She has most of her numbness and tingling throughout the day. She has already been treated conservatively with the use of splints and ibuprofen.…
Although he reported “some neuropathy” in the soles of his feet, he also reported that it was not bothersome to him. The complete diabetic foot exam (07/2016) was grossly normal; it did not show any neurovascular changes. The claimant reported a history of back pain; however, he did not want to take medications for pain control or for foot neuropathy.…
IV. Discussion: To assess cranial nerve damage, the patient goes through a series of tests as listed: (1) follow a penlight right, left, up, down and towards the nose, (2) acuity and peripheral eye exam, (3) identify the smell of vanilla extract with eyes closed, (4) gag reflex, (5) clench jaw, (6) identify a warm probe placed on the forehead, left and right cheeks and chin, (7) taste, (8) walk across the room, (9) face symmetry, (10) Weber test. No abnormalities were found in tests one through six, however, they were found in tests seven through ten. Test seven and nine assesses the function of cranial nerve seven, the facial nerve, which is responsible for facial expression and taste information found on the anterior two-thirds of the tongue. A normal response to test seven involves the ability of both sides of the tongue to differentiate sweet and…
Side effects: 1-Neuromuscular Manifestations: Neuromuscular symptoms are the most common presenting problem of hypermagnesaemia and magnesium intoxication. Magnesium prevents the release of pre-synaptic acetylcholine from both sympathetic and neuromuscular junctions.(93)Hypermagnesaemia causes blockage of neuromuscular transmission and depresses the conduction system of the heart and the sympathetic ganglia. Clinically, one of the earliest effects of magnesium intoxication is the disappearance of deep tendon reflexes. This is often seen at magnesium concentrations…
Peripheral neuropathy is a condition which impacts the peripheral nervous system and impacts the communication between the brain and spinal cord to the other areas of the body. Neuropathy can be caused by damage to the axons or the myelin sheath that provides a protective coating and a form of insulation to the axon. If the connections between the main brain and spinal cord are severed, there are certain symptoms that occur including miscommunication between muscles and the neurons that react to the certain stimulus. The word neuropathy is defined as nerve damage and thus the nerves that could be referred to are motor, sensory or autonomic nerves. As a result, symptoms can range anywhere from numbness and tingling to paralysis or organ dysfunction depending on the type of nerves(s) that are damaged.…
When a person is having diabetes, the high level of sugar can cause damage to the nerves or blood vessels. Once the damage in nerves occurs, you can lose the feeling in your feet and you will not be able to feel anything such as cuts, blisters, or sores. Injuries to the foot such as these may cause infection or ulcers since the damage blood vessels would…
Foot pathology was noted in 79% of these patients, 18% of non-diabetics had peripheral neuropathy, 45% of diabetics and 30% of non- diabetics had peripheral artery disease (PAD). Forty nine percent of the total unit had at least two out of three independent risk factors for foot ulcerations. Mortality independent of the patient’s age was predictive in those patients with PAD and peripheral neuropathy (PN). Findings showed a high prevalence of risk factors for foot ulcerations in the hemodialysis population, PVD (Jones, et al.,…
As nursing leaders we must empower our staff to improve the quality and safety of patient care. The Management and Leadership track of the American Sentinel MSN program has guided me towards cultivating future nurse leaders to prepare them to create a sense of ownership and commitment to their work and the organization as a whole. The evidenced based practice project proposed to be implemented at the Veterans Administration Medical Center (VAMC) will cultivate the staff to improve the quality of care for the veteran population. The proposed practice change project focuses on improving diabetic foot related problems in the End Stage Renal Disease population receiving hemodialysis/peritoneal dialysis. End Stage Renal Disease is a slow progressive…
Over time, DM can damage the heart, blood vessels, eyes, kidneys, and nerves. Diabetes increases the risk of heart disease and stroke. In a multinational study, 50% of people with diabetes die of cardiovascular disease (primarily heart disease and stroke) (Null). Nerve damage (neuropathy), in addition to reduced blood flow in the feet increases the chance of foot ulcers, and infection and which can result in the need for limb amputation.…
Since people with diabetes suffer from poor circulation and neuropathy, which is when they do not always feel when they get sores on their feet (Edmonds), and that can lead to them getting ulcers. “Podiatrists play a leading role in the management of ulceration providing treatments including wound debridement, dressing and pressure relief”(Coleman). Ulcers can lead to the need for amputation of the foot, or even up as far as right below the knee. “Risk of amputation with up to 80% of amputations attributed to foot ulceration”(Coleman). Without proper care ulcers can lead to a lot more problems than just an amputation.…
Falling as a senior citizen can have serious consequences. Falling down can cause seniors to break their bones and can seriously compromise their health. Here are five tips that can help you minimize falls among the seniors who live in your assisted living community. These tips will help you be a more responsive caregiver.…
No, there was nothing wrong with her skin. The myelin sheaths were reduced which caused the weakness in her right leg. 13. It is possible that her hearing loss had something to do with MS, but it is an uncommon symptom of the disease. Only about 6% of MS patients suffer hearing loss (“Hearing…
Diabetes is known to be a disease in which the body fails to produce or respond to the insulin hormone and is therefore seen as impaired and results in elevated levels of glucose in the blood and urine. Diabetes is sometimes called “The Silent Killer,” but should also be known to his effects. Diabetes is the cause and the effects are to be many but especially Diabetic Neuropathy. Therefore, people should know the kinds of diabetic neuropathies, where the nerves are affected, and what their symptoms include. It is a really common and a serious complication of diabetes.…
Her sensation was normal to touch. Gait is normal. Her speech was slurred. Had slight trouble swallowing.…
Symptoms of conversion disorder can be discerned from other medical problems easily enough due to how they appear in those affected by the disorder. Those who develop a loss sensation symptom will experience more of a “glove anesthesia”, the complete loss of sensation in a limb or other body part. Anatomically, this does not make sense. If the individual had nerve damage, then only certain parts of the hand would have no sensation (Lahey 471). With symptoms of paralysis, it has been shown with physical examinations that any affected body parts still retain their normal reflexes and responses to electrical stimulus (“Conversion Disorder”).…