Sean G. Smith – The Complex Neuro Patient

The fall he took on the ice two days ago; he didn’t want his wife to worry so he hadn’t told her. Instead he’s been taking aspirin hoping his headache will just go away.

Sean G. Smith – The Complex Neuro Patient

Description:

• Assessments to identify RED Flags
• Neuro Pharmacology Updates
• Recent Management Strategies Neuro Trauma, Stroke, Seizures, Neuromuscular & Neurodegenerative Diseases

Do you find this familiar?

78-Year-old Joe presents to the ER reporting he has a headache that just doesn’t go away, today his vision seems a bit blurry and he is experiencing more dizziness. His wife says something to you. “not right” He seems even more confused. Joes tells you it’s just the “flu”; everybody gets that this time of year and he doesn’t know why his wife made him come in.

Joe did not tell the truth:

The fall he took on the ice two days ago; he didn’t want his wife to worry so he hadn’t told her. Instead he’s been taking aspirin hoping his headache will just go away.

Patients may present with or develop neurological symptoms at any time, making it essential that healthcare providers possess the ability—and confidence—to quickly assess these changes and intervene appropriately. Joe didn’t include the important piece of information. Are you confident that you can spot subtle changes? Are you prepared to deal with the crisis that’s unfolding right in front you?

Get involved nationally-A well-known speaker and expert in neurological nursing, Sean SmithRN, BSN or NREMT-P, C-NPT, CCRN CMC, CFRN, FP-CPEN (Centre for Public Administration) is the in-In-depth examination of the neuropatient. These concepts are essential for nurses to be able to offer the best care possible to patients with neuro-related disorders.-To-Patients and their families receive date care. Sean His ability to simplify complex concepts and make them useful is well-known. Register now and you will be ready to save your life in the event of a neurological emergency.

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OUTLINE

Neuro Assessments: Identifying RED Flags

• Challenging Mental Status Exams
  • The Patient With Existing Dementia
• The Down-n-Assessment of Dirty Cranial Nerve
• Glasgow Coma Scale
• Red Flags
• Effectively communicating changes

Neuro Trauma: The The Latest Evidence-Based Strategies

• Blunt & Penetrating Injuries
• Symptom Management is for:
  • Hypoxemia
  • Hypotension
  • Hypothermia Prophylactica
  • Nutrition Replacement
  • Normoglycemia
  • Hyperventilation
• Surgical Emergencies & Post-Op Care
  • Craniotomy & Craniectomy
• Associated Mental Status & Cognitive Changes

Management of increased intracranial pressure

• Early & Late Symptoms
• Non-invasive vs. Invasive Monitoring
• ICP Waveform Analysis Made Easier

Neuro New thoughts on Pharmacology: Old Therapies

• Steroids
• Osmotic Diuretics
• Hypertonic Saline
• Anti-Seizure Prophylaxis
• DVT Prophylaxis
• Thrombolytics & Anticoagulation
• Reversal Agents
• Infection Prevention
• Anesthetics, Analgesics & Sedatives

Recognizing stroke syndromes early and providing treatment recommendations

• Acute Ischemic Stroke
• Intracerebral Hemorrhagic Stroke
• Hemispheric findings
• NIH Stroke Scale
• Clinical Presentation & Management of Seizures
• Differentiation between Seizure Types
• Psychogenic Non-Epileptic Seizures (PNES’s)
• Sudden Unexplained Deaths in Epilepsy (SUDEP).

Neurodegenerative & Neuromuscular Disease

• The Patient with Alzheimer’s Disease
• Assessing altered mental status
• The Patient Pre-Existing Dementia
• Tips for spotting subtle clues
• Differentiating Diagnosis based on Symptom Onset

The Patient Multiple Sclerosis

• Physical Assessment Challenges
• The Patient with Muscle Weakness & Wasting
• Important Criteria for Assessing Baseline

The Patient Amyotrophic Lateral Sclerosis

• Avoid potential complications
• Recognition of life early-threatening Symptoms
• What equipment must you have at your side?
• Management of Airways is a difficult task

The Patient with Parkinson’s Disease

• Symptom Management Challenges
• Interventions for Agitated Patient
• Strategies to be Effective Patient Compliance
• Team Approach: Role of the Interdisciplinary Team & Family

OBJECTIVES

1. Neuroanatomy can be applied to complex neurologic patients.
2. Breakdown of neurologic assessment strategies and changes related to pathologic conditions
3. Choose from various types of head injuries, as well as mental and cognitive status changes.
4. Communicate the latest strategies for prompt recognition and treatment of stroke syndromes.
5. Please indicate the clinical presentation and treatment recommendations of seizure types.
6. Increased intracranial pressures can be correlated with expected causes and management of critical care.
7. Assess post-Neurosurgical patients – op management
8. We will discuss the most important management strategies for patients with neuromuscular and neurodegenerative conditions.