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Australasian Journal of Neuroscience最新文献

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Considering Causes for Hypoactive Delirium 考虑低活性谵妄的原因
Australasian Journal of Neuroscience Pub Date : 2019-03-18 DOI: 10.21307/AJON-2017-015
Malissa A Mulkey, S. Hardin, Daiwai M. Olson, C. Munro, E. Everhart
{"title":"Considering Causes for Hypoactive Delirium","authors":"Malissa A Mulkey, S. Hardin, Daiwai M. Olson, C. Munro, E. Everhart","doi":"10.21307/AJON-2017-015","DOIUrl":"https://doi.org/10.21307/AJON-2017-015","url":null,"abstract":"Abstract Delirium is defined as a mental disorder characterized by an abnormal state of cognition and awareness. Delirium is associated with an annual cost of $350 billion between the United States and Europe. Approximately 80% of delirium cases are either not identified or misdiagnosed. Older adults have the highest incidence due to the consequences of aging. Hypoactive delirium or “quite delirium” is the most common delirium subtype experienced by older adults. Hypoactive delirium, is difficult to recognize and has worse outcomes than other subtypes. If detected, symptoms of hypoactive delirium are frequently dismissed as depression or dementia. Therefore, nurses need heightened vigilance in assessment and identification of hypoactive delirium. This article seeks to assist nurses in identifying hypoactive delirium by outlining factors that increase an individual’s potential for developing hypoactive delirium.","PeriodicalId":32533,"journal":{"name":"Australasian Journal of Neuroscience","volume":"41 1","pages":"9 - 16"},"PeriodicalIF":0.0,"publicationDate":"2019-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81169042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Intuition & the Expert Neuroscience Nurse 直觉&神经科学护理专家
Australasian Journal of Neuroscience Pub Date : 2019-03-18 DOI: 10.21307/ajon-2017-017
V. Evans
{"title":"Intuition & the Expert Neuroscience Nurse","authors":"V. Evans","doi":"10.21307/ajon-2017-017","DOIUrl":"https://doi.org/10.21307/ajon-2017-017","url":null,"abstract":"Abstract Personal knowledge is a process whereby practice and research evolve simultaneously. Therefore, knowledge evolves with practice. It is a personal process, thus it creates a difficulty when identifying appropriate research methods of objectivity and analysis. Many researchers discount intuition as it is not an analytical process and cannot be studied. Rather, it is associated and absorbed through experience. Expert nurses integrate both intuitive knowledge and scientific development of intuitive skills, thereby enhancing the quality of practice. Today, scholars are beginning to understand the importance and value of expert intuition, especially in the neuroscience arena. It is this personal knowledge and intuition of expert neuroscience nurses that is the focus of this paper.","PeriodicalId":32533,"journal":{"name":"Australasian Journal of Neuroscience","volume":"110 1","pages":"5 - 10"},"PeriodicalIF":0.0,"publicationDate":"2019-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77867829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Multifocal Motor Neuropathy: A clinical case study 多灶性运动神经病:一个临床病例研究
Australasian Journal of Neuroscience Pub Date : 2018-11-01 DOI: 10.21307/ajon-2017-011
M. Bone
{"title":"Multifocal Motor Neuropathy: A clinical case study","authors":"M. Bone","doi":"10.21307/ajon-2017-011","DOIUrl":"https://doi.org/10.21307/ajon-2017-011","url":null,"abstract":"Abstract Multifocal motor neuropathy is a rare and chronic movement disorder associated with the progressive weakening of the patient’s limbs. This case study examines the clinical presentation, findings, treatment, and outcome of a female patient treated with intravenous immunoglobulin therapy. The case study illustrates the important role the neuroscience nurse plays in the care and treatment of a patient with a complex disorder.","PeriodicalId":32533,"journal":{"name":"Australasian Journal of Neuroscience","volume":"1 1","pages":"4 - 8"},"PeriodicalIF":0.0,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91100352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Navigating Unchartered Waters: A Nursing Perspective on Lewy Body Dementia 导航未知水域:对路易体痴呆的护理观点
Australasian Journal of Neuroscience Pub Date : 2018-06-01 DOI: 10.21307/ajon-2017-009
Madelaine B. Rañola
