Idiopathic Intracranial Hypertension - 1509 Words

Discussion History In 1890, a German physician named Quicke described a neurological condition in which patients had signs and symptoms of increased intracranial pressure without a brain tumor being present [1]. Between 1927 and 1937, Dr. Dandy, a pioneer of neurosurgery was able to gather the most common signs and symptoms of 22 patients with pseudotumor cerebri [2]. These symptoms included headache, nausea, vomiting, diplopia, dizziness, and loss of vision. It is important to note that the patient seen in our clinic was not experiencing any of the mentioned symptoms except for vision loss. According to Dr. Dandy, the most common ocular signs were bilateral papilledema and some patients had retinal hemorrhages, which indicated long-standing severe intracranial hypertension. In each case intracranial pressure was measured by ventricular or lumbar puncture and measured to be anywhere from 250 to 550 mm of water and in every instance the ventricles were smaller than normal and symmetrical. The t reatment for most of these patients was a right sub-temporal decompression. This was done if the signs and symptoms indicated a need for intervention. In most patients there was a complete, spontaneous cure [2]. A more recent prospective study of 50 patients showed the breakdown of the most common symptoms of idiopathic intracranial hypertension [3]: ââ€" Headache (92 percent) ââ€" Transient visual obscurations (72 percent) ââ€" Intracranial noises (pulsatile tinnitus) (60 percent)Show MoreRelatedThe Pathophysiology Of Bacterial Meningitis1316 Words   |  6 Pagesnormal cerebral spinal fluid circulation around the brain and spinal cord (Huether McCance, 2012)†. Furthermore, arachnoid villi may become congested and produce an effect of the enlargement of the skull and compression of the brain. Increased intracranial pressure is experienced from the combination of thicken exudate and swollen meningeal cells. Engorged blood vessels and thrombi can disrupt blood flow, causing further injury. 2. Neisseria meningitides is a form of bacteria that infects the meningesRead MoreObstructive Sleep Apnea ( Osa )2044 Words   |  9 Pages Patients with OSA have been shown to have a higher incidence of significant systemic conditions such as hypertension, cerebrovascular accident, myocardial infarction, arrhythmias, diabetes, and dementia. Some of the eye problems linked to OSA include glaucoma/other optic neuropathies, retinal vein occlusions, central serous retinopathy (CSR), papilledema/idiopathic intracranial hypertension (IIH), floppy eyelid syndrome (FES), and corneal disorders (i.e. keratoconus). This provides optometristsRead MoreHero : A Virtuous Heroes883 Words   |  4 Pagesto preserve the rights of Pakistani citizens. Heroes are not always the ones who obtain their goals. Instead, they are the people who continue to try without reward. For example, Samuel Paladino is diagnosed with an ischemic stroke, idiopathic intracranial hypertension. Bipolar disorder, chiari malformation, Tourette’s syndrome, and possibly MELAS. Many of those either cannot be cured with current technology or are not being researched in order to find a cure, meaning he will most likely be affectedRead MoreChronic Myeloproliferative Disorder ( Mpd ) Is Associated With Mass Quantity Of Platelets That Are Put Out2738 Words   |  11 PagesEssential thrombocythemia TERMINOLOGY CLINICAL CLARIFICATION This chronic myeloproliferative disorder (MPD) is associated with mass quantity of platelets that are put out by megakaryocytes Also known as Primary thrombocythemia Idiopathic thrombocythemia Has a prevalence 30/100000 in the general population11 CLASSIFICATION Not applicable DIAGNOSIS CLINICAL PRESENTATION History Half of all patients with essential thrombocythemia report no symptoms1 The rest of patient report symptoms either relatedRead MoreThe Complex Needs Of The Dialysis Dependent Patient1042 Words   |  5 Pagesan occasional change in mental status during and after his treatment. Several changes were made to his treatment plan without effect. She continued to advocate for her patient and upon extensive work-up the patient was diagnosed with idiopathic intracranial hypertension. He is being treated successfully with IV mannitol infusion during his treatments and his symptoms have significantly subsided. Ms. Gillooly performs a monthly evaluation within the hemodialysis unit to ensure we meet or exceed theRead MoreIntra Cranial Pressure ( Icp ) Measurements Are Taken Via Invasive Procedures1762 Words   |  8 Pagesvessels(5). Non-invasive devices to measure ICP would be of benefit to both space and earth applications of the device, on earth they would be advantageous for the continuous monitoring of patients suffering from hydrocephalus and Idiopathic intracranial hypertension(5), and can also used for those that are susceptible to bleeds and infections. For our study we plan on testing the device’s feasibility for measuring ICP non-invasively. Seven healthy male volunteers have been recruited to have theirRead MoreSTUDY GUIDE: EXAM 4 Essay1797 Words   |  8 Pagesrehabilitation and management of associated hypoxemia and bronchospasm. 