Nu-665 Neurology |75 Questions| With Correct Answers.

Migraine Patient Education {Ans: }Preventive therapy for migraines {Ans: indicated if pt has frequent headaches e.g more than 4 x/month}Temporal arteritis {Ans: a form of vasculitis that can cause headaches, visual impairment, jaw pain, and other symptoms. -associated with poly myalgia Rheumatica ( s/s morning shoulder and hip stiffness). -may involve large vessels e.g aorta = aneurysms or dissections. - Labs: CBC,ESR, C-reactive protein -diagnositic- X-RAY to eval for aneurysm. tx: High dose steroids}ALS treatment {Ans: No effective medical management Riluzole (glutamate agonis) may slow progression/prolong survival (esp with bulbar onset) Symptomatic relief (spasticity, pain, respiratory failure etc) PT: Maintain respiratory function Manage dysphagia Prevent indirect impairments (PROM, skin care, positions) Moderate exercise (prevent further deconditioning) EXERCISE PRECAUTIONS: Monitor fatigue, avoid overwork injury, NO EXERCISE IF LESS THAN 1/3 MU FUNCTIONING As disease progresses replace resistance exercise with functional activities. Energy conservation techniques/pacing/balance activity with rest Maintain max functional independence Provide assistive devices Treat symptoms Educations}medicare hospice eligibility criteria {Ans: To be eligible, a patient has to be BOTH entitle to MEDICARE PART A and certified as terminally ill}Palliative Performance Scale (PPS) {Ans: scale sued to determine functionality sauce as ambulation, activity level, selfceare