*NURSING > EXAM REVIEW > NUR 255 Exam 4 Review (All)
Elderly o Sensory/Neuro changes Visual impairment Can’t see obstacles (i.e. rugs) o Look where they are walking, have frequent eye exams Parkinson’s o S/S: Shuffling gait, mask-like... face/flat affect, drooling 4 cardinal signs Tremors, rigidity, bradykinesia, postural instability Problem with ADL’s Eating, self-care, walking, safety o Pace self, schedule, one activity at a time… Epilepsy o 2 unprovoked seizures within 6 months o Avoid known triggers o Tx Phenytoin (Dilantin) Rinse mouth after to prevent gingival hyperplasia Benzos (raise seizure threshold) Multiple Sclerosis o Chronic autoimmune o Prevalent in northern hemisphere (Great Lakes area) o Fall risk, decreased ADL’s o Avoid hot showers o Types Relapsing Remitting Most common Mild or moderate Symptoms develop then resolve Primary Progressive Second most common Steady, gradual progression with no remission Secondary Progressive Starts with relapsing-remitting Becomes progressive Progressive Relapsing Frequent relapses with partial recovery No return to baseline o S/S: Lack of sensation, nystagmus, diplopia, tremors, stiffness/fatigue in legs (shaky legs) [Show More]
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