NUR 634 Topic 16 DQ 1

Discussion: Select one condition or disorder that applies to the older adult/geriatric population.

NUR 634 Topic 16 DQ 1 Assessment Description

Select one condition or disorder that applies to the older adult/geriatric population. Specifically address the older adult population as related to prevalence, risk of complications, and treatment/management considerations. Then complete the following:

1. Briefly discuss the condition/disorder.
2. Describe the symptoms and physical exam findings associated with the condition/disorder.
   

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3. Identify appropriate laboratory, imaging, and other diagnostic/screening tools that apply to the disorder and explain how they will help you with your diagnosis. NUR 634 Topic 16 DQ 1
4. List two other conditions that could cause a similar presentation (differential diagnoses) and explain how you would “rule out” those differentials.

Support your description with a minimum of two APRN-approved scholarly resources. You may not select a condition or disorder that has already been profiled by another learner; you must select a different one.

American Association of Colleges of Nursing Core Competencies for Professional Nursing Education

This assignment aligns to AACN Core Competencies 1.2, 1.3.

NUR 634 Topic 16 DQ 1 Sample

Cerebrovascular accidents (CVAs), commonly referred to as stroke, are common conditions that affect the geriatric population. CVAs can either be hemorrhagic or ischemic, depending on the cause of the incident. Ischemic CVA occurs due to blockage in blood flow in the cerebral vessel, while a hemorrhage CVA occurs due to vessel rupture (Kumar et al., 2023). Common risk factors for CVA include hypertension, hyperlipidemia, diabetes, smoking, coronary artery disease, trauma, coagulopathies, and oral contraceptives. However, ischemic CVA is more common than hemorrhagic CVA. The impact of CVA on geriatric patients often affects their ability to perform activities of daily living, making them depend on others for assistance.

The initial symptoms in patients experiencing a stroke episode include a sudden and severe headache of unknown cause accompanied by an alteration in the level of consciousness. NUR 634 Topic 16 DQ 1 Other initial symptoms include dizziness, confusion, blurred vision, trouble speaking, difficulty understanding speech, and slurred speech (Murphy et al., 2020). In addition, the patients experience paralysis facial and limb paralysis and symptoms of increased intracranial pressure, such as nausea, vomiting, neck stiffness, and photophobia. Physical examination findings include decreased Glasgow coma scale, facial droop, unilateral hemiparalysis, dysarthria, visual field defects, muscle weakness, unilateral sensory loss, and ataxia.

            Imaging tests such as Computerized Tomography (CT) or magnetic resonant imaging (MRI)with angiography are crucial as they can diagnose the CVA, identify the vessel affected, and localize areas affected by the accident (Patil et al., 2022). Additional tests such as complete blood counts, random blood sugars, serum lipid profile, and a basic metabolic panel are also crucial for the initial evaluation and monitoring of the patient. The differential diagnosis for a CVA includes brain tumors and cerebral infections excluded by the MRI or CT angiography scans. In the two conditions, features indicative of a hemorrhage or ischemia are absent.

NUR 634 Topic 16 DQ 1 References

Kumar, M., Kumar, A., Saroj, U., Kumar, R., Singh, S. K., Choudhary, A. K., Farheen, Z., & Priya, S. (2023). A Study on the Clinical Profiles of Patients with Cerebrovascular Accident (Stroke) in a Tertiary Care Hospital in Jharkhand. Cureus, 15(3). https://doi.org/10.7759/cureus.35919

Murphy, S. J., & Werring, D. J. (2020). Stroke: Causes and clinical features. Medicine (Abingdon, England : UK Ed.), 48(9), 561-566. https://doi.org/10.1016/j.mpmed.2020.06.002

Patil, S., Rossi, R., Jabrah, D., & Doyle, K. (2022). Detection, Diagnosis and Treatment of Acute Ischemic Stroke: Current and Future Perspectives. Frontiers in Medical Technology, 4. https://doi.org/10.3389/fmedt.2022.748949 NUR 634 Topic 16 DQ 1