You may
not provide a quote or excerpt from a text or journal. This must be
written in your own words, so we can assess your understanding. If
it is not written in your own words, points will be deducted for the question. Answers
should be brief short answers. The
response should be no more than 200 words (7-10 sentences) for each question. Please
make sure you submit this by the posted due date. Late entries will not be
accepted.
I have attached the answers/information to all of the questions. it is from a number of sources, so some may be repeated. I need help with putting the info into a paragraph and written in different terms because the info I have are mostly direct quotes from books. we are not allowed to use citations/quotations.
scenario applies
to questions 1-2.
Ella is
88 years old and was living at home until very recently. Her children, who
visited her regularly, noticed that she was becoming more forgetful. At first,
she misplaced objects, and then she began to forget her doctor’s appointments.
With time, her personality changed, and she became withdrawn. At home, she
would forget to turn off the stove or leave the kettle on until it boiled dry.
After seeking advice from a gerontologist and social worker, Ella’s children
placed her in a nursing home with a unit equipped for patients with Alzheimer
disease.
Question
1
What are the macroscopic and microscopic features/changes of the brain
that are typical in Alzheimer disease?
Question 2:
One of Ella’s children brought her new pair of slippers to wear in the nursing
home. A minute after she received them, Ella could not remember the exchange
and asked what they were doing on her bed. What part of the brain has largely
been affected to produce this behavior, and what is the pathophysiology
involved?
This scenario applies to question 3-4.
Melissa is a healthy, active 51-year-old who teaches at a martial arts
club. Twice a week, she takes lessons in Tae Kwon Do, and on the weekends, she
participates in local competitions. At her last competition, Melissa was paired
with a skilled participant from another club. Her rival threw her to the mat. Melissa
heard a snap, followed by instant pain in her left forearm. Radiographs at the
local hospital confirmed that she suffered a transverse fracture of the distal
aspect of her left ulna.
Question 3:
What are the typical signs and symptoms of a fracture? Why shortly after the
injury does the pain temporarily subside?
Question 4:
As an Advanced Practice Nurse, explain how a hematoma forms, and what function
does it serve in the process of healing a fracture?
Question
5:
Lindsey was playing a game of pick-up ice hockey when Tom
fell and slammed into her legs. She now presents to your clinic with a chief
complaint of knee pain. After a close examination, you suspect a meniscus
injury. How would you come to this conclusion? What are other injuries are you
suspicious of? Describe your examination, diagnosis, and treatment plan.
Question 6:
Describe the pain mechanism and pathway in detail. Using your description how might the Advanced Practice Nurse treat
pain using multiple modalities?
Question 7:
As an Advanced Practice Nurse, how would you explain
the etiology, pathogenesis, and treatment for Myasthenia Gravis?
Question
8:
As an Advanced Practice Nurse giving an in-service to new
Advanced Practice Nurses in the Emergency Department, how would you explain the
pathophysiology of Guillain–Barré Syndrome? What are the clinical
manifestations and treatment modalities?
Question
9:
Jane is diagnosed with Parkinson Disease.
Describe the etiology, pathogenesis,
and clinical manifestations of this disease
Question
10:
Bob presents to your primary care office with his wife. After speaking with both you determine, Bob hallucinates
of his deceased mother, incomprehensible speech, delusions, and disorganized
behavior. What are your
differentials? What is the most likely
diagnosis? What is your holistic, comprehensive
treatment plan?