{"title":"Navigating Unchartered Waters: A Nursing Perspective on Lewy Body Dementia","authors":"Madelaine B. Rañola","doi":"10.21307/ajon-2017-009","DOIUrl":"https://doi.org/10.21307/ajon-2017-009","url":null,"abstract":"Abstract Although Lewy body dementia (LBD) is the second most common form of dementia to Alzheimer’s disease, this more rapidly progressive neurodegenerative disorder remains largely unknown to the public and is under-recognised by health care professionals. Early and accurate diagnosis is complicated by many different presentations of the disease which can include a mixture of clinical features seen in both Alzheimer’s disease (AD) and Parkinson’s disease (PD). Motor and cognitive dysfunction as well as behavioural and mood disturbance are common overlapping features. What sets LBD apart however, is the variability and unpredictability of the disease and sensitivity to conventional anti-psychotic medications The ambiguous nature of LBD places significant stress on caregivers and presents unique challenges for the long-term clinical management of the disease. This paper is aimed at raising awareness of LBD and proposing key nursing interventions to enhance both quality and length of life.","PeriodicalId":32533,"journal":{"name":"Australasian Journal of Neuroscience","volume":"27 1","pages":"5 - 12"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89104045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Malignant middle cerebral artery infarct: A clinical case report 恶性大脑中动脉梗死1例临床报告
Australasian Journal of Neuroscience Pub Date : 2018-06-01 DOI: 10.21307/ajon-2017-008
K. Y. Leung, S. Jala, Rosalind M. Elliott
{"title":"Malignant middle cerebral artery infarct: A clinical case report","authors":"K. Y. Leung, S. Jala, Rosalind M. Elliott","doi":"10.21307/ajon-2017-008","DOIUrl":"https://doi.org/10.21307/ajon-2017-008","url":null,"abstract":"Abstract Background Ischaemic stroke accounts for 87% of strokes and occurs when a clot or a thrombus blocks a blood vessel, cutting off blood flow to a part of the brain. If large areas of brain are affected, space-occupying oedema may result, leading to rapid neurological deterioration, coma and death. Malignant middle cerebral artery infarction (MMCAI) is a life-threating ischaemic stroke involving the whole middle cerebral artery (MCA) territory and comprises up to 10% of MCA infarctions. Methods We report the case of a 62 year old female ‘Mary’ who presented with a MMCAI together with a summary of the most recent and relevant evidence for treatment options in terms of survival and quality of life for her. We also focus on the vital role of the nurse in Mary’s care and treatment. Results Intravenous thrombolysis and endovascular clot retrieval (ECR) during the hyperacute phase have been shown to improve outcomes but Mary did not meet the criteria for thrombolysis and received unsuccessful ECR. Her neurological condition deteriorated so she underwent surgical decompression, which is one of the major advances for MMCAI treatment together with expert neuro critical care nursing. Mary made a good functional recovery, returning home to live independently. Conclusion This case highlights the need to consider all contextual and patient preferences in relation to treatment options. In addition the case emphases the vital role the neuro critical care nurse specialist plays in the complex assessment and treatment of this patient who experienced a MMCAI and underwent complex interventions.","PeriodicalId":32533,"journal":{"name":"Australasian Journal of Neuroscience","volume":"28 1","pages":"5 - 12"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86583049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Caring and Collaborating A case study on a complex patient under multiple teams 关怀与协作对多个团队下的复杂患者进行案例研究
Australasian Journal of Neuroscience Pub Date : 2017-11-01 DOI: 10.21307/ajon-2017-105
Larissa Engel, M. Ryan
