Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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________________________________________________________________________________________________, ORAL MUCOUS MEMBRANE, ALTERATION IN_____________________________________________________________________ Diagnostic Division: Food/FluidDefinition: [Actual/Potential interruption in the integrity of the layers and/or protective properties of the oralmucosa.]SUPPORTING DATAETIOLOGYPathologic conditions: oral cavity (radiation to head and/or neck)Trauma: Chemical, e.g., acidic foods, drugs, noxious agents, alcohol; Mechanical, e.g., ill-fitting dentures, braces,tubes (endotracheal, nasogastric), surgery in oral cavityDehydrationNPO instructions for more than 24 hoursMalnutritionLack of or decreased salivationIneffective oral hygieneMouth breathingInfectionMedicationDEFINING CHARACTERISTICSSubjectiveXerostomia (dry mouth)Oral pain or discomfortObjectiveCoated tongueStomatitisLeukoplakiaHyperemiaDesquamationHemorrhagic gingivitisHalitosisOral lesions or ulcersLack of or decreased salivationEdemaOral plaqueVesiclesCarious teeth________________________________________________________________________________________________, PARENTING, ALTERATION IN: ACTUAL OR POTENTIAL_____________________________________________________________________ Diagnostic Division: Family Pattern AlterationsDefinition: Parenting is the ability of a nurturing figure(s) to create an environment that promotes theoptimum growth and development of another human being. It is important to state as a preface to this
diagnosis that adjustment to parenting in general is a normal maturational process that elicits nursingbehaviors of prevention problems and health promotion.SUPPORTING DATAETIOLOGYLack of available role modelLack of support between or from significant other(s)Interruption in bonding process, i.e., maternal, paternal, otherMental and/or physical illnessLack of knowledgeLimited cognitive functioningMultiple pregnanciesUnrealistic expectation for self, infant, partnerIneffective role modelPhysical and psychosocial abuse of nurturing figureUnmet social and emotional maturational needs of parenting figuresPerceived threat to own survival: physical and/or emotionalPresence of stress: financial or legal problems, recent crisis, cultural moveLack of role identityLack of appropriate response of child to relationshipDEFINING CHARACTERISTICS: ACTUAL AND POTENTIALSubjectiveConstant verbalization of disappointment in gender or physical characteristics of infant/childVerbalization of resentment toward infant/childVerbalization of role inadequacy [inability to care for/discipline child]Verbal disgust at body functions of infant/childVerbalization of desire to have child call parent <strong>by</strong> first name despite traditional cultural tendenciesObjectiveLack of parental attachment behaviorsInappropriate visual, tactile, auditory stimulationNegative identification of characteristics of infant/childInattention to infant/child needsNoncompliance with health appointments for self and/or infant/childInappropriate caretaking behaviors (toilet training, sleep and rest, feeding)Inappropriate or inconsistent discipline practicesFrequent accidents/illnessGrowth and development lag in childHistory of child abuse or abandonment <strong>by</strong> primary caretakerChild receives care from multiple caretakers without consideration for needs of childCompulsive seeking of role approval from othersActual (critical factors): abandonment, runaway, verbalization cannot control child, evidence of physical and/orpsychologic trauma________________________________________________________________________________________________POWERLESSNESS_____________________________________________________________________Diagnostic Division: Emotional Reactions
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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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Myopathies (polymyositis, dermatomy
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denervated muscles.)Prostigmine may
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Polyneuropathy (rarely)Hypothyroidi
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Multiple sclerosis - CAMBS scaleDis
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Intrathecal IgG production ≥90Oli
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THE CV-4 TECHNIQUEThe still point a
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NEUROLOGY TESTBlood pressure should
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To find out about the different neu
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support, clergy support, counseling
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HYGIENESelf-care deficit (specify l
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___________________________________
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ObjectiveHard -formed stoolStrainin
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Definition: [ failure of the heat t
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___________________________________
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Work overloadUnrealistic perception
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Inappropriate or poorly communicate
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Decreased skin turgorIncreased puls
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___________________________________
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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
Page 361 and 362: Does not defend self-care practices
Page 363 and 364: Cognitive perceptualCultural or spi
Page 365 and 366: SUPPORTING DATAETIOLOGYEnvironmenta
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 377 and 378: Bed rest or immobilityDEFINING CHAR
Page 379 and 380: Unmet needs[Physiological factors,
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Page 385 and 386: Inability to speak in sentencesDoes
Page 387 and 388: Decision and actions by family whic
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
Page 397 and 398: Abnormal blood profile: altered clo
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Page 401 and 402: Reluctance to attempt movement[C/o
Page 403: SubjectiveReported or observed dysf
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
Page 415 and 416: Interrupted sleep[Falls asleep duri
Page 417 and 418: Alteration in behavior or mood evid
Page 419 and 420: DEFINING CHARACTERISTICSSubjectiveF
Page 421 and 422: 6) ORTHOPAEDIC TEST/SIGNS:Noted in
Page 423 and 424: Hibbs (positive) (negative) for (rt
Page 425 and 426: PROGNOSIS:MODERATE:The prognosis fo
Page 427 and 428: RECIPESBETTER BUTTERFor those of yo
Page 429 and 430: or flakes. Begin with 1/2 teaspoon
Page 431 and 432: in waterfor an elegant main course.
Page 433 and 434: This recipe also makes an excellent
Page 435 and 436: adding the celery and carrot near t
Page 437 and 438: stuffed caps in lightly greased bak
Page 439 and 440: TOFU SURPRISES2 tablespoons cold-pr
Page 441 and 442: By following these guidelines, you
Page 443 and 444: The technique of somatoemtional rec
Page 445 and 446: SPINAL IMPAIRMENT RATINGWhole Man1.
Page 447 and 448: 59. Do you have a loss of interest
Page 450 and 451: The technique used to mobilize the
Page 452 and 453: The technique for evaluation and tr
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Neurology Edited by Professor Emeritus Desire' Dubounet, IMUNE

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