In: Nursing
For this concept map, you will be choosing an abnormal finding from the Neurological Assessment Subtopics should include: Locate—list common assessment findings or observations associated with paralysis
—list questions you would ask the patient related to paralysis
—list expected treatments for the abnormal finding
—list pertinent patient education items related to paralysis and/or its prevention
—list items you would request from the physician or advocate for concerning the paralysis
Paralysis is a medical emergency condition characterized by sudden complete or partly loss of muscle strength in one side of body due to neurone damage.
Assessment findings of paralysis -
- generally paralysis starts fron leg muscles to upper part of the body. Some time it starts from facial muscles.
- difficulty in facial expression, chewing, swallowing, talking, facial muscle paralysis etc arises.
- urinary and bladder incontinence also can arise.
- the deep tendon reflexes may not present.
- the orientation about the the setuation may not present, depression, sleep pattern alteration present.
- other findings likes as abnormal bainding of limbs or face may arise, abnormal posture, abnormality in talking aer present.
- the patients are unable to perform basic life works.
Questions that I would like to ask to a patient ( if he/she can talk properly) are =
1. What are you feeling now?
2. How this happened can you remember?
3. How long you are suffering from this setuation?
4. What problems you are facing bin present date?
5. Which activities can you do by yourself or without any assistance?
6. Had you were suffering from any chronic illness previous? If yes then how long you were suffering?
7. Are taking your meal and medicines regularly?
8. Have you a regular bowel and bladder clearance?
9. Do you have a consultation with a physiotherapist?
10. Do you thik you that you can get rid from this condition?
Expected treatments =
1. Physiotherapy = the physiotherapy is a best treatment for paralysis patients. This therapy restore, maintain, make the patient's mobility and we'll functioning of the muscles. This therapy involve the patient in their own recovary. The therapies include range of motion, muscle strengthening exercises, mobility, electrical stimulation etc.
2. Occupational therapy = this is a process of involving patient to a work or job that he is capable for and acording to his self interest. This therapy include modify home, self care or some other activities.
3. Other therapy = some other therapeutic approaches has to apply for this patient like as respiratory therapy, speech therapy, group therapy, psychological counseling etc. And the big thing is rehabilitation therapy.
Health education on paralysis =
Paralysis is a loss of muscle functions due to various factors or causes. It can be generalised or localised.
The conditions that causes paralysis are stroke, major cardiovascular surgery, birth defects, cerebral palsy etc.
The main signs and symptoms of paralysis are - loss of functions of specific or widespread area of body, numbness, tingling sensation, difficulty in control the part of Dody that is affected.
The paralysis may be temporary or long lasting. Proper treatment cam prevent long disabilities.
Prevention of paralysis - early detection of chronic illness and it's treatment. Quiet health care supervision and proper treatment can only prevent paralysis. After all patients and family awareness about paralysis plays a greater role in prevention of paralysis.