Chronic Neurological Disorders

What is the cause of a Primary Headache?

unknown organic cause

What kind of headache is severe pain and recurrent?

migraine

What kind of headache is less severe pain and more chronic?

Tension

What kind of headaches come and go away in sections. occurs mostly in men

cluster

What are three things that can trigger migraines?

hormones, light, food

What are 2 things that trigger tension headaches?

emotional and physical stress

What is the main symptom of a migraine headache?

debilitating, pulsating, throbbing PAIN with light and sound sensitivity

What is the main trigger of tension headaches?

STRESS

What is the main symptom of cluster headaches?

unilateral, excruciating pain with accompanied eye watering and nasal congestion

What is the #1 preventative treatment of heaches?

avoidance of triggers

What does a tension headache feel like?

weight on top of the head

What is abortive medical management?

focuses on relief of pain

What are 2 key things for nursing management?

Relieve pain and educate regarding trigger avoidance

What is the most common clinical manifestation of MS?

fatigue

Where do exacerbations occur in patients with MS?

in the whole body

What is the main way on a diagnosis test that signals MS?

there is a presence of multiple on MRI

How can we enhance bladder control with someone with MS?

create voiding schedules

How can we enhance bowl control in patients with MS?

Fluids and fiber

How can we prevent dysphagia in patients at risk with MS?

HOB up, and suction at bedside

What is the best way to assess a patient with Parkinsons?

assess them in resting state

What are the 2 major types of parkinsons symptoms?

Tremor dominant and non- tremor dominant

What is the early assessment of parkinsons?

the resting tremor

Through medical management, what must we increase in patient’s with parkinsons and why?

Must increase dopamine and the doses will have to keep increasing because the patient will become tolerant

What are the 2 main nursing interventions in patients with parkinsons?

Prevent injury and improve mobility

Where is the condition of Trigeminal Neuralgia?

condition of 5th cranial nerve

What is Bell’s Palsy?

inflammation of the 7th cranial nerve

What is the main sign of Bell’s Palsy?

there is weakness or paralysis of the face on the affected side

What are 4 nursing management steps for Bells Palsy patients?

protect eye from injury, facial massage, facial exercises, avoid exposure to cold

What is Parkinsons?

deterioration of CNS cells

What is multiple sclerosis (MS)?

the demyelinating disease of the CNS

What are 2 things the RN call tell a patient with Bells Palsy?

reassure that they are NOT having a stroke, recovery time is within 3-5 weeks