19. Silicosis, pp. 1278. Is a type of pneumoconiosis resulting from the inhalation of free silica (silicon dioxide) and silica-containing compounds. 20. Pulmonary Hypertension, pp.1296-1298. is defined as a mean pulmonary artery pressure above 25 mmHg at rest or 30 mmHg w/exercise. Pulmonary artery pressure is lower than systemic arterial pressure and is normally 15-18 mmHg. It is more common in women than in menRead MoreNU 545 Unit 2 Essay10921 Words   |  44 PagesCNS disorders produce nausea and vomiting Involves CNS injuries that: involve the vestibular nuclei or its immediate projections; impinge directly on the floor of the fourth ventricle; or produce brainstem compression secondary to increased intracranial pressure 22.Define seizure and status epilepticus. What is the medical significance? Know benign febrile seizures. - (Pg 550) Seizure: a sudden, transient disruption in brain electrical function - - - caused by abnormal excessiveRead MoreCase Study on Copd4135 Words   |  17 Pagesfurther irreversible damage to the lung tissue. Talk to your doctor about annual flu shots and regular pneumococcal vaccines. * High blood pressure. COPD may cause high blood pressure in the arteries that bring blood to your lungs (pulmonary hypertension). * Heart problems. For reasons that arent fully understood, COPD increases your risk of heart disease, including heart attack. * Lung cancer. Smokers with chronic bronchitis are at a higher risk of developing lung cancer than are smokersRead MoreSocm Study Guide Essay30404 Words   |  122 Pages MF-0217 Pick from a list which are the most common chronic diseases. 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Self Harm A Symptom Of Borderline Personality Disorder

The most common form of self-harm is skin-cutting but self-harm also covers a wide range of behaviors including, but not limited to, burning, scratching, banging or hitting body parts, interfering with wound healing hair-pulling and the ingestion of substances or objects.The desire to self-harm is listed in the DSM-IV-TR as a symptom of borderline personality disorder. However, patients with other diagnoses may also self-harm, including those with depression, anxiety disorders, substance abuse, eating disorders, post-traumatic stress disorder, schizophrenia, and severe personality disorders.Self-harm is also apparent in high-functioning individuals who have no underlying clinical diagnosis. The motivations for self-harm vary and it may be used to fulfill a number of different functions. These functions include self-harm being used as a coping mechanism which provides temporary relief of intense feelings such as anxiety, depression, stress, emotional numbness or a sense of failure o r self-loathing and other mental traits including low self-esteem or perfectionism. Self-harm is often associated with a history of trauma and abuse, including emotional and sexual abuse. There are a number of different methods that can be used to treat self-harm and which concentrate on either treating the underlying causes or on treating the behaviour itself. When self-harm is associated with depression, antidepressant drugs and treatments may be effective. Other approaches involve avoidanceShow MoreRelatedBorderline Personality Disorder ( Borderline )872 Words   |  4 PagesBorderline Personality Disorder is a mental disorder characterized by instability in mood, impulsiveness, unstable relationships, and chronic emptiness. 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Borderline personality disorder is a serious mental condition that is often associated with unstable moods, behaviors, and relationships. BPD originated from the 1930’s. The psychoanalyst, Adolf Stern, noted that there was a group of emotionally troubled people that did not fall into the categories of â€Å"neurotic† and â€Å"psychotic†. This dubbed the term of â€Å"borderline†. Although the causes areRead MoreAnalysis Of Silver Linings Playbook1373 Words   |  6 Pagesexperiences bipolar disorder. Pat Solitano was required to stay in a mental institution for eight months, due to almost beating his wife’s lover to death. After his court-ordered stay, Pat moves back into his parent’s home. In Pat’s quest to recouple with his wife and reconstruct his life, he meets Tiffany, who has borderline personality disorder. Throughout the film, an unexpected bond begins to form between the two individuals, as they are able to help each oth er cope with their disorders. Throughout theRead MoreBorderline Personality Disorder ( Ptsd )864 Words   |  4 Pagesdiagnosed. Borderline personality disorder (BPD) is defined as â€Å"a serious mental illness marked by unable moods, behavior, and relationships† (MD p. 1). Most people have no idea what BPD is because only â€Å"about 1.6 percent of adults in the United States have borderline personality disorder in a given year† and it does not get the acknowledgement that it should, because of misdiagnosis (MD p. 1). 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Providing Safe Health Care Aboriginal and Torres Strait Islanders