{"title":"Caring and Collaborating A case study on a complex patient under multiple teams","authors":"Larissa Engel, M. Ryan","doi":"10.21307/ajon-2017-105","DOIUrl":"https://doi.org/10.21307/ajon-2017-105","url":null,"abstract":"Abstract This case study introduces Mr X, who was diagnosed with Tuberculosis (TB) in early 2016. Although the TB originated in his lungs it spread causing Miliary TB in his brain. The case study focuses on the nursing issues identified during the collaboration of different specialities and disciplines, while ensuring the patient’s and family’s needs are met. This particular case was especially challenging for the authors due to cultural differences, difficulties with communication with both family, specialties and multidisciplinary team (MDT), and the challenges of each team involved to work together and giving differing information to all involved. Due to the rare diagnosis for this patient, this was not something we had come across before. This case study was developed through information gained from nursing the patient directly, discussions with the surgical and medical teams involved, research articles, personal reflections, and viewing the patient’s clinical notes and scans. Nursing considerations will be discussed throughout the case study including the obstacles in nursing a patient who required complex care with several different MDT.","PeriodicalId":32533,"journal":{"name":"Australasian Journal of Neuroscience","volume":"349 1","pages":"19 - 23"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77614007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Improving oral hygiene for stroke patients 改善中风病人的口腔卫生
Australasian Journal of Neuroscience Pub Date : 2017-11-01 DOI: 10.21307/ajon-2017-103
C. Woon
{"title":"Improving oral hygiene for stroke patients","authors":"C. Woon","doi":"10.21307/ajon-2017-103","DOIUrl":"https://doi.org/10.21307/ajon-2017-103","url":null,"abstract":"Abstract In stroke nursing, oral hygiene is fundamental and should be a priority. Patients are more dependent on the nursing staff due to problems with cognition, arm weakness, a reduced conscious level, dysphagia or aphasia. Patients rely on nurses for oral care and are at a higher risk of xerostomia (dry mouth). Effective oral care removes plaque and prevents complications such as pneumonia which would increase patient length of stay. A lack of knowledge exists amongst nursing staff in the area of oral conditions and evidence based oral hygiene. Different practices exist based on traditions or experience and education is limited. A standardised assessment tool and oral hygiene guideline should be developed to support and ensure that effective oral hygiene occurs.","PeriodicalId":32533,"journal":{"name":"Australasian Journal of Neuroscience","volume":"56 1","pages":"11 - 13"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89875004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Lubag Syndrome (X-linked Dystonia Parkinsonism) Case Study of Mr G. Infante Lubag综合征(x连锁肌张力障碍性帕金森病)G. Infante先生病例分析
Australasian Journal of Neuroscience Pub Date : 2017-11-01 DOI: 10.21307/ajon-2017-102
Vince Cheah
{"title":"Lubag Syndrome (X-linked Dystonia Parkinsonism) Case Study of Mr G. Infante","authors":"Vince Cheah","doi":"10.21307/ajon-2017-102","DOIUrl":"https://doi.org/10.21307/ajon-2017-102","url":null,"abstract":"Abstract Sex-linked dystonia parkinsonism (XDP) also known as Lubag Syndrome is a rare sex-linked genetic progressive movement disorder affecting almost exclusively males from the province of Capiz in the Philippines and their descendants. At the Mater Centre for Neurosciences we have recently treated two patients with XDP utilising Deep Brain Stimulation (DBS) implants. Mr G. Infante was the second patient to be treated, the first being his uncle. Mr G. Infante’s case was brought to the attention of the Mater Centre for Neurosciences at South Brisbane after the success of his uncle’s treatment two years prior. In the three years from when Mr G. Infante’s dystonia symptoms were first noticed, his condition progressively worsened until he was wheelchair bound. With severe chronic pain, unable to walk, difficulties talking and swallowing, Mr G’s quality of life was severely impacted by XDP. XDP is a movement disorder considered a variation to Parkinson’s Disease. The difference being that the XDP starts with a long period of dystonia that eventually evolves into the tremor and associated symptoms typical of Parkinson’s Disease. Due to the similarity of the conditions the patient’s needs and treatment methods, both medical and surgical, are almost identical. Deep brain stimulation surgery involves implantation of electrodes into specific regions of the brain. The electrodes are then used to deliver finely tuned electrical currents in order to reduce the signs and symptoms of both neuropsychiatric and movement disorders such as Parkinson’s