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Nur 255 exam 4 review

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41: ASSESSMENT OF THE NERVOUS SYSTEM 1 AGE RELATED CHANGES PHYSIOLOGICAL CHANGES Slower processing time – intellect not impaired but learning process is slowed Recent memory loss RN INTERVENTIONS Provide sufficient time to respond to questions/directions Reinforce teaching by repetition, using written teaching and electronic devices that provide alerts Use teach-back method ↓ sensory perception of touch Change in perception of pain Change in sleep patterns Altered balance and ↓ coordination Increased risk for infection - look where their feet are when walking - Wear shoes that provide good support when walking - change position every hour while in bed/chair - Nature and specific characteristics of pain - Sleep patterns related to pt. ADLs - Adjust daily schedule to their work around their sleep schedule - Move slowly when changing positions - Hold on to handrails while ambulating, if needed - Assess need for ambulatory aid (cane) MT carefully for infection - Assess sleep patterns Changes in sleep patterns - Normal bedtime routines (sleep deprivation leads to early onset delirium, worsens - ↓ noise and light at night dementia, and decreases immune system and wound healing) RATIONALES Helps to differentiate normal findings from neurologic deterioration - Greatest loss of brain weight is in the white matter of the frontal lobe - Intellect is not impaired, but learning process is slowed - Repetition helps the pt. learn new info and recall it when needed May cau ...
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