Neuropsychological and Employment Implications: A Case Study of
Whiting’s Patient
Introduction:
In 2005, the case study patient was involved in an automobile
accident, where he sustained a head injury (Whiting, 2005).
During a routine CT scan to check for possible brain damage, his
physicians discovered an abnormal growth within his third (3rd)
ventricle, in the approximate region of the frontal lobe. The
physicians later determined that the growth was a colloid cyst,
which is a collection of gelatinous material. On the advice of
his physicians, the patient underwent neurosurgery to have the
cyst removed, and recovered without any serious side effects.
The diagnostics, treatment, and follow-up care associated with
brain surgery are not performed in a vacuum; rather, the
appropriate level of pre-operative and post-operative care
relies on the deliberate cooperation of various parties. These
parties include the neurologist, the neurosurgeon, the
psychological and psychiatric professionals, the patient’s
spouse, his or her employer, and the patient her or himself. The
intent of this paper is to examine the roles of the
neuropsychologist and the patient’s employers in the successful
treatment, using the case study of the patient as a vehicle to
conduct this analysis. This paper will begin with a brief
overview of the frontal cortex and the 3rd ventricle, followed by
the viewpoints of the neuropsychologist and the patient’s
employer.
The Frontal Cortex: A Brief Overview
The brain’s outermost covering, the cerebral cortex, is
partitioned into four lobes: the occipital lobe, the parietal
lobe, the temporal lobe, and the frontal lobe. Although these
lobes, as well as the rest of the brain, mutually innervate each
other, each particular lobe is associated with different aspects
of behavior and information processing (Drubach, 2000). The
occipital cortex contains much of the neurons used in the
processing of visual images, the temporal lobe processes many
components used in the understanding of language, and the
parietal lobe contains the primary somatosensory cortex, the
cortical structure involved in the processing of touch
sensations and muscle and joint data. (Kalat, 2001)
Of interest to us is the frontal lobe. It extends from the
central sulcus (a deep cortical groove extending along the
coronal plane to both hemispheres of the brain) to the anterior
limits of the brain. The two main divisions of the frontal lobe
are the primary motor cortex and the pre-frontal cortex. The
latter structure, the primary motor cortex, is responsible for
the coordination of fine motor movements throughout different
...owell, E. R., Thompson, P. M., & Toga, A. W. (2004). Mapping changes in the human cortex
Bryson-Campbell, M., Shaw, L., O’Brien, J., Holmes, J., Magalhaes L., (2013). A Scoping Review on Occupational and Self Identity After a Brain Injury. Work, 44(1), 57-67
I intend to explore the effects of a parietal brain injury from the perspective of a neuropsychologist; ranging from types of tests that are employed when trying to determine the extent of the damage, to gaining an understanding of how this damage will affect the rest of the brain and/or the body. I will also explore the effects of a brain injury from the perspective of the family members, and their experiences with the changes that occur during the rehabilitation process. According to The Neuropsychology Center, “neuropsychological assessment is a systematic clinical diagnostic procedure used to determine the extent of any possible behavioral deficits following diagnosed or suspected brain injury”(www.neuropsych.com). As mentioned previously, a brain injury can be the result of many types of injuries or disorders, thus a broad range of assessment procedures have been developed to encompass these possibilities.
Structural competence One of the things I like about this class is that I got to understand what structural competence is. In my view, structural competence refers to the trained ability to understand how structural factors affect the wellbeing of an individual. These factors can be systematic, physical, political or even founded on beliefs and language. Structural competence is also about understanding and distinguishing the difference between structural forces and individual factors. For example, a doctor that is structurally competent will not only see a person’s illness outside of his control, but will look at his socioeconomic status, like his environment or place of dwelling.
Different angles and difficulties of movement and osmosis are investigated in The Namesake. Throughout the novel, Ashima (the mother) and Ashoke (the father) attempt to make their kids Bengali while the brother and the sister, Gogol and Sonia, demand that they are Americans. The conflicts must do with everything from giving the youngsters their names, to regardless of whether they ought to make intermittent visits to India.
Since the beginnings of psychology the debate of nature verses nurture has been going on. Certain psychologists take the position of the nature perspective. They argue that people are born with predispositions towards certain personalities, traits and other characteristics that help shape them into the people that they become later in life. Meanwhile multiple other psychologists argue the nurture perspective. They believe that people are born as a blank slate and their experiences over the course of life help shape their personalities, traits, and other characteristics. One topic that can be argued from both perspectives is obsessive-compulsive disorder. People who develop Obsessive-Compulsive Disorder are influenced by their inherited predispositions and the events that unfold in their environment.
