Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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Not taking responsibility for self-care (self-neglect)Lack of follow-throughNonparticipation in therapySelf-destructive behaviorLack of eye contact[Aging]________________________________________________________________________________________________A. ROLE PERFORMANCE, DISTURBANCE IN________________________________________________________________________________ ETIOLOGYBeing developed by NANDA [A change in the person’s life has occurred in which the expected role activities are no longerable to be undertaken, e.g., male head of the household is in a passive, dependent patient role. These changes are perceived asunacceptable by the individual.]DEFINING CHARACTERISTICSSubjectiveChange in self-perception of roleDenial of roleLack of knowledge of roleObjectiveChange in others’ perception of roleChange in usual patterns or responsibilityConflict in rolesChange in physical capacity to resume role________________________________________________________________________________________________D.PERSONAL IDENTITY, DISTURBANCE IN________________________________________________________________________________Definition:inability to distinguish betwe en self and non-self.ETIOLOGYBeing developed by NANDA.[Organic brain syndrome][Schizophrenia][Panic state][Dissociative states]DEFINING CHARACTERISTICSBeing developed by NANDA.[See ND Anxiety, Panic State]________________________________________________________________________________________________SENSORY-PERCEPTUAL ALTERATION: VISUAL,AUDITORY, KINESTHETIC, GUSTATORY, TACTILE,OLFACTORY_____________________________________________________________________Diagnostic Division: NeurologicDefinition: [Condition exists in which the usual and accustomed sensory stimuli are not experienced orrecognized/interpreted accurately.]
SUPPORTING DATAETIOLOGYEnvironmental Factors:Therapeutically restricted environments (isolation, intensive care, bedrest, traction, confining illnesses, incubator)Socially restriced environment (institutionalization, homebound, aging, chronic illness, dying, infant deprivation);stigmatized (mentally ill/retarded/handicapped); bereavedAltered Sensory Reception, Transmission, and/or Integration:Neurologic disease, trauma, or deficitAltered status of sense organsInability to communicate, understand, speak, or respondSleep deprivationPainChemical Alteration:Endogenous (electrolyte imbalance, elevated BUN, elevated ammonia, hypoxia)Exogenous (central nervous system stimulants or depressants, mind-altering drugs)Psychologic stress (narrowed perceptual fields caused by anxiety)DEFINING CHARACTERISTICSSubjectiveReported or measured change in sensory acuityAnxiety[Pain]ObjectiveDisoriented in time, in place, or with personsChange in problem-solving abilitiesChange in usual response to stimuliAltered communication patternsDaydreamingNoncomplianceDepressionAngerPoor concentrationBizarre thinkingMotor incoordinationAltered abstractionAltered conceptualizationChange in behavior patternApathyRestlessnessIrritabilityDisorientationLack of concentrationHallucinationsFearRapid mood swingsExaggerated emotional responsesDisordered thought sequencingVisual and auditory distortionsOther Possible Defining Characteristics [under consideratoin by NANDA]:Complaints of fatigueChange in muscular tensionHallucinationsAlteration in postureInappropriate responses
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NeurologyEdited by Professor Emerit
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That I only found when studying Wil
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fig. 2: origins and distribution of
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Vasodilatation - ØIntestineslongit
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those two modes, its contact with t
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epressive sexual education/impaired
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"The vegetative“ (autonomic) "ner
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4.1. TechniqueOver the years, lots
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medication which either only battle
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the ANS' level, stress means sympat
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In therapy, we work from the tensio
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Naturally, besides the intensive tr
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neck furthermore intercepts the flo
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Robert A. Dew puts asthma down to t
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Looking at the vernacular gives the
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5.5. Peptic Ulcer5.5.1. Pulsation o
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appears "openly dependent" or, if c
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During the resolution of the blocks
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Heike S. Buhl M.D., born 1955. Trai
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TitleDiagnosing and Treating Injure
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ody electrolyte strength will gener
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As presented, the peak of the first
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This situation has an important imp
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fibers. Sequential action potential
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and active tissue under electrode B
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Action potentials of injured cardia
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a nearby electrode and a distant re
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The distances between the poles of
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ecorded simultaneously the membrane
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When there are conditions of hypoad
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Trauma and injuries are a natural a
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BOOKS1. An Advanced Treatise in Qua
