Nurse Case Study

PART ONE: Compare and contrast: migraine headaches, tension headaches, and meningitis.

-risk factors, pathophysiology, clinical manifestations

PART TWO: Present a hypothetical case about meningitis that includes the following:

  1. Vital information about a person who might be predisposed to this condition (I.e., a person who
    may have risk factors for this condition).
  2. The pathophysiology of the disease, including clinical manifestations.
  3. Which diagnostic tests you’d recommend and a rationale for the one(s) you choose.
  4. How this condition compares to other differentials.
  5. The evidence-based recommendations from the AHRQ Guidelines or guidelines recommended
    from a professional organization. Based on these recommendations, discuss how to manage the
    condition best.
  6. A patient safety issue that could be associated with the condition presented in this case.

PART THREE: Answer these reflection questions:

What information would a master’s prepared nurse gather from a patient with this condition?
How could the master’s prepared nurse use this information to design a patient education session for someone with this condition?

Full Answer Section

     
  • Stress
  • Anxiety
  • Depression
  • Muscle tension in the neck and shoulders
Meningitis
  • Bacterial infection
  • Viral infection
  • Fungal infection
  • Head trauma
  • Certain medical conditions, such as HIV/AIDS and sickle cell anemia
Pathophysiology Migraines The exact cause of migraines is unknown, but they are thought to be caused by a combination of genetic and environmental factors. Migraines are thought to involve changes in the brain's blood vessels and chemical signaling. Tension headaches Tension headaches are thought to be caused by muscle tension in the neck and shoulders. This muscle tension can be caused by stress, anxiety, depression, and poor posture. Meningitis Meningitis is caused by an infection of the meninges, which are the membranes that surround the brain and spinal cord. The infection can be caused by bacteria, viruses, or fungi. Clinical Manifestations Migraines Migraines are characterized by severe, throbbing headaches that can last for several hours or days. Migraines are often accompanied by other symptoms, such as nausea, vomiting, sensitivity to light and sound, and fatigue. Tension headaches Tension headaches are characterized by a dull, aching pain that feels like a tight band around the head. Tension headaches are usually not as severe as migraines and do not typically cause other symptoms. Meningitis Meningitis is characterized by a severe headache, fever, stiff neck, and sensitivity to light and sound. Other symptoms of meningitis may include nausea, vomiting, seizures, and confusion. Treatment Migraines There is no cure for migraines, but there are treatments that can help to relieve symptoms and prevent attacks. Treatments for migraines include pain relievers, anti-inflammatory drugs, and preventive medications. Tension headaches Tension headaches can usually be treated with over-the-counter pain relievers, such as ibuprofen or acetaminophen. If over-the-counter pain relievers are not effective, prescription medications may be necessary. Meningitis Meningitis is a serious medical condition that requires hospitalization. Treatment for meningitis involves antibiotics or antifungal medications, depending on the cause of the infection. Prevention Migraines There is no way to completely prevent migraines, but there are things that people can do to reduce their risk of attacks. These include avoiding triggers, managing stress, and getting regular exercise. Tension headaches Tension headaches can be prevented by managing stress, maintaining good posture, and getting regular exercise. Meningitis There are vaccines available to prevent some types of meningitis, such as bacterial meningitis