Hard-drinking and smoking sedentary life style

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1. Mr. Brown is a 67 year old man who has lead a hard-drinking and smoking sedentary life style. His nutritional diet consists of eating a lot of take-away food. At a recent visit to the MD Mr. Brown was told that he had hypertension and elevated blood cholesterol. At poker night Mr. Brown developed a sudden sharp head ache, had impaired vision and appeared to be inebriated; he was slurring his words and couldn't walk straight.

What do you think is wrong with Mr. Brown? Why do you think that?

What should his poker buddies do?

How are these S&S different from a TIA?

Name three effects of this condition

What is the treatment for this condition?

What is the role of the PSW?

2. Dr. Davidson is a 60 year old man who has worked in a very high stress career for all of his adult life. Last year he and his wife noted that he had stiff muscles in his hands, then tremors started in his hands that progressed to his wrists and arms. As the months passed the muscles of his arms legs trunk and neck became rigid and stiff. Both doctors knew there was a disease process at work and Dr. D. was tested and diagnosed with a neurological condition which eventually left him with lack of coordination, a mask-like expression, shuffling gait, slurred speech and ultimately death.

What do you think Dr. D was diagnosed with? Why?

What is happening to the brain?

Will this condition improve over time? Is there a cure?

What is the course of treatment?

How will you assist a resident with this condition?

3. Julie is a 35 year old Canadian woman, whose signs and symptoms began with tingling and paresthesia then muscle weakness in her arms and legs. Her signs and symptoms progressed to vision and balance problems that affected her standing and walking. These signs and symptoms made her feel frightened and she sought medical testing and help. Julie's aunt had the same condition as Julie. There is no cure for this condition and it has left Julie with extreme pain, short-term memory loss as well as difficulty speaking and swallowing.

What condition do you think Julie and her aunt have? Why?

What is going on neurologically?

What is the course of treatment?

What is the PSW role in assisting with this condition?

4. Briar, a 19 year old male, a self-confessed "dare-devil" was recently riding is motor-cross bike when he lost control and crashed the bike and went flying over the handle bars. He was taken by ambulance to the nearest hospital. When tested at the hospital Briar had no sensation or motor response from the chest down.

What do you think happened to Briar? Why?

What is his condition called?

What level is the injury at and is it partial or total?

Is there a cure for this condition?

What is your role as a PSW?

Reference no: EM133845882

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