Question: Discuss about theProviding Safe Health Care for Aboriginal and Torres Strait Islanders. Answer: Introduction A good and safe health care is the right of every person, but the health care services are not enjoyed by all the people with so much ease. There are some obstructions and barriers that restrict some people from fully availing the health care services. There are various components that account for a culturally safe health care. In this essay, I am going to discuss various problems faced by Aboriginal and Torres Strait Island people and how better health care services can be provided to them. Barriers to health care access experienced by Aboriginal and Torres Strait Islanders There are certain factors that hinder the access to health care services (Chapman, Smith and Martin, 2014). I have mentioned some of them below: Language: According to the statistics provided by ABS, it is observed that in 2008 around 13% of the Aboriginal and Torres Islanders (in the age group 15 and above) speak languages other than English and about 15% of this group faced difficulty in communicating in English. So, the language sets a barrier in accessing quality health care services as a person from the aforementioned group is not able to discuss his health condition properly (ABS. Gov. au, 2016). Trust: This is another factor that causes people to avail the health care services. Data provided by ABS revealed that about 80% of adults have strong belief in their local doctors and hospitals (Abs.gov.au, 2016). Transport facilities: Around 71% adults live in the remote area where there is a lack of local transport facilities and they are not able to reach the health care providers when needed (Abs.gov.au, 2016). Telecommunication facilities: Majority of the Aboriginal and Torres Strait Islanders does not have internet access and this causes a problem in locating the health care providers in the vicinity (Nangala, 2008). Creating an Interpersonal Relationship I believe that the beliefs of Aboriginal and Torres Strait Islander people vary from the healthcare providers. Aboriginals focus on issuing respect and developing an interpersonal bonding between them and the healthcare provider. On the other hand, the healthcare providers are more interested in making the people comfortable to the physical environment changes. I think one should respect the culture and beliefs of others. Developing an interpersonal relationship is as important as making the patient comfortable with the system and physical environment changes. The patient should be treated with dignity, and there should not be any assault on an individuals identity. Every individual is different with a different perspective and the health care providers should respect that. They should be treated as they want themselves to be treated and not the way you want to treat them. As a health care provider, I think following the above-mentioned principles would help me treat my clients in a better way. They would be more comfortable in sharing every detail of their health conditions if they have a strong interpersonal relation with me (Hayman and Armstrong, 2014) Cultural Safety in Health Care Cultural safety is defined as an environment where an individual enjoys spiritual, social, emotional, and physical safety. An individuals identity is not challenged, assaulted, or denied in a culturally safe environment. Cultural safety is about sharing respect, knowledge, and learning together. The concept of cultural safety was started in 1980 in New Zealand to improve the quality of health care services provided to Maori people, who are the indigenous people of New Zealand. Now the concept of cultural safety is being introduced in the Australian nursing system also through educational institutions (McBain-Rigg and Veitch, 2011). People who feel culturally safe are more likely to avail health care services frequently, discuss their health concerns with ease. They tend to follow their health care providers routinely. As a result, cultural safety ensures increased patient outcomes (Willis, Smye and Rameka, 2006). I think the patients should not be asked to focus on any cultural dimension that does not belong to their own