TY  - CHAP
M1  - Book, Section
TI  - Evaluation of Neurologic Illness
A1  - Ryan, Melody
A1  - Ryan, Stephen J.
A1  - Fagan, Susan C.
A2  - DiPiro, Joseph T.
A2  - Talbert, Robert L.
A2  - Yee, Gary C.
A2  - Matzke, Gary R.
A2  - Wells, Barbara G.
A2  - Posey, L. Michael
PY  - 2017
T2  - Pharmacotherapy: A Pathophysiologic Approach, 10e
AB  - Patient  Care  Process  for  Neurological  EvaluationCollectPatient  characteristics  (e.g.,  age,  sex,  pregnant)Patient  medical  history  (personal,  family,  birth,  and  developmental)  (see  Signs  and  Symptoms  of  Neurologic  Disorders  section)Social  history  (e.g.  tobacco/ethanol  use)Current  and  previous  medications  including  non-prescription  medications,  herbal  products,  and  dietary  supplements  (see  Signs  and  Symptoms  of  Neurologic  Disorders  section)Objective  dataNeurologic  examination  (i.e.,  higher  cortical  function,  cranial  nerves,  motor  function,  reflexes,  cerebellar  function,  sensory  function,  and  gait)  (see  The  Neurologic  Examination  section)Blood  pressure  (BP),  heart  rate  (HR),  height,  weightLaboratory  examinations  as  appropriate  for  the  differential  diagnosis  and  possibily  including  examination  of  the  cerebrospinal  fluid  (CSF)  (see  Laboratory  Findings  for  Neurologic  Disorders  and  Their  Interpretation  section)Imaging  studies  as  appropriate  (e.g.,  computed  tomography  (CT)  of  head)  (see  Diagnosing  Neurologic  Anatomic  Abnormalities  section)Electrophysiology  studies  as  appropriate  (e.g.,  nerve  conduction  velocities  (NCV),  electromyography  (EMG),  and  electroencephalogram  (EEG)  (see  Assessing  Neurologic  Dysfunction  section)AssessResults  of  history  and  neurological  examinationAbility/willingness  to  obtain  diagnostic  testing  (e.g.,  insurance  coverage,  travel,  undergoing  invasive  testing)Relative  contraindications  for  lumbar  puncture  (see  Laboratory  Findings  for  Neurologic  Disorders  and  Their  Interpretation  section)Relative  contraindications  for  magnetic  resonance  imaging  (MRI)  (see  Diagnosing  Neurologic  Anatomic  Abnormalities  section)Emotional  status  (e.g.,  presence  of  anxiety,  depression)Plan*Order  appropriate  diagnostic  regimenWith  established  diagnosis,  develop  therapeutic  plan  (see  disease-specific  chapters)Monitoring  parameters  including  efficacy  and  safety  of  any  therapies;  frequency  and  timing  of  follow-upPatient  education  regarding  testing  and  diagnosisReferals  to  other  neurology  specialists  when  appropriate  (e.g.,  memory  disorders,  stroke)Implement*Provide  patient  education  regarding  all  elements  of  evaluation  and  treatment  planUse  motivational  interviewing  and  coaching  strategies  to  maximize  adherence  to  any  therapiesSchedule  follow-upFollow-up:  Monitor  and  EvaluateResolution  of  neurologic  symptomsPresence  of  adverse  effects  of  therapyPatient  adherence  to  treatment  plan  using  multiple  sources  of  informationRe-evaluate  as  needed*Collaborate  with  patient,  caregivers,  and  other  health  professionals  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/18
UR  - accesspharmacy.mhmedical.com/content.aspx?aid=1157515647
ER  -