The brain has four major lobes. The frontal lobe, the parietal lobe, the occipital lobe, and temporal lobe are responsible for all of the activities of the body, from seeing, hearing, tasting, to touching, moving, and even memory. After many years of debating, scientist presents what they called the localization issue, Garret explains how Fritsch and Hitzig studied dog with conforming observations, but the cases of Phineas Gage’s accident in 1848 and Paul Broca’s autopsy of a man brain in 1861 really grabbed the attention of an enthusiastic scientific community (Garret 2015 p.6)
Have you ever applied to a job or completed an interview, only to never hear back? These scenarios can be frustrating, especially when you don’t hear back from a job you were really excited about. While there are many reasons this could happen, many of which you have no control over, there are a few common mistakes you may be making to cost you the job.
You identified several nursing diagnosis for the patient in question, I’d like to add that each of these diagnosis will require interventions with short and long term goals. For example, as you mentioned “The altered mental status would also impact this patient’s perception of danger and his own related to his hip fracture". Altered mental status is a common chief complaint among older patients, with this patient the altered mental condition is most likely age related. A short term goal example for this patient could be as follows: after two hours of nursing intervention, the patient will be calm and report improvement with his ability to cope with is confused state. Along term goal example could be that within 12 hours
Manjukapur an eminent novelist focuses on creating a new woman in her novels brings meaning for transformation through their own life.The novelist craftsmanship excellence lies when her protagonists challenge their struggle and trials. These struggle and suffering becomes a weapon for her women to become strong and victorious. Obviously when a woman becomes strongershe even gets the more courage to break the stereotype tradition, which hurdles her successful journey.
Prasad, Amar Nath. “Identity Crisis in V.S.Naipaul’s A House for Mr. Biswas”. Critical Response to V. S. Naipaul and Mulk Raj Anand. Edited by Prasad, Amar Nath. New Delhi: Sarup & Sons, 2003. Print.
The first group that has been valued by me and many other people is the military. They might not be everybody’s favorite group , yet the things they have accomplished for the United States, and many other countries are quite significant. For hundreds of years the United States military members have sacrificed their lives for not only America’s freedom, but also for other countries that have suffered a crisis. The military is currently involved in wars, humanitarian efforts, peacekeeping missions and as well as in state sponsored missions and country missions for natural disasters. Military members must be courage’s; due to the risky situations they must endure. For instance, they must be willing to put their life on the line in order to save others. Heroism consists of many characteristics that most military members should have. Soldiers are willing to risk their lives to save their fellow soldiers or serve their country in a war no matter what that cost is. Most of these men and women fought until they neither won nor got killed during a certain war. Even though many fallen soldiers haven’t been recognized for the achievements they made, they are still heroes in people’s perspective.
There is a lot of parts that make a prison operate. From the generators to give out power to the building, to the janitors to keep the building clean and the mail room to sort and pass out the mail that’s comes through. But there is three key parts that make a prison function. One of those parts is; the outside fencing and barbwire that’s wrapped around the building. Without it inmates are able to come and go when they please. No boundaries are set making the jail pointless. A second key part is the commanding officer. His job is to control the inmates on what they do. The officer knows what the inmates are doing through the day, meaning if an inmate did something the officer knows about it. Lastly the holding cell.
Rohinton Mistry’s “Such A Long Journey” is the story of turbulent life of Gustad Noble and his family, who lives in Khodadad Building north of Bombay. The story portrays the series of events such as his son Sohrab’s refusal to attend Indian Institution of Technology, hardships faced by his friends and family, political turmoil and chaos caused by the war between India and Pakistan. Gustad transforms from a stubborn, materialistic and awful person to an open-minded and more adaptive to circumstantial changes in his life. Ultimately, Gustad Noble journeys to a greater understanding of his role as a father, friend and citizen of India.
The character of each of the characters and in addition India is addressed. The characters and their life are wonderfully exhibited. The novel is boundless in degree and rich in contemplations. Every part closes with the spectator longing for additional. The story depicts how the social order defines limits, grows musings and spots desire on the youngsters who are getting to be grown-ups and is a mixture of adoration of affection and obligation. The story gives the spectator a knowledge into the conditions common in the Bengal locale of the frontier India.