culture. Instead, we should be more flexible in our thinking and attitude towards different cultures. The people who do not possess a good command over the same language that we speak should be treated with patience. We should try to understand their concerns. Some of the key points to create a culturally safe environment are that one should reflect ones own culture, beliefs about others and attitude. I think establishing trust with the patient helps to achieve a more comfortable environment. One should recognize and avoid the stereotypical barriers that cause hindrance in providing quality hea lth care services (Sajiv, 2013). Improving Health Care Services I believe there is still a rift between the ideal health care quality and the actual health care that is being provided (Fredericks, 2006). There are certain factors that define ideal health care quality viz. safety, efficiency, equity, timeliness, patient-centeredness and effectiveness. Most important of these factors is equity, which aims at ensuring quality health care services for all regardless of their ethnicity, race or any other personal characteristic of the patient (Hayman, 2011). Other factors can be defined explained as: Safety: to treat the patient safely without causing any care related injuries. Timeliness: to reduce waiting time and delays for the person seeking care to provide quality services on time. This can avoid severe health conditions. Efficiency: to avoid any waste of resources such as the waste of equipment, energy, and supplies. Patient-centeredness: to provide care that respects the values, beliefs and preferences of the patient. Effectiveness: to provide health care services based on the scientific knowledge so that the patient could get most benefit from the health care services. The Aboriginal and Torres Strait Island people have as much right over the quality health care services as any other citizen of our country. They should be treated equally in a culturally safe environment where they do not feel reluctant in sharing their health concerns. Their values and beliefs should be honored. Programs that include Aboriginal studies should be introduced in the education system at the base level so that health care providers can understand the culture and protocols of the Aboriginal people in depth (Molloy and Grootjans, 2014). Conclusion Every individual of our country demands an equal right to avail good health care facilities, but the Aboriginal and Torres Strait Island people are still not getting the quality care services. Unfortunately, the inborn racial attitude and colonial mentality towards the Aboriginal people of our country are taking some time to change. There are various barriers such as language, culture, lack of local transport system that restricts the Aboriginal people from availing the quality health care services. Health care providers are not fully aware of the protocols of the Aboriginal people and thus, I think education regarding the cultural safety is needed to be introduced at the root level in the education system. References Chapman, R., Smith, T. and Martin, C. (2014). Qualitative exploration of the perceived barriers and enablers to Aboriginal and Torres Strait Islander people accessing healthcare through one Victorian Emergency Department. Contemporary Nurse, 48(1), pp.48-58. Nangala, S. (2008). Aboriginal and Torres Strait Islander Health: today's challenges, tomorrow's opportunities. Aust. Health Review, 32(2), p.302. Abs.gov.au. (2016). 4704.0 - The Health and Welfare of Australia's Aboriginal and Torres Strait Islander Peoples, Oct 2010. [online] Available at: https://www.abs.gov.au/AUSSTATS/abs@.nsf/lookup/4704.0Chapter960Oct+2010 [Accessed 8 Aug. 2016]. Hayman, N. and Armstrong, R. (2014). Health services for Aboriginal and Torres Strait Islander people: handle with care. Med J Aust, 200(11), p.613. McBain-Rigg, K. and Veitch, C. (2011). Cultural barriers to health care for Aboriginal and Torres Strait Islanders in Mount Isa. Australian Journal of Rural Health, 19(2), pp.70-74. Sajiv, C. (2013). Cultural considerations when providing care to Aboriginal and Torres Strait Islanders (ATSI) opting for conservative care. Nephrology, p.n/a-n/a. Hayman, N. (2011). Improving Aboriginal and Torres Strait Islander people's access to the Pharmaceutical Benefits Scheme. Aust Prescr, 34(2), pp.38-40. Willis, E., Smye, V. and Rameka, M. (2006). Advances in indigenous health care. Sydney: EContent Management Pty Ltd. Molloy, L. and Grootjans, J. (2014). The Ideas of Frantz Fanon and Culturally Safe Practices for Aboriginal and Torres Strait Islander People in Australia. Issues in Mental Health Nursing, 35(3), pp.207-211. Fredericks, B. (2006). Which way? Educating for nursing Aboriginal and Torres Strait Islander peoples. Contemporary Nurse, 23(1), pp.87-99.