
(FINAL ANSWER) Week 3 Discussion: HEENT and Neurological Assessment
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Description
tep 1: Answer the discussion prompts below with explanation and detail.
Scenario: Jackson is a 16-year-old male admitted to the emergency department after sustaining a concussion during a football game. His parents report that Jackson hit his head on the ground after being tackled. Moments later, he began vomiting and became dizzy and disoriented. He has no pertinent past medical history and no significant surgical history. He complains of a headache, sensitivity to light, and nausea.
Paragraph one: Based on the letter of your last name, discuss which specific assessments you would complete on Jackson. Explain why you would select these assessments.
Last Name | Assessment |
---|---|
A-L | Neurological |
M-Z | HEENT |
Paragraph two: Based on the letter of your last name, explain how your HEENT or neurological assessment will differ based on the situation in the table.
Last Name | Assessment | Situation |
---|---|---|
A-L | Neurological | Jackson is an 88-year-old admitted to the emergency department after sustaining a concussion from a fall at a care facility. He also has dementia. |
M-Z | HEENT | Jackson is an 8-year-old admitted to the emergency department after sustaining a concussion from a motor vehicle accident. He is scared and sobbing. |
Paragraph three: Discuss the priority problems related to your assessment findings that warrant immediate attention.
References: Provide complete references for all citations.
SOLUTION
The neurological assessment includes Jackson’s level of orientation, mood, speech, and memory, as well as, his motor assessment which includes gait, coordination, and strength. It is important to assess if Jackson lost consciousness when he hit his head to help identify the extent of the injury. Cranial nerves should also be assessed to identify the sense of smell, eye tracking and pupil reactivity, and facial expressions. Each of these assessments determines if the brain is working as it should and whether further testing should be recommended.
It is important to establish a baseline with Jackson’s caregiver to distinguish between old and new symptoms. Was his gait unsteady before his fall? How advanced is his dementia? What was his mental status before he fell and is he more confused now? Is there other important information in Jackson’s medical and surgical history that may impact the assessment? Learning about Jackson’s physical and mental status before his fall will help identify new symptoms as a result of his fall, rather than mistake and old symptoms for a new one. Not knowing Jackson’s baseline could lead to an incorrect diagnosis. The younger Jackson had a baseline within normal limits with no significant medical or surgical history, whereas the older Jackson is known to have dementia. These differences change the approach and information required to properly assess each Jackson. “In the examination of a pediatric patient, proper diagnoses begin with understanding which specific age groups are prone to developing certain disease processes. It is also important to keep in mind that the manifestation of certain neurologic illnesses can be vastly different in children and adults” (Shahrokhi & Asuncion, 2023)…………..Kindly click the purchase icon to buy the full solution at $5