Pathophysiology of concussive injuries and treatment

Randy Adams is a 38-year-old male patient of Dr. Joseph Reynolds who was admitted yesterday morning for 24-hour observation for mild concussion following a motor vehicle accident. Randy lost consciousness during the accident and was very confused when he arrived in the ER after EMS transport. He is an Iraq war veteran and he seemed to think after the accident that this all happened in Iraq. Dr. Reynolds is concerned that Randy has some residual problems from a couple of explosive incidents that occurred while he was in Iraq. The physician is unsure whether Randy’s current symptoms are from the car accident or from prior injuries so he has referred him for consultations to both a neurologist and to a behavioral health specialist.

Based on the above please discuss the following.

Pathophysiology of concussive injuries and treatment

Neurological assessment tools used in your current practice setting (if not presently working, please describe one used during prior employment or schooling)

Current best practices associated with post-traumatic stress disorder (PTSD)

Nursing interventions you would include in this patient’s plan of care

How can changes in nervous system functioning affect an individual’s psychosocial health status?

What resources are available at the local, state, and federal levels to assist those suffering from PTSD?

While reviewing Randy’s discharge instructions with him, you notice that he is having difficulty holding the pen in his hand and appears to be unable to sign his name. You ask him if he is okay. He looks at you and attempts to smile but only the right side of his face appears to move—the left side is fixed. You fear he may be having a stroke. What would your next steps be?

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