Schizophrenia Case Study Essay

From a sociocultural viewpoint would suggest that maybe his race, as well as his country, and social environment could play a role in his schizophrenia also people labeling him as not normal could have played a role in a self fulfilling prophecy. Sociocultural views may also suggest that family stresses may have been a contribution to his schizophrenia.

Her drug screen showed positive benzodiazepines and blood alcohol was negative. Troponins were negative. Also, her initial work up showed acute kidney injury with a creatinine of 1.84, and potassium of 5.8. Her chest x-ray showed small amount of infiltrate in the right lower lobe. The CT scan of the head did not show any acute changes. The abdominal CT scan showed constipation and 6 mm opacity in her bladder. She had an electroencephalogram (EEG) which revealed diffuse generalized nonspecific encephalopathy. In addition, there was slowing of the left hemisphere consistent with left intracerebral lesion. The assessment diagnoses were acute respiratory failure (ABG of 87.287, pCO2 of 45.2, pO2 of 380 and biacarbonate of 20 on vent settings), altered mental status, attempted suicide, infectious process, medication use, hyperglycemic nonketotic, and less likely cerebrovascular accident given that her CT scan of the head was normal. She was admitted to the Intensive Care Unit under the care of Dr. Modupe Kehinde. She was intubated for airway protection and remained intubated until 5/23/2016 (7 days). She was on ventilator and was given nutritional support

7. A 41-year-old patient who is unconscious has a nursing diagnosis of ineffective cerebral tissue

Patient is a 23-year-old right-hand white female who presents with her mother for evaluation of post concussive syndrome. She had two significant closed head injuries this winter in February. They both occurred while snowboarding. On the first one, she slipped on some ice fell back and hit her occiput. She was wearing a helmet. When she got down to the bottom of the hill, she noted she had some mild confusion. Her friend asked her where she fell and she was unable to recall exactly where in the course she fell. She had a mild headache and was sleepy the rest of that day. One week later, she had another strike to the occiput. Again, she was wearing a helmet. She did have a headache

The following are symptoms according to the American Red Cross Nursing Assistant text book the patient could experience: “Slurring of words, Drooping of the features on one side of the face (for example, the eyelid and the corner of the mouth), trouble seeing in one or both eyes, weakness or numbness in an arm or leg, a sudden, severe headache, dizziness or loss of balance, confusion, or a loss of consciousness, a generally ill appearance, or abnormal behavior” (Page 91). Our text book in chapter 18 calls the weakness hemiparesis and the paralysis is called hemiplegia. These are experienced on one side of the body. F.A.S.T is a great way to check

The initial computed tomography (CT) scan of her head revealed multifocal, punctuate brain hemorrhages, consistent with a diffuse axonal injury (DAI). (Figure 1) CT scans of the cervical spine, chest, abdomen, and pelvis revealed bilateral spinous process fractures of C7, T1, and T2, a mid sternal body fracture, bilateral pulmonary contusions, and a distal right clavicle fracture. She also sustained a cardiac contusion associated post-injury arrhythmias, which were treated conservatively. An external ventricular drainage device was placed by neurosurgery to help monitor and manage her intracranial pressure and maintain her cerebral perfusion pressure within acceptable limits.

Cerebrovascular accidents, or strokes, will lead to brain damage that affects the functioning of executive function, memory, language, visuospatial performance and emotional states. Corresponding vertebral arteries and carotid arteries provide blood to the brain from the heart that the carotid arteries are internal and external sections of the thyroid cartilage. Where the optic nerve rests the internal artery distributes into the anterior and middle cerebral arteries. The vertebral arteries arise through the spinal vertebrae and meet the lower pons to form the basilar artery. The brain receives 15% to 20% of the oxygenated blood from the heart and can only endure fleeting interruptions of blood flow before neural operations

Patient S is a seventy-eight-year-old male who presented to the ED in Rushville on October 25th with signs and symptoms of a stroke. These symptoms were leaning to the left side, a left facial droop, weakness in the left arm, and ataxia. The patient has no history of stroke. Patient S was admitted to 4-G in Memorial for a right-sided ischemic stroke. The patient has a history of atrial fibrillation (A-Fib), hyperlipidemia, bleeding problems, hypertension, sleep apnea, and a pacemaker. Patient S lives at home with his wife. Patient S was independent before the stroke. On October 13th, the patient had surgery of lumbar stenosis on L3, L4, and L5. The patient and wife reported increased serosanguinous drainage that soaked the dressing. Patient denied fever or pain at incision site. The doctor decreased Warfarin from 5 milligrams (mg) to 2.5 mg and prescribed a full dose of aspirin.

This patient most likely has a extradural (epidural) hematoma and the temporal fossa is the most common site of this type of hematoma caused by “injury to the middle meningeal artery or vein”(McCance & Huether, 2014, p. 584). “Expanding high-volume epidural hematomas can produce a midline shift and cause herniation of the brain. Compressed cerebral tissue can impinge on the third cranial nerve resulting in pupillary dilation and contralateral hemiparesis or extensor motor response”(Price, 2014, p. 3). Extradural hematomas are medical emergencies and surgical intervention is needed to remove the clot and reduce the pressure on the brain. Whether treated or untreated, this type of hematoma has an elevated risk of brain damage. However, left untreated, patients with extradural hematomas have a high risk of

After reading through the case study information and considering everything possible, the provisional diagnosis for this patient is a traumatic brain injury. Along with the TBI, there is also an associated linear skull fracture and intracranial haemorrhage (epidural

Patient is a 34-year-old left-handed white male who states that in January he was in a parking lot and was hit by a plow truck that was backing up. His back was turned and he did not know what was happening. He fell on his back and hit the back of his head on the tailgate. He denied any loss of consciousness. He did have a significant headache and neck pain, but no neurological symptoms. He did have some pain in his right hand and right ankle after this. He did present to the emergency room, where an unenhanced CAT scan was negative. Since then however, he has been having daily headaches. He has an almost constant, dull, mild bitemporal pressure sensation, but he also has significant

criteria are not met. The role of dynamic posturography in the diagnosis of patients with unidentified

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

An aneurysm is a weakening or dilation of the blood vessel wall. If the aneurysm burst it is considered a subarachnoid hemorrhage. Aneurysms occur most commonly along the aorta or in the brain. For the purpose of this paper, brain aneurysms will be the main focus. Aneurysms are life threatening, especially in the case of a rupture. Therefore it is important that healthcare workers have an understanding of the pathophysiology, clinical manifestations, diagnostic test, and the therapeutic management of these cases. This is a brief description of this, however research in treatment along with other areas is still being conducted.

Mr. Mustard fell down on his driveway three weeks ago. He has now presented to the clinic of Nurse Practitioner (NP) with chief complains of worsening left-sided headache, photophobia, unequal pupillary reaction, and dysphasia. Mr. Mustard takes Coumadin to lower the risk of stroke due to atrial fibrillation. Mr. Mustard’s presenting symptoms along with his higher age (70 years), history of hypertension and being on Coumadin regimen, should be considered as red flags and need urgent attention and evaluation. Based on the subjective interview, Mr. Mustard denies any previous history of brain injuries, which is also confirmed by the NP during physical examination. The NP considers that Mr. Mustard has suffered from traumatic brain injury likely