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Understanding reality Altered Consciousness
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For more sample templates, click the File menu, and then click New From Template. Under Templates, click Presentations.1the state of being aware of and responsive to one's surroundings.
a person's awareness or perception of something.Awareness and perception?What is consciousness ? 2The aim of this sessionHow does this help you as a nurse? 1Is to define consciousness 2Is to define altered consciousness 3To understand the causes of altered consciousness 3Magical: Hypnosis
Simple on the surface
Complex to prove
Levels of consciousness
Consciousness: Assessment (William Jones)
The Stream of Consciousness4Awake Not Awake? Sleep Arousal (internal or external)Eye Opening Orientated (Time Place Person)Response ( Pain Sound Light Smell Taste)Perception (Understanding)The Self ( awareness thinking feeling)
Subjective: The Reality of Individuals
Reticular Activating System
Relates to awareness of thoughts feeling perceptions surroundings at any one moment in timeThis creates reality7
DrugsTraumaSleepillnessDisease Anasthesia8BarbituatesValiumBenzidazpine LorazepamOpiodsCaffineAlcoholAnesthetics: local infiltration, regional nerve blocks, and topical administrationPropofol (Diprivan): short-acting hypnotic;
Conscious Altering Drugs Conscious sedation/analgesia is combinations of pharmacological agents administered by one or more routes to produce a minimally depressed level of consciousness and satisfactory analgesia while retaining the ability to independently and continuously maintain an airway and respond to physical stimulation and verbal commands.9Normal Self Induced Altered ConsciousnessSleephttp://youtu.be/rMHus-0wFSo10 http://visualiseur.bnf.fr/Visualiseur?Destination=Gallica&O=NUMM-98765NeurotransmittorsSerotonin Nor ephinephrineDopamineGamma Aminobutyric (GABA)The Awakenings: Dopamine 11The Glasgow Coma ScaleJennette and Teasdale (1974)
Motor ResponseEye OpeningMotor ResponseGenerally, brain injury is classified as:Severe, with GCS < 8-9Moderate, GCS 8 or 912 Minor, GCS 13.12Oliver Sacks
Key Authors: ReferencesTeasdale G, Jennett B. (1974). "Assessment of coma and impaired consciousness. A practical scale.". Lancet 13 (2): 814.