How does team performance prevent the EBP change proposal from continuing to obtain the same desired results?

 

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1. Summarize the HPI for Measles?
2. Document your objective findings for the skin assessment that you would expect to observe.
3. Describe the plan of care to include any further testing if needed, treatment, education to parents/child and return to school date (all with rationales).

 

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What are examples of smoking/tobacco cessation primary, secondary, and tertiary preventions?

 

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What are some examples of government initiatives, individual influence, and community influences in relation to smoking/tobacco cessation?

 

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Neuro

I. Components of a Full Neurological Exam (5 of them below)

2. Mental Status exam-know the components of a complete Mental status assessment and how to test for each- review book and PPP

• What do we test with a full mental status assessment?
  • what is abstract reasoning -know some examples in every day life -we are not really talking about food when we say something is “as easy as pie” or “it’s a piece of cake” but both mean something is easy to do. A concrete thinker would take this literally. These are hard to translate into another language.
  • What is cognition or mentation?
• Glasgow Coma Scale  What does it test?
  • decerebrate and decorticate posture in coma
• What are the 3 responses tested with this scale? (do not have to memorize the actual numbers for each, but know the cumulative number that = a coma & normal)

3. Cranial Nerves (CNs) –they are all in the head and neck-names & numbers and how to test each of them.

4. Motor system

• Muscle bulk, strength, tone & involuntary movements (think of someone with spastic (Cerebral Palsy) or flaccid (after a stroke) atonic movements
• Cerebellar function
  • Coordination -how to test upper & lower extremities
    • RAMS-several ways to assess-see text
    • Point to point- intention tremor
    • Balance, gait,
      • toe/heel, tandem walking(think of a person who is really drunk and how they might walk)-know terms for abnormal gait
      • Romberg test -know what it tests & how it is performed

5. Sensory system–how to test the sensory nerves? Are they “intact”=functioning

• senses of pain, dull/sharp, light touch (do not have to memorize the pathways)
• vibration sense, position sense (loss of sensation with diabetes-peripheral neuropathy, MS, +)
• tactile discrimination =fine touch (stereognosis, graphesthesia, 2-point discrimination)
• proprioception-position sense what is that and how do we test?

6. Reflexes

• Clonus test-what is it and why do we test? (not a reflex, but often tested with them)
• Deep Tendon Reflexes (DTRs)
  • need to review the reflex arc to understand this
  • Know the names & locations of reflexes (they are related to tendons)
  • Numerical rating for reflex response
• Superficial Reflexes
• • Plantar or Babinski-what is abnormal? How to test
  • Abdominal & cremasteric -not on exam

 

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