What is the peripheral nervous system and what does it do?   How would you assess your patient for an alteration in sensory perception? What questions might you ask during your assessment? Discuss how age-related changes in sensory perception affect the older adult increasing their risk for injury, weight loss, falls, malnutrition, and social isolation.

Exemplar: Peripheral Neuropathy 

1. DescribE the pathophysiology and etiology of peripheral neuropathy.
2. List the signs and symptoms that indicate peripheral neuropathy in a client with diabetes.
3. Identify diagnostic tests in relation to impaired sensation.
4. Fill in the table below based on medical treatment of Peripheral Neuropathy

1. How is  peripheral neuropathy associated with the concept of Comfort: then, answer the following question.

What client teaching would you provide to prevent and/or manage pain related to peripheral neuropathy?

Differentiate between acquired and idiopathic seizure disorders.  What conditions would put a client at risk for developing a seizure?

1. Define the following terms:
   1. Seizure
   2. Convulsion
   3. Epilepsy
   4. Status epilepticus

1.  What are some causes of acquired seizures?

1. Describe the differences between partial seizures and generalized seizures. Give an example of each type of seizure.
2.  Partial seizure
3.  Generalized seizure

1. Identify diagnostic and laboratory tests in relation to seizures.

1. What is a life-threatening condition that may occur with prolonged seizure activity? How is it treated?

1. Fill-in the following table pertaining to tonic-clonic seizures-

1. Fill in the table below based on medical treatment of seizures?  Need to know.

Utilizing the NMBA’s Code of Conduct for Nurses as a guide, critically discuss the leadership challenges that you may experience as a beginning registered nurse to ensure that people’s confidentiality and privacy are maintained. support your critical discussion by briefly describing an example of leadership where a person’s confidentiality and/or privacy was protected from clinical placement experiences

A 79 year old white male is taking hydrocodone/APAP 10/325 for lower back pain (pt was diagnosed with degenerative disc disease several months ago). The physician had written a prescription for Vicodin® 10/325  i-ii Q4-6h prn pain with a quantity of 120.  Her expectation was that this would last the patient for one month.  The patient is now requesting refills about every 10-14 days.  He states he has been taking 2 tabs Q4h (12 tablets per day) because “the pain is so bad I just can’t stand it!”.

• • What is the problem with the way the patient is taking this medication versus the way it was prescribed
  • Based on your assessment, it is determined this patient should be converted to extended release morphine for better, more consistent pain control. Perform this conversion and provide an appropriate recommendation (drug, dose, frequency).

Migraine is a major neurological disease that affects more than 36 million men, women and children in the United States. There is no cure for migraine. Most current treatments aim to reduce headache frequency and stop individual headaches when they occur. Let’s look at a case example:

• CM is 20 years old female with severe, prolonged 2 to 3 day migraines twice per month. She has difficulty sleeping and is mildly anxious. She occasionally utilizes an inhaler for asthma.
  • Provide an evaluation of CM’s condition including non-pharmacological interventions and treatment options
  • Is Cm a candidate for prophylactic therapy, and if so, what option would be best suited to her?