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NRS 410 Topic 2 DQ 1 Identify a common perceptual, neurological, or cognitive issue and discuss contributing factors
NRS 410 Topic 2 DQ 1 Identify a common perceptual, neurological, or cognitive issue and discuss contributing factors
Topic 2 DQ 1
Jul 25-27, 2022
Identify a common perceptual, neurological, or cognitive issue and discuss contributing factors. Outline steps for prevention or health promotion for the patient and family.
Barb McGraw
Jul 25, 2022, 5:33 AM
Replies to Barb McGraw
Class, are there conditions that could have a perceptual, neurological, as well as cognitive problem, all at once? Please explain your answer.
Amanda Schouten
replied toBarb McGraw
Jul 25, 2022, 1:06 PM
- Replies to Barb McGraw
Professor McGraw,
Yes, many of these neurological conditions are also perceptual and cognitive. Since the brain functions on each of these levels anytime the brain is disrupted from its normal function it can erroneously create or miss perceptual experiences that would have otherwise been different. The same is true for cognition, the brain is responsible for learning and understanding but the disruption can impact this process also. An example is that of a middle cerebral artery (MCA) stroke, this manifests with classic symptoms of unilateral motor loss but also involves speech aphasia, which is related to cognition, (Nogles & Galuska, 2022). The MCA stroke also can cause perceptual problems with its related visuospatial neglect, (Li & Malhotra, 2015).
Li, K., & Malhotra, P. A. (2015). Spatial neglect. Practical neurology, 15(5), 333–339. https://doi.org/10.1136/practneurol-2015-001115
Nogles, T.E., & Galuska, M.A. Middle Cerebral Artery Stroke. [Updated 2022 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK556132/
- Atoyia Ortiz
replied toBarb McGraw
Jul 26, 2022, 6:54 AM
- Replies to Barb McGraw
Hi Professor McGraw,
When I read your question, my immediate thought was about traumatic brain injury, or TBI.
TBI occurs when a sudden trauma damages the brain. It can result when the head suddenly and violently hits an object, or when an object pierces the skull and enters brain tissue. According to the NIH (2022), a reported 3.6 million people in the U.S. sustain brain injuries every year. The recent tragic death of the actor, Bob Saget highlights just how serious any head injury can be (he accidentally hit the back of his head, didn’t realize the severity, and went to sleep, as far too many people do).
TBI can display an array of symptoms, to include perceptual, neurological, and cognitive impairment, with varying levels of severity. Some of those symptoms include headache, confusion, lightheadedness, dizziness, blurred vision or tired eyes, ringing in the ears, bad taste in the mouth, fatigue or lethargy, a change in sleep patterns, behavioral or mood changes, and trouble with memory, concentration, attention, or thinking. Capizzi et al (2019) discuss how a person with a moderate or severe TBI may show these same symptoms but may also have a headache that gets worse or does not go away, repeated vomiting or nausea, convulsions or seizures, an inability to awaken from sleep, dilation of one or both pupils of the eyes, slurred speech, weakness or numbness in the extremities, loss of coordination, and increased confusion, restlessness, or agitation.
REFERENCES
Capizzi, A., Woo, J., & Verduzco-Gutierrez, M. (2019). Traumatic brain injury: An overview of epidemiology, pathophysiology, and medical management. Science Direct, 104(2), 213-238. https://doi.org/10.1016/j.mcna.2019.11.001
National Institute of Neurological Disorders and Stroke. (2022). Traumatic brain injury: What research is being done? National Institutes of Health. https://www.ninds.nih.gov/health-information/disorders/traumatic-brain-injury#:~:text=Traumatic%20brain%20injury%20(TBI)%2C,skull%20and%20enters%20brain%20tissue.
- Sandra Noel-Lewis
replied toBarb McGraw
Jul 26, 2022, 1:56 PM
- Replies to Barb McGraw
Hi Professor McGraw,
The central nervous system is affected by the condition known as multiple sclerosis. Myelin, the barrier that surrounds nerve fibers, is attacked by the immune system, which results in inflammation and lesions. This makes it challenging for the brain to communicate with the rest of the body. Also, the nerve cells to the spinal cord are disrupted. About 50% of MS patients develop cognitive impairments, which can include memory loss, poor judgment, and attention and focus problems (U.S Dept. of Health and Human Resources (n.d.). Each patient’s experience with MS is unique and varies from moderately losing the ability to walk, speak, or write (McNamara, L. (2015). Since the underlying cause is unknown, a diagnosis must be made by ruling out other possibilities.
References
McNamara, L. (2015, October 5). What is multiple sclerosis (MS)?: The Johns Hopkins Multiple Sclerosis Center. What is Multiple Sclerosis (MS)? | The Johns Hopkins Multiple Sclerosis Center. Retrieved July 26, 2022, from https://www.hopkinsmedicine.org/neurology_neurosurgery/centers_clinics/multiple_sclerosis/conditions/
U.S. Department of Health and Human Services. (n.d.). Multiple sclerosis. National Institute of Neurological Disorders and Stroke. Retrieved July 26, 2022, from https://www.ninds.nih.gov/health-information/disorders/multiple-sclerosis
Grading Rubric Guidelines
Performance Category | 10 | 9 | 8 | 4 | 0 |
Scholarliness
Demonstrates achievement of scholarly inquiry for professional and academic decisions. |
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Performance Category | 10 | 9 | 8 | 4 | 0 |
Application of Course Knowledge –
Demonstrate the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lesson and outside readings and relate them to real-life professional situations |
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Performance Category | 5 | 4 | 3 | 2 | 0 |
Interactive Dialogue
Replies to each graded thread topic posted by the course instructor, by Wednesday, 11:59 p.m. MT, of each week, and posts a minimum of two times in each graded thread, on separate days. (5 points possible per graded thread) |
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Summarizes what was learned from the lesson, readings, and other student posts for the week. |
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Grammar, Syntax, APA
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0 points lost | -5 points lost | ||||
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per discussion thread |
The student answers the threaded discussion question or topic on one day and posts a second response on another day. | The student does not meet the minimum requirement of two postings on two different days | |||
Early Participation Requirement
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The student must provide a substantive answer to the graded discussion question(s) or topic(s), posted by the course instructor (not a response to a peer), by Wednesday, 11:59 p.m. MT of each week. | The student does not meet the requirement of a substantive response to the stated question or topic by Wednesday at 11:59 pm MT. |