Neurological and musculoskeletal pathophysiologic processes

 

 

Case Scenario:
Patient is a 24-year-old female administrative assistant who comes to the emergency
department with a chief complaint of severe right-sided headache. She states that this is the
sixth time in the last 2 months she has had this headache. She says the headaches last 2–3 days
and have impacted her ability to concentrate at work. She complains of nausea and has
vomited three times in the last 3 hours. She states, “the light hurts my eyes.” She rates her
pain as a 10/10 at this time. Ibuprofen and acetaminophen ease her symptoms somewhat but
do not totally relieve them. No other current complaints.

Explain the following:
•Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.
•Any racial/ethnic variables that may impact physiological functioning.
•How these processes interact to affect the patient.

 

 

Sample Solution

More than 30% of people worldwide have musculoskeletal pain, which places a heavy burden on patients, families, and carers in terms of functional impairment, mental anguish, impacts on mood, loss of independence, and diminished quality of life. Musculoskeletal pain is caused by a variety of peripheral and central nervous system cells and mediators, and it is related to the distinct sensory innervation of bones, joints, and muscles compared to skin. Cortical remodeling occurs as a result of the interaction between neurons and non-neural cells, such as glial, mesenchymal, and immunological cells, which amplifies and sensitizes pain signals. Additionally, ideas, thoughts, and pain behaviors, as well as sex, age, mood, and social aspects

standards affected resulting program consummation, and NCLEX-RN achievement. The members in the review (understudies and educator) concurred that however nobody factor added to progress in the nursing program, the capacity to oversee pressure and shuffle different jobs and obligations were significant qualities (Rogers, 2010).

Zappaterreno’s (2006) concentrate on examined the prescient capacity of confirmations measures in view of a multi-rules framework and 1st semester nursing course grades in deciding on-time program finishing, and NCLEX-RN accomplishment at an ADN program. The concentrate additionally looked to decide whether the ongoing point framework being applied to assess understudy applications and acknowledgment into the ADN program was proper. The point framework applied variable direct sums toward the confirmations rules to decide acknowledgment into the program and is viewed as a more rigid affirmation approach contrasted with moving affirmation. Higher point values were granted to the science pre-essential course grades, as those courses were remembered to bring about higher program finish rates. The review included two partners of nursing understudies (60 understudies for every accomplice) conceded around the same time. Results from the review were viewed as conflicting and clashing between the two companions of understudies in the review. Segment information that included age, nationality, and nation of beginning were additionally gathered. Results from the review confirmed that confirmations rules (like essential science GPA) and 1st semester course grades didn’t foresee on-time program consummation. The point framework was not viewed as a fitting technique for assessing and tolerating understudy candidates. In any case, no progressions were established to the affirmations measures of the program as results between the two partners of understudies in the review were conflicting. It was recommended that the two companions were not a sufficiently enormous example size to foresee program finishing utilizing the point framework (Zappaterreno’s, 2006).

 

Nursing Intervention in Practice Reviewed writing with respect to nursing mediation practically speaking comprised seven bunches, which included vague nursing wording imperatives, lacking help of collegial framework, need of medical attendants for more established grown-ups, obliging power of financial matters, circumstance of medical attendants in labor force, subsidizing and regulation of projects and association of nursing in sound individuals 2020 (Ramsburg, 2007).

 

Uncertain Nursing Terminology Constraints The initial segment of checked on writing investigated nursing imperatives in the medical services scene that was overwhelmed by PC based scientific categorizations, and biotechnical needs. There were inadequately characterized nursing terms hindering investigating, conceptualizing, and deciphering studies. Nursing mediation content in many examination reports was restricted regarding giving direction to pushing ahead practically speaking. There was a greater part of references in writing that tended to the significance of nursing presence and mindful. The terms were ineffectively characterized, yet were normal cycles supported by expert and individual development and values with respect to guardians. Studies endeavored to examine and separate between nursing phrasings, for example, nursing presence and mindful, however noticed that the covering of terms proposed an absence of confirmable contrasts

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