DISCUSSION: Organization and Control of Neural Functions

Introduction
A 47-year-old overweight male with a history of atherosclerosis, diabetes mellitus type 2, and coronary artery disease (CAD) is found by a neighbor unconscious and not breathing in his front lawn where he appears to have been mowing his lawn. He is rushed to a local emergency room where it is determined that he has suffered a massive inferior myocardial infarction. He is sent to the intensive care unit in critical condition where he is placed on advanced life support equipment, and several days later it is determined that he has minimal brain activity.
Discussion Guidelines
Initial Post
In your initial post, answer the following questions:
1. After hearing her husband’s condition, his tearful wife asks you how it is possible her husband’s brain might not function if it was his heart that stopped beating. How would you answer?
2. As the next of kin, his wife has the right to make husband’s medical decisions when he is unable to. Because the length of time that this patient was in cardiac arrest appears to have been substantial, the patient’s recovery is highly unlikely. The medical staff gently informs the wife that she has to make a decision regarding his health care: she can withdraw care now or choose to do everything to keep him alive, even though he will most likely die. She asks you what you think she should do. With your knowledge of neurophysiology, how would you answer her?

NOTE TO WRITER: THIS CLASS IS ADVANCED PATHOPHYSIOLOGY SO THE DISCUSSION SHOULD REFLECT THIS. THE BOOK BEING USED IN THE CLASS IS ‘PORTH’S PATHOPHYSIOLOGY: CONCEPTS OF ALTERED HEALTH STATES’. THE DISCUSSION SHOULD BE DONE CITING THE CHAPTER AND OTHER SOURCES.

THE CHAPTER OF THE BOOK BEING USED IN THIS LESSON IS “CHAPTER 13 “ORGANIZATION AND CONTROL OF NEURAL FUNCTION”

HERE IS A LINK TO A PDF OF THE BOOK. USE CHAPTER 13 AND OTHER SOURCES FOR THE DISCUSSION

file:///Users/jowusu/Downloads/Porth%E2%80%99s%20Pathophysiology_%20Concepts%20of%20Altered%20Health%20States.pdf
Norris, T. L., & Lalchandani, R. (2019). Porth’s pathophysiology: Concepts of altered health states (10th ed.). Wolters Kluwer.


 

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