Neuroscience Nursing: Evidence-Based Theory and Practice
Format: PDF / Kindle (mobi) / ePub
“Superior… An important resource for nurses”
Shanne McNamara, Vice President, British Association of Neuroscience Nurses
Neuroscience Nursing is a comprehensive, practical text that reflects both the richness and the diversity of contemporary neuroscience nursing. It aims to inform the practice of neuroscience nursing through the report of current research, best available evidence, policy and education.
This important new book is divided into several sections exploring anatomy and physiology of the nervous system; assessment, interpretation and management of specific problems in the neurological patient; neurological investigations and neurosurgical procedures; management of patients with intracranial disorders; and management of patients with long-term conditions. It also explores the underpinning concepts of neuroscience care, including its history and development, and legal and ethical issues. Uniquely, this text also includes patients’ perspectives of living with a variety of neurological conditions.
- The first evidence-based UK neuroscience textbook for nurses
- Extensive full colour illustrations throughout
- Applicable to a wide variety of settings including prevention, primary care, acute and critical care, rehabilitation and palliative care
- Contributions from nurse specialists, nurse consultants, academics and subject experts from throughout the UK
restraint. British Journal of Neuroscience Nursing 3(9):421–426. Weir N, Doig EJ, Fleming JM et al. (2006) Objective and behavioural assessment of the emergence from posttraumatic amnesia (PTA) Brain Injury 20(9):927–935. Wesolowski MD, Zencius AH (1994) A Practical Guide to Head Injury Rehabilitation: A focus on post-acute residential treatment. New York and London: Plenum Press. Wroblewski BA, Joseph AB, Kupfer J et al. (1997) Effectiveness of valproic acid on destructive and aggressive
necessary to start at the midline and gradually move the stimuli over to the unattended side. There is little point in placing a patient’s locker on the unattended side if this results in the locker being ‘ignored’. Some equipment may help such as spectacles with prisms to change the visual axis towards the neglected side (Frassinetti et al., 2002). Cueing or prompting the patient to attend to the neglected area may be useful. For instance one technique to ensure that meals are eaten is to cue
the patient to turn their plate a one quarter turn after each mouthful so that the whole plate receives attention. Clothes 160 Neuroscience Nursing: Evidence-Based Practice should be laid out upside down (e.g. presenting a shirt buttons down rather than the more usual up) so that it removes the need for the patient to make the reversal (which may be difficult in cases of neglect) before donning their clothing. Safety is, at all times, the main consideration. Rehabilitative efforts maybe
another branch of the femoral nerve and it supplies the medial aspect of the leg, ankle and foot • The obturator nerve supplies the adductor muscles of the thigh and skin of the medial aspect of the thigh down to the knee • The lumbosacral trunk travels to the pelvis and combines with the sacral plexus The sacral plexus is comprised of the ventral rami of L4 to S3. It lies in the posterior wall of the pelvic cavity. The main branches are: • The sciatic nerve, the largest in the body, supplies the
autoregulate. The CBF therefore becomes passively dependent on CPP and, hence, on MAP (Ropper et al., 2004). Loss of autoregulation therefore leaves the brain unprotected against potentially harmful effects of changes in blood pressure (see Figure 6.2). Autoregulation can become impaired due to any of the following: • • • • Any major cerebral insult Ischaemic stroke Cerebral vasospasm Acute hypertension Autoregulation functions at higher levels than normal for people with long-term