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One of the easiest ways to learn ab
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HOMEOPATHIC TREATMENT OF PAINAbstra
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DESCRIPTION: PAIN - HEAT IMPROVESNU
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BEFOREAFTER4321OOOOOOOOXXXXXXXX0Avg
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tissues to bring about a lowering i
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CAUSES OF HEADACHE PAIN (Vindicate)
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ARTICLES AND STUDIES1. A Practical
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impairment or "disability" evaluati
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criteria:The third step is the comp
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5. Estimate of the expected date of
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ImpairmentThe Extremities, Spine, a
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3. Explanation for concluding that
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3.1b Principles and Methods of Impa
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The range of motion should be recor
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IA is a function of V when Vext = V
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Interphalangeal Joint-Flexion and E
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Example: Thumb metacarpophalangeal
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Note: Because the relative value of
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Determine the length of the finger
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position (0 cm) to: Lost Retained o
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If the metacarpophalangeal joint is
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40 of ring finger 450 of little fin
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Joint-Radial and Ulnar DeviationMea
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Flexion IA%=21%Lateral deviation IA
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extremity.Flexion and ExtensionMeas
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the upper extremity, and 15% impair
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Add the impairment values for flexi
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Internal and External RotationMeasu
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shoulder motions (flexion/ extensio
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The peripheral spinal nerves consti
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obtained history, a thorough medica
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Example: In an injury, a patient su
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associated with those particular ne
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Ulnar or Radial Deviation%Digit Imp
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Joint Instability% Joint Impairment
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Example: Implant resection arthropl
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Intrinsic tightness in the hand may
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Extensor TendonSubluxation Severity
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With the patient plantar-flexing th
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0° 30° 0° 4510° 20° 10° 3020
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Center the goniometer over the meta
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Example: If 50% of the distal phala
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of the toe being tested (Figure 61c
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Center the goniometer over the late
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Inversion and Eversion (Subtalar Jo
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10° active dorsi-flexion 410° act
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Place the goniometer base as if mea
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Add the impairment values contribut
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Place the goniometer base as if mea
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Hip Joint-Two or More Ranges of Mot
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3.2f Impairment of the Lower Extrem
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In evaluating pain that is associat
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After the individual values for los
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value for loss of function = 15%) 1
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Principles for Calculating Impairme
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motion or ankylosis.B. Repeat the a
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is the greatest angle measured.5. C
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Example: Occipital flexion measurem
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possible, again recording both incl
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Cervical Region-RotationBecause the
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minimum kyphosis is actually a meas
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2. With the subject in either the s
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1. The subject may be seated or sta
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3.3) Ask the subject to rotate the
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3.3e Impairments Due to Range of Mo
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(for automated devices capable of c
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Example: T12 flexion measurements o
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3. Record the "0" readings first at
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3.4 The PelvisThe following shows i
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Addendum to Chapter 3A. Introductio
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1. If applicable, use Table 49 (p.
