Bilateral comparison of the assessment's findings helps in the treatment of neurovascular disorders. Documentation of the extremities after neurological evaluation findings provides the patient's condition changes (Arcury et al., 2014). Furthermore, the medical report for the musculoskeletal disorder (MSD) should contain the ability of Tina (patient) to change posture and coordination of both hands and legs without difficulty. For instance, she managed to demonstrate rapid hand movement and to improve the position of her legs. Neurological assessment entails an examination of the motor functions and sensation of the patient (Tina). The medical report for neurovascular disorders test should contain findings based on a distal and proximal soft, dull, and sharp feeling of arms. Additionally, the document should indicate proximal and distal sharp, light, and dull sensation of both legs.
Firstly, ensure that the patient comprehends the nature of questions intended to evaluate the client's current situation. Secondly, ensure the contentment and establish an effective rapport with the patient through inquiring to know and understand the vital information about the patient, for example, family history concerning diseases such as Alzheimer's, Parkinson's, epilepsy, migraines, and seizure (Arcury et al., 2014). Active rapport promotes a sense of trust between the specialist and the patient. Thirdly, the nurse should inquire whether the patient has experienced a seizure and whether she uses any medication for the seizure and the name of the drug. Concerning the Musculoskeletal disorder evaluation, the health specialist should request the patient to perform different hands and legs movements. The record should indicate whether the patient had any difficulty performing the alternating hands and legs actions.
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The help practitioner evaluated the patent's cognition ability by assessing her abstract capability to perceive objects in her hands (key, coin, paper clip). Concerning the central nerve motor-sensory, the nurse evaluated the reflex of Tina's both right and left bicep brachioradialis, patellar tendon, and Achilles. The nurse assessed Tina's cranial nerve system by observing both the right and left finger to her nose.
MSD affects a person's bones, muscles, and joints. MSD act as the common cause of pain in a person's lower and upper extremities. The illness may manifest in the form of fibromyalgia in a patient. Fibromyalgia act as a chronic pain illness that affects the connective tissues in a person (Hickey, 2011). Chronic pain affects tissues such as ligaments, muscles, and tendons. The chronic condition results in extensive muscle pain (myalgia) and extreme inflammation or tenderness in the patients' body parts.
Additionally, the chronic may result in fatigue, headache, sleep disturbance, anxiety, and depression. Health promotions intend to influence the public to change their behaviour and lifestyle to combat the spread of neurological disorders (Hickey, 2011). For example, traumatic brain injuries require the establishment of effective policies to prevent instances if road accidents and encouraging drivers to wear helmets while driving.
Regarding the proximal and distal light sensation of both legs, the patents did not differentiate between light and soft sensation. Tina had a soft sensation instead of a light sensation. Therefore, the patient should attend series of sensation training for approximately two weeks to enhance her sensory ability. The improvement of her sensory capability will prevent readmission of the patient.
References
Arcury, T. A., Cartwright, M. S., Chen, H., Rosenbaum, D. A., Walker, F. O., Mora, D. C., & Quandt, S. A. (2014). Musculoskeletal and neurological injuries associated with work organization among immigrant Latino women manual workers in North Carolina. American Journal Of Industrial Medicine , 57 (4), 468-475.
Hickey, J. (2013). Clinical Practice Of Neurological & Neurosurgical Nursing . Lippincott Williams & Wilkins.