and XDP. The high frequency electrical charges sent to deep structures in the brain stimulate or shut down nerve cells around the electrode. The areas of the brain that the electrodes target are thought to participate in the circuitry involved and effectively disrupts these processes and reduces the symptoms of the disease. This paper presents the journey of Mr G. Infante’s XDP and DBS and provides an explanation of how DBS works to improve the quality of life for patients who suffer from XDP.","PeriodicalId":32533,"journal":{"name":"Australasian Journal of Neuroscience","volume":"39 1","pages":"7 - 10"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77983425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Drain tube removal in the presence of anticoagulation in Spinal Surgery 脊柱外科中抗凝存在下的引流管拔除
Australasian Journal of Neuroscience Pub Date : 2017-11-01 DOI: 10.21307/ajon-2017-104
C. Holland, Sarah Smith
{"title":"Drain tube removal in the presence of anticoagulation in Spinal Surgery","authors":"C. Holland, Sarah Smith","doi":"10.21307/ajon-2017-104","DOIUrl":"https://doi.org/10.21307/ajon-2017-104","url":null,"abstract":"Abstract Venous thromboembolism (VTE), the collective term for Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE), remains a major cause of morbidity and a significant cause of mortality in hospitalised patients across Australia and internationally. It is important that adequate prophylaxis is provided for patients at risk. Measures including; anti-clotting medication, graduated compression stockings, adequate hydration and early mobilisation are known to be effective in reducing the incidence of VTE. The prevention of VTE in acute care hospitals has been recognised worldwide as a priority patient safety issue because of the strong evidence base for preventive measures and high potential for improvements in patient outcomes. With the introduction of risk assessment tools identifying patients of increased risk of VTE, more neurosurgical patients are now receiving VTE prophylaxis during their postoperative clinical course. This raises the question of the role and the impact of VTE anticoagulation when it comes to surgical drain tube removal and the risk of bleeding after spinal surgery. With multiple neurosurgeons and a variety of opinions, the clinical nursing team decided to review the role of anticoagulation and drain tube removal through evidence based research.","PeriodicalId":32533,"journal":{"name":"Australasian Journal of Neuroscience","volume":"116 1","pages":"14 - 18"},"PeriodicalIF":0.0,"publicationDate":"2017-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79542233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The complications of jejunostomy tubes for patients receiving Duodopa: New challenges for neuroscience nurses 多多巴患者空肠造口管并发症:神经科学护士面临的新挑战
Australasian Journal of Neuroscience Pub Date : 2017-10-01 DOI: 10.21307/AJON-2017-001
R. Mackinnon
{"title":"The complications of jejunostomy tubes for patients receiving Duodopa: New challenges for neuroscience nurses","authors":"R. Mackinnon","doi":"10.21307/AJON-2017-001","DOIUrl":"https://doi.org/10.21307/AJON-2017-001","url":null,"abstract":"Abstract The use of Duodopa ® Levodopa-Carbidopa intestinal gel offers patients with advanced Parkinson’s disease (PD) an effective alternative therapy for the treatment of severe motor fluctuations and dyskinesia. This therapy requires the use of percutaneous endoscopic gastrostomy/jejunostomy tube (PEG/J) to deliver gel directly into the jejunum which poses new challenges for neuroscience nurses for the care and management of patients with PD. Due to the reported number of complications associated with PEG/J our facility opted to use a direct jejunostomy tube for the first of two PD patients which resulted in an adverse outcome for our 80 year old patient. This experience highlighted that the neuroscience nurses need to increase knowledge and understanding of PEG/J and jejunostomy care as more future patients will be treated with Duodopa, and that future studies regarding the safety and value of the direct jejunostomy tubes are warranted.","PeriodicalId":32533,"journal":{"name":"Australasian Journal of Neuroscience","volume":"35 1","pages":"1 - 4"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89931980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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