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B. Repeat the above steps for secon
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2. Consult the Ankylosis Section of
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impairment of the whole person.Exam
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Ankylosis1. Place the goniometer ba
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6. Add the impairment values contri
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FINAL IMPAIRMENT RATING FOR WHOLE M
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Combined value of spinal impairment
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There is a neutral or relaxed perio
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SPHENOBASILAR/CRANIAL BASE TORSIONT
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IMPAIRMENT OF THE NERVOUS SYSTEMThe
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upper extremities, controlling blad
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2. Neurological disorder results in
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4) Neurological: Grades = 5=normal
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4) Neurological:Sensation: (right/l
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technique on the part of the physic
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Direct TechniqueWith the patient co
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CONTRAINDICATIONSThe only contraind
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In order to determine the presence
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IX Glosso- pharyngealPharynx muscle
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ReflexesMuscle stretch reflexes, cu
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Abdominal skin reflex (exteroceptiv
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Sensory symptomsPersistant or episo
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Pyramidal tract signsEponym Manoeuv
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doubts of survival7. Psychotic symp
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· Foramen jugulare syndrome (Siebe
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For cranial nerve stimulation the c
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Demonstration of specific antibodie
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4.6.2 Explosive type4.6.3 Postural
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8.4.2 Caffeine withdrawal headache8
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Headache: differential diagnosisDes
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Diagnostic criteria of drug-induced
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convexity), glioblastoma, oligodend
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Hypothalamic regulatory hormonesHyp
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0 = normal1 = stride down to 30-45
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Parkinsonism: causesAetiology or Pa
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Paradoxical hyperkinesiaSudden good
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Meige syndrome(bilateral facial spa
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ThalamotomyScale for quantification
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Eating10 = independent (with aids)5
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InfectionsMeningitisOtitis media, m
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OculomotorDependent on surgery, var
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AreflexiaSlowed nerve conduction ve
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Causes of lumbosacral root disorder
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Compartment syndromescompartmentsAu
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Lateral root of median nerve (C5-C7
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Palsy without pronator, teres invol
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Baker's cyst (in rheumatoid arthrit
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Gluteal nerve lesionsIntramuscular
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Differential diagnosis of important
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2. C8 root syndromeMotor lossAs for
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Congenital and usually inherited my
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(iv) Type 7.erythrocytes involved.P
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Page 325 and 326: THE CV-4 TECHNIQUEThe still point a
Page 327 and 328: NEUROLOGY TESTBlood pressure should
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Page 333 and 334: HYGIENESelf-care deficit (specify l
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Page 337 and 338: ObjectiveHard -formed stoolStrainin
Page 339 and 340: Definition: [ failure of the heat t
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Page 343 and 344: Work overloadUnrealistic perception
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Page 347 and 348: Decreased skin turgorIncreased puls
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Page 351 and 352: Definition: The client is unable to
Page 353 and 354: DEFINING CHARACTERISTICSInternal (i
Page 355 and 356: SUPPORTING DATAETIOLOGYLack of expo
Page 357 and 358: Satiety immediately after ingesting
Page 359 and 360: DEFINING CHARACTERISTICSSubjectiveX
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Page 363: Cognitive perceptualCultural or spi
Page 367 and 368: Mechanical factorsShearing forcesPr
Page 369 and 370: Changes in postureFrequent yawningN
Page 371 and 372: DEFINING CHARACTERISTICSObjectiveSk
Page 373 and 374: Toxic reactions to medicationBatter
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Page 385 and 386: Inability to speak in sentencesDoes
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Page 389 and 390: ETIOLOGYSituational transition and/
Page 391 and 392: Hypotension [postural]Increased pul
Page 393 and 394: Central venous pressure changesJugu
Page 395 and 396: ObjectiveCryingDevelopmental regres
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Page 401 and 402: Reluctance to attempt movement[C/o
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Page 407 and 408: Acute Phase:Emotional reactions: an
Page 409 and 410: SubjectiveVerbalization of:Change i
Page 411 and 412: SUPPORTING DATAETIOLOGYEnvironmenta
Page 413 and 414: ETIOLOGYExternal (environmental) fa
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Interrupted sleep[Falls asleep duri
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Alteration in behavior or mood evid
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DEFINING CHARACTERISTICSSubjectiveF
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6) ORTHOPAEDIC TEST/SIGNS:Noted in
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Hibbs (positive) (negative) for (rt
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PROGNOSIS:MODERATE:The prognosis fo
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RECIPESBETTER BUTTERFor those of yo
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or flakes. Begin with 1/2 teaspoon
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in waterfor an elegant main course.
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This recipe also makes an excellent
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adding the celery and carrot near t
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stuffed caps in lightly greased bak
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TOFU SURPRISES2 tablespoons cold-pr
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By following these guidelines, you
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The technique of somatoemtional rec
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SPINAL IMPAIRMENT RATINGWhole Man1.
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59. Do you have a loss of interest
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The technique used to mobilize the
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The technique for evaluation and tr
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Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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