NU 310 HA Week 7 Assignment 1 -Neurologic System

NU 310 HA Week 7 Assignment 1 -Neurologic System

NU 310 HA Week 7 Assignment 1 -Neurologic System

The neurologic system is made up of brain, spinal cord and nerves.  It consists of the CNS (central nervous system), peripheral nervous system and the autonomic nervous system. The brain collects and interprets all stimuli.    It is composed of 3 areas, cerebrum, cerebellum and brain stem.

• Cerebrum– responsible for problem-solving, language, emotions, values, judgements, touch, temperature, position change.
• Cerebellum– contains major motor and sensory pathways. Controls smooth muscle movement and coordination.
• Brain Stem– Includes the midbrain, pons and medulla.
• Spinal Cord– The primary pathway for messages that travel between the peripheral areas of the body and brain. 

The major symptom area to assess when collecting a health history for the neurologic system would be the following:

• significant past medical history?stroke?
• Any headaches or head injuries?
• Any dizziness, seizures, weakness?
• Any numbness or tingling?
• Any trouble swallowing or speaking?
• Work hazards

5 Components of the tendon arc reflex:

1. intact sensory nerve
2. functional synapse in the cord
3. an intact motor nerve fiber
4. neuromuscular junction
5. competent muscle

The methods of testing the sensory system for pain, temperature, touch, vibraton, and position:

1. Pain- Using a split tongue blade so you have a “sharp” and “dull” side. Gently apply the sharp end or the dull end to a part of the person’s body. Tell the patient that they need to say “sharp” or “dull” depending what sensation they feel.
2. Temperature- Use the flat side of a tuning fork on the skin for a feel of coolness
3. Light touch- The wisp of cotton over the arms, forearms, hands, chest, thighs and legs.

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References

Jarvis, C. (2012). Physical Examination & Health Assessment (6th ed.): Saunders

Right documentation

• Document administration AFTER giving the ordered medication.
• Chart the time, route, and any other specific information as necessary. For example, the site of an injection or any laboratory value or vital sign that needed to be checked before giving the drug.
• Right reason

• Confirm the rationale for the ordered medication.  What is the patient’s history?