Reflection On Subjective Data ( 5 )

Take a deep breath, reaching your arms up above your head as you inhale, and lowering your arms out to the sides and down as you exhale.

Paresthesia of the face, trunk, or limbs; weakness; visual disturbances; urinary incontinence. Because those are indicators that there is CNS involvement.

This exercise is done with a barbell and a incline bench (“Exercises”). The way to do this exercise is to lie down faced up on an incline bench. The exerciser grips the bar with a medium-width grip and lifts the bar off of the rack (“Exercises”). the exerciser then holds the bar straight over his or her head, and keeps the arms locked. This is the starting position of the exercise. Next the exerciser inhales slowly while moving the bar slowly down toward the upper chest (“Exercises”). After a slight pause, the exerciser pushes the bar back to the starting position while exhaling and the arms should be locked. Before the exerciser brings the bar back down again the exerciser squeeze the chest for a second. The exerciser repeats the process for the desired number of repetitions. When the exerciser is finished with the exercise the bar should be placed back on the rack (“Exercises”).

Implement measures to improve cardiac output: perform actions to reduce cardiac workload: place client in a semi- to high Fowler's position, instruct client to avoid activities that create a Valsalva response, implement measures to promote emotional and physical rest, implement measures to improve respiratory status, discourage smoking, provide small meals rather than large ones,

1 Hold your left / right arm at your side and bend your elbow as much as you can using your left / right arm muscles.

Changes in the brain will be that some parts are not getting the blood supply which then leads to dead tissue causing a form of disability depending on the area of the brain affected.

Patient is a 50-year-old-year-old left-handed white male who presents with his wife for evaluation of multiple symptoms that have been present since an MVA in 02/2013. At that time, he was T. boned and his car was totaled. He has amnesia for the event and is unaware whether or not he hit his head. The airbag did deploy. Afterwards, he was confused and noted significant pain in his neck and upper back. Since then, he has had multiple symptoms. He does have involuntary twitching on the right, more than left, both hands, legs, and sometimes feet. He demonstrates one of these twitches and it looks like a focal myoclonic jerk of a limb. These occur on a daily basis. He also has problems with his left thumb and index finger locking up. When he is fatigued, especially when his neck gets tight, he has some problems with word finding, paraphasic errors, and syntax errors. He did see Anthony P. Knox,

* Turn the patient with slow, gentle movements. Rapid changes in position may increase ICP.

Signs and symptoms of a traumatic brain injury can be difficult to diagnose. Many of the signs and symptoms vary from person to person or they can take up to a couple of weeks before they surface (U.S. Department of Health and Human Services and Centers for Disease Control and Prevention, 2007). The signs and symptoms can range from minor signs like blurred vision to more serious signs like loss of consciousness. The signs and symptoms of a traumatic brain injury include: Headache, dizziness, nausea, vomiting (Clayton, 1995), unaware of place and time (Farrow, 2004), temporary or prolonged loss of consciousness, amnesia (memory loss), emotional instability, dilated pupils (Levy, 1993), balance problems, blurry vision, sensitivity to light and noise, sluggish or groggy feeling, or concentration problems (U.S. Department of Health and Human Services and Centers for Disease Control and Prevention, 2007). If an athlete has these symptoms they should get immediate medical attention. However, most of these symptoms can be signs of another health problem so they may not have a traumatic brain injury with these

2. After this, light aerobic activity may be resumed. Examples include walking, swimming, or other exercise that raise the athletes heart rate no more than 30% of their maximum. No resistance training is required. The athlete should try and move their neck to their full range of motion - neck rolls, 10 repetitions completed 3 times daily.

HPI: Mrs. L. A. is a 44 year old, Hispanic female who presents with a severe right-sided head pain for the last 24 hours, denies fever or head trauma. Additional subjective data crucial for the health care provider to obtain are; how did the headache begin? Have you had this type of headache before? How severe is your pain on a scale from 0 (no pain) to 10 (worst pain ever)? How does the headache feel? What aggravate and alleviate the headache? This information helps to evaluate onset, location, duration, character, and severity of the pain. A mental status screening, such as, Mini-Mental State Examination can be performed to evaluate mental status deficit to rule out a potentially serious or life-threatening situation for the patient requiring immediate testing (CT) and treatment (Dains, Baumann, & Scheibel, 2016). Intracranial hemorrhage (ICH) is a life threatening condition leading to stroke or coma. Symptoms includes sudden onset severe headache with or without trauma (Dains, et. al. 2016). Furthermore, to evaluate for migraines headaches or tension headaches the RNP should ask; are there any other

Patients sometimes fear that they are having a brain tumor, stroke or cerebral hemorrhage. In order to get a diagnosis, a doctor need to know when the imagined sound begins. Medical tests is not something doctors would use for someone who has exploding head syndrome, but in some cases doctors would conduct a polysomnogram, which is an overnight study that chart your brain waves, heartbeat, and breathing as a person sleep. An electroencephalogram (EEG) can be used to record the attack and see which activities that appear abnormal. A urine drug screening test can determine if there is activity of substance abuse of drugs. Many sufferers of Exploding Head Syndrome are misdiagnosed with having less severe

It is also unclear if it is the brain injury itself that causes the result and if it is the same for healthy people.

An assessment of the level of consciousness (LOC) should be carried out during the primary survey of all patients, using the ABCDE approach Cole (2009: 28). Any initial or subsequent reduction in the LOC of the patient may be caused by hypoxia; hypovolaemia; head injury; drug or medicine use; hypoglycaemia; hypothermia or alcohol ingestion (Cole, 2009:44).

Every one has their subjects that they love and hate, and for it was defiantly writing. Writing is something I dreaded for a long time; I developed my hatred towards writing since probably elementary school. I hate writing when I’m expected to put a spin on a subject that just doesn’t work for me, personally. There are many times when I have papers due and sometimes I feel like I have nothing to say towards the topic. I could write a paragraph but to continuously write paragraphs after paragraphs it gets a little harder. I always contradict myself in my writings but that is something I have grown out of. Writing is time consuming and requires a lot of effort. They require a lot of planning and usually some accompanying reading and note taking. Taking notes is one of my weaknesses. In some intuitions like my high school for instances there was not enough time is given to the rough draft and not enough feedback is given before the essay receives a final grade. I personally believe that not everyone is a "natural-born" writer; but I do believe that everyone has the capability to become a decent writer.