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Chapter 41 Neurological System.

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Presentation on theme: "Chapter 41 Neurological System."— Presentation transcript:

1 Chapter 41 Neurological System

2 The capabilities of the human brain …
Hope you find it interesting

3 The phenomenal power of the human mind I cdnuolt blveiee taht I cluod aulaclty uesdnatnrd waht I was rdanieg The phaonmneal pweor of the hmuan mnid! Aoccdrnig to a rscheearch at Cmabrigde Uinervtisy, it deosn't mttaer inwaht oredr the ltteers in a wrod are, the olny iprmoatnt tihng is taht the frist and lsat ltteer be in the rghit pclae. The rset can be a taotl mses and you can sitll raed it wouthit a porbelm. Tihs is bcuseae the huamn mnid deos not raed ervey lteter by istlef, but the wrod as a wlohe. Amzanig huh? Yaeh, and I awlyas thought slpeling was ipmorantt. NOTE: I read this somewhere and I just had to pass it around. I do not know the origins of the text

4 Take a look at the picture? What do you see?
Research has shown that young children cannot identify the intimate couple because they do not have prior memory associated with such a scenario. Children see nine dolphins. This is a test to determine if you already have a corrupted mind.  If it is hard for you to find the dolphins within six seconds, your mind is indeed corrupted.

5 Can you see a man's face and also a word?
Hint: Try tilting your head to the right, the word begins with 'L'

6 Can you see 10 faces in the tree…

7 Can you see a face here?

8 Can you see the outline of the ‘Unborn baby’?

9 Can you see the ‘Kissing Couple’?
Or the dangling legs? How about the stockings?

10 Can you see three women?

11 Can you tell the difference between a horse and a frog?
Watch closely...

12 Weird Walking Cow… Warning: Do not view this while drinking.

13 More optical Illusions… is anything rotating?...

14 are these moving?...

15 how about these...

16 actually none of these move!

17 are all the hozontal lines parallel?...

18 are the purple lines straight or bent?

19 are the concentric lines, circles or a spiral?

20 Focus on the dot in the centre and move your head backwards and forwards...Weird...

21 Do you see gray areas in between the squares
Do you see gray areas in between the squares? Now where did they come from?  

22 This is quite amazing! If you see this lady turning clockwise, you are supposed to be using your right brain. If you see it turning the other way, (the lady turning counter-clockwise) you are supposed to be using your left brain. Some people can make the lady turn both ways, but most people see it turning only one way (It is said that only about 15% of the US population can see her (make her) move both ways) BOTH DIRECTIONS CAN BE DONE! See if you can make her go one way and then the other by shifting the brain's current!

23 This is without a doubt one of the coolest PC illusions I have seen so far…
Follow the instruction below. 1) Relax and stare at the 4 little dots on the middle of the picture for 30 seconds 2) then look at a blank wall near you (any smooth, single coloured surface) 3) a bright spot will appear 4) Blink your eyes a few times and you will see a figure emerging 5) What do you see? Moreover WHO do you see?

24 This is another example of an amazing illusion!
If your brain works normally this is neat. If your eyes follow the movement of the rotating pink dot, the dots will remain only one color, pink. If you concentrate on the cross in the middle, after a while you will notice that this moving pink dot will turn green! Keep looking at the cross a bit longer and you‘ll notice that all dots except the green one will disappear It's amazing how our brain works – There really is no green dot, and the pink ones really don't disappear. This should be proof enough; we don't always see what we think we see!

25 Have a blessed and wonderful day – Always!
That’s all Folks… Have a blessed and wonderful day – Always!

26 Anatomy and Physiology Review
Nervous system divided into: Central nervous system Brain and spinal cord Peripheral nervous system Cranial nerves and spinal nerves Autonomic nervous system Sympathetic and parasympathetic systems

27 Assessment Health history Headaches Clumsiness
Loss or change in function of extremity Seizure activity Numbness or tingling (continued)

28 Assessment Health history Change in vision Pain Extreme fatigue
Personality changes Mood swings (continued)

29 Assessment Cerebral function Level of consciousness Orientation
Mental status Intellectual function Emotional status Pupil reaction Communication (continued)

30 Assessment Cranial nerve function Motor function
Muscle size and symmetry Muscle tone Muscle strength Coordination Balance Posturing (continued)

31 Assessment Sensory function Tactile sensation Pain and temperature
Vibration Proprioception Stereognosis Graphesthesia Integration of sensation (continued)

32 Assessment Reflexes

33 Common Diagnostic Tests
Lumbar puncture (LP) EEG EMG Imaging procedures Cerebral angiography Brain scan Myelogram

34 Epilepsy/Seizure Disorder
Disorder of cerebral function Sudden attacks of altered consciousness, motor activity, or sensory phenomenon Primary method of controlling seizure activity: Pharmacological (continued)

35 Epilepsy/Seizure Disorder
Goals: Obtain seizure control with minimal side effects and maintain safety

36 Types of Seizures Generalized Tonic and/or clonic Absence Myoclonic
Grand mal Absence Petit mal Myoclonic (continued)

37 Types of Seizures Partial Simple Complex

38 Headache Pain in head caused by stimulation of pain-sensitive structures in cranium, head, or neck Primary Tension, migraine, and cluster Secondary Result of pathological condition Treat cause

39 Encephalitis and Meningitis
Inflammation of brain Meningitis Inflammation of meninges Caused by virus, bacteria, fungi, or parasites Can cause cerebral edema, hemorrhage, and necrosis of brain tissue (continued)

40 Encephalitis and Meningitis
Symptoms vary depending on causative agent, area of involvement, and degree of damage to nerve tissue: Fever, headache, nuchal rigidity, photophobia, irritability, lethargy, and nausea/vomiting Treatment based on presenting symptoms The Fight of Her Life

41 Head Injury Trauma to scalp, skull, or brain Complications:
Hemorrhage, cerebral edema, and increased intracranial pressure Management focuses on early recognition, treatment of increasing intracranial pressure, and maintenance of normal body functions


43 Brain Tumor Space-occupying intracranial lesions
Either benign or malignant Symptoms differ according to area of lesion and rate of growth Management based on tumor type, growth rate, and assessment of client (continued)

44 Brain Tumor Treatment:
Radiation, surgery, chemotherapy, and medications

45 Guillain-Barré Syndrome
Acute inflammatory process involving motor and sensory neurons of peripheral nervous system Demyelination begins in distal nerves and ascends symmetrically Remyelination occurs from proximal to distal (continued)

46 Guillain-Barré Syndrome
Symptoms: Motor weakness and absence of reflexes, respiratory failure, difficulty swallowing, autonomic dysfunctions, and pain Goal: Prevent and treat complications E.g., immobility, infection, respiratory failure

47 Amyotrophic Lateral Sclerosis (Lou Gehrig’s Disease)
Progressive, fatal disease Characterized by degeneration of motor neurons in cortex, medulla, and spinal cord No cure (continued)

48 Amyotrophic Lateral Sclerosis (Lou Gehrig’s Disease)
Treat symptoms and promote independence for as long as possible Treatment: Medications, diet, and therapy

49 Multiple Sclerosis (MS)
Chronic, progressive, degenerative disease of central nervous system Characterized by loss of myelin Decreases nerve conduction Symptoms vary according to areas of demyelination Sensory or motor (continued)

50 MS Goals: Limit exacerbations, prevent complications, and maintain functional level Treatment: Medications (e.g., interferon, immunosuppressive drugs, etc.), well-balanced diet, physical or occupational therapy, and stress management

51 Parkinson’s Disease Chronic, progressive, degenerative disease
Affects area of brain controlling movement Symptoms: Muscular rigidity, bradykinesia, resting tremors, muscular weakness, and loss of postural reflexes Treatment: Drugs and physical or occupational therapy

52 Trigeminal Neuralgia (Tic Douloureux)
Condition of cranial nerve V Characterized by abrupt paroxysms of pain and facial muscle contractions Treatment: Drug therapy, nerve blocks, and surgery

53 Transient Ischemic Attack (TIA)
Frequently precedes stroke Temporary impairment of blood flow to brain May last from few seconds to 24 hours (continued)

54 TIA Symptoms: Blurring of vision or blindness, loss of balance or coordination, difficulty speaking or understanding, and weakness, numbness, or paralysis

55 Cerebrovascular Accident (CVA)
Also known as brain attack or stroke Causes: Ischemia from thrombus, embolus, severe vasospasm, and cerebral hemorrhage Symptoms: Neurological deficits of sensation, movement, thought, memory, and speech (continued)

56 CVA Loss of function, temporary or permanent

57 Medical-Surgical Management
Airway maintenance and supportive therapy during first 24 to 48 hours Depending on location of CVA and extent of neurologic deficit, collaboration with physical, occupational, and speech therapists for client to reach optimal functional level of recovery

58 Herniated Intervertebral Disk
Nucleus pulposus protrudes from vertebrae and may compress nerves of spinal cord Major cause of chronic back pain Symptoms: Pain, motor changes, sensory changes, and alterations in reflexes (continued)

59 Herniated Intervertebral Disk
Treatment: Rest, stress reduction, immobility of spine, physical therapy, transcutaneous electrical nerve stimulation (TENS), pain management, and surgery

60 Spinal Cord Injury From trauma to spinal cord or compression of spinal cord due to injury to supporting structures May be classified by: Level of injury Mechanism of injury Neurological or functional level (continued)

61 Spinal Cord Injury Extent of permanent injury cannot be determined immediately due to necrosis, edema, and spinal shock Medical management begins before client reaches hospital Immobilization of head, neck, and vertebral column (continued)

62 Spinal Cord Injury Respiratory function continuously assessed
Surgical interventions performed for decompression, realignment, and stabilization of vertebral column Interdisciplinary team works together to optimize client functional capabilities


64 Alzheimer’s Disease Progressive, degenerative neurological disease
Brain cells destroyed Clients with advanced disease cannot be left alone (continued)

65 Alzheimer’s Disease Respite care important for health of caregiver
Treatment geared toward controlling undesirable symptoms and behaviors

66 Huntington’s Disease Chronic, progressive hereditary disease of nervous system Symptoms: Chorea (abnormal, involuntary, purposeless movements), difficulty chewing or swallowing, speech impairment, and bowel or bladder incontinence (continued)

67 Huntington’s Disease Mental or intellectual impairment progresses to dementia Death usually results from heart failure, pneumonia, infection, or choking Must collaborate with social worker, chaplain, physician, and mental health worker

68 Gilles De La Tourette’s Syndrome
Neurological movement disorder Prominent behavioral manifestations Symptoms: Motor tics, involuntary repetitive movements of mouth, face, head, or neck, involuntary swearing, echolalia, and involuntary repetition of person’s own speech (continued)

69 Gilles De La Tourette’s Syndrome
Treatment: Medications, psychotherapy, family counseling, and emotional support

70 Infants with Special Needs: Birth to 12 Months
Chapter 60 Infants with Special Needs: Birth to 12 Months 70

71 Spina Bifida Neural tube defect Surgery required to close defect
Incomplete closure of vertebrae and neural tube results in opening through which meninges and spinal cord may protrude Surgery required to close defect

72 Hydrocephalus Results when balance between rate of cerebrospinal fluid formation and absorption disturbed Symptoms: Abnormally large head at birth, bulging anterior fontanels, and eyes that appear to be pushed downward Requires surgical insertion of shunt

73 Febrile Convulsions Involuntary muscle contraction and relaxation
Usually occur early in course of high fever and carry little risk of neurological damage Treatment: Antipyretics and teaching

74 Meningitis Three main types: Symptoms sudden or gradual: Bacterial
Tubercular Viral Symptoms sudden or gradual: High-pitched cry, fever, seizures, irritability, vomiting, bulging fontanel, and poor feeding (continued)

75 Meningitis Treatment: Spinal tap, isolation, and medications

76 Cerebral Palsy Results from damage to motor centers of brain before, during, or after birth Nonprogressive Symptoms vary in severity: Motor disorders, seizures, impaired vision, and difficulty swallowing and speaking (continued)

77 Cerebral Palsy Multidisciplinary team treatment to assist child in developing maximum potential

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