Behavioral Objectives
|Behavioral Objectives |Content Outline |Clinical Objectives |Learning Opportunities |
|Apply the terms listed in the content column |Application of terms | |Readings: |
|appropriate to the patient situations involving the|Aphasia | |Adams |
|neurological system. |Dysphagia (hemiplegia/hemiparesis) | |Lewis |
| |Increased intracranial pressure | |McKinney |
| |Sensorium | |Estes |
| |Syncope | | |
| |Thrombolytic | | |
| |Vertigo | | |
|Compare and contrast the normal anatomy and | | | |
|physiology to the pathophysiology of selected |Anatomy & Physiology of Neurological system | | |
|neurological disease processes in the content |Developmental considerations | | |
|column. |Infant | | |
| |Child | | |
| |Adolescent | | |
| |Adult | | |
| |Older adult | | |
| |Pathophysiology of neurological system | | |
| |Altered cerebral tissue perfusion | | |
|Analyze factors included in the assessment of the |Selected commonly occurring neurological problems | | |
|patient experiencing commonly occurring |Interview | | |
|neurological problems, including the developmental |Chief complaint | | |
|and cultural considerations. |Precipitating event | | |
| |Medical history | | |
| |Family/ Social/Occupational history | | |
| |Medication history | | |
| |Prescription | | |
| |Nonprescription | | |
| |Knowledge of health maintenance | | |
| |Risk factors | | |
| |Physical exam – neurological | | |
| |Level of consciousness | | |
| |Motor function | | |
| |Strength | | |
| |Symmetry | | |
| |Tone | | |
| |Posture | | |
| |Reflex | | |
| |Gag | | |
| |Swallow | | |
| |Babinski | | |
| |Sensory | | |
| |Vital signs (breathing pattern) | | |
| |Glasgow coma scale | | |
| |Pupillary response | | |
| |Diagnostic tests | | |
| |Radiology | | |
| |Computed axial tomography (CT) | | |
| |Magnetic Resonance Imaging (MRI) | | |
| |Magnetic Resonance (MRA) | | |
| |Cerebral arteriogram | | |
| |Laboratory studies | | |
| |PT/PTT | | |
| |INR | | |
| |Other | | |
| |Carotid Doppler studies | | |
| |Lumbar puncture | | |
| |Risks | | |
| |Cultural influences | | |
| |Hereditary | | |
| |Environmental | | |
| |Health beliefs/practices | | |
| |Developmental | | |
| |Age specific assessment data | | |
| |Vital signs | | |
| |Fluid /electrolytes | | |
| |Nutritional | | |
| |Behavioral/emotional response to health care providers | | |
|Differentiate between the etiology, |Common Occurring Neurological Problems | | |
|pathophysiology, and clinical manifestations of |Neurological / Cerebral Vascular Disease | | |
|selected commonly occurring neurological disease |Cerebral Vascular Accident (CVA) | | |
|processes. |Ischemic | | |
| |Hemorrhagic | | |
| |Transient Ischemic Attack (TIA) | | |
|Discuss analysis, planning, implementation, and |Selected Nursing Diagnoses/Implementation/ Evaluation | | |
|evaluation for the nursing management of patients |Altered Cerebral Tissue Perfusion | | |
|with commonly occurring neurological disease |Independent Interventions | | |
|processes. |Monitor neurological status | | |
| |(Glasgow Coma Scale) | | |
| |Positioning | | |
| |Prevention of aspiration | | |
| |Prevention of contractures | | |
| |Decrease intracranial pressure | | |
| |Range of Motion (ROM) | | |
| |Safety Issues: prevention of injuries | | |
| |Monitor VS | | |
| |Collaborative interventions | | |
| |Oxygen support | | |
| |Administer medications and monitor for desired/adverse/side | | |
| |effects | | |
| |Antihypertensives | | |
| |Steroids | | |
| |Anticonvulsants | | |
| |Anticoagulants | | |
| |Low Molecular Weight Heparin | | |
| |Low Dose Heparin | | |
| |Antiplatelets | | |
| |Nutritional support | | |
| |Prevention of aspiration: Thickening agents | | |
| |Enteral feedings | | |
| |Collaborate with other health care professionals | | |
| |Physical therapy | | |
| |Occupational therapy | | |
| |Speech therapy | | |
| |Recognition of complications | | |
| |Aphasia | | |
| |Contractures | | |
| |Aspiration pneumonia | | |
| |Death | | |
| |Evaluation of Outcomes: The patient will have improved cerebral | | |
| |tissue perfusion as evidenced by: | | |
| |Level of consciousness | | |
| |Motor function | | |
| |Sensory function | | |
| |Glasgow coma scale | | |
| |Vital signs | | |
| |Breathing pattern | | |
N:\ADN/Transition/RNSG 1327/Unit V – C/ Neurological Reviewed 03/12
Reviewed 03/13
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