected side. It is
caused by an injury to the part of the brain or spinal cord that controls voluntary movements of the body
parts.
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