Homework: 7 Active Learning Tamplete

ACTIVE LEARNING TEMPLATES

System Disorder STUDENT NAME _____________________________________

DISORDER/DISEASE PROCESS __________________________________________________________ REVIEW MODULE CHAPTER ___________

ACTIVE LEARNING TEMPLATE:

ASSESSMENT SAFETY CONSIDERATIONS

PATIENT-CENTERED CARE

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem

Health Promotion and Disease Prevention

Risk Factors Expected Findings

Laboratory Tests Diagnostic Procedures

Complications

Therapeutic Procedures Interprofessional Care

Nursing Care Client EducationMedications

1. STUDENT NAME:
2. DISORDERDISEASE PROCESS: Seizure
3. REVIEW MODULE CHAPTER:
4. Pathophysiology Related to Client Problem: - Sudden imbalance between excitatory and inhibitory forces in neurons - Abnormal electrical firing or discharges of nerves in cerebral cor tex
5. Health Promotion and Disease Prevention: Young Adults: wear helmets, seat belts, use child passenger seats to avoid brain damage during fall or accident - Middle Adults: eat healthy, exercises, refrain from smoking to lower risk of epilepsy later in life - Older Adults: follow fall prevention precautions to avoid any brain injury during a fall
6. Risk Factors: - Risk Factors: tumors, lead poisoning , maldevelopment , in jury to the brain, medications, genetics, infectious illnesses
7. Expected Findings: - Expected Findings: confusion, loss of awareness, rhythmic twitching, stiff contraction, repetitive behavior
8. Laboratory Tests: - Laboratory Tests: Complete Blood Tests (CBC). Epilepsy blood test (measure prolactin: higher levels = high risk)
9. Diagnostic Procedures: EEG, lumbar puncture, neurological exam, CT scan or MRI
10. Nursing Care: - apply padding to side rails - follow seizure precaution - neurological and vital assessment after seizure
11. Therapeutic Procedures: - brain surgery, vagus nerve stimulation, deep brain stimulation, responsive neurostimulation.
12. Medications: Carbamazepine (Carbatrol, Tegretol, others) Phenytoin (Dilantin, Phenytek) Valproic acid (Depakene) Oxcarbazepine (Oxtellar, Trileptal) Lamotrigine (Lamictal) Gabapentin (Gralise, Neurontin) Topiramate (Topamax) Phenobarbital
13. Client Education: - keep room in the house unlocked - avoid taking baths - do not skip medication dose and refill before running out of medication
14. Interprofessional Care: - neurologist, neurosurgeon, primary care provider
15. Alterations in Health: Risk for injury related to recurrence of abnormal electrical discharge in brain
16. Safety Considerations: - Patient: apply padding to patients bed rails, stabilize head - Environment: keep the environment clear and open to allow easy quick access to patient, remove any sharp objects -- Equipment: padded side rails, call bell in reach, OZ PRN or as needed - Home Safety (discharge teaching): medication schedule, safe home environment , emergency aids - Healthcare Provider: do not force anything into patients mouth
17. Complications: - permanent brain damage, loss of consciousness, aspiration, skill fractures, vertebral fractures, tongue, lip, cheek injury from biting, death - status epilepticcus: seizure happens again without patient regain