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NUR 255 Exam 4 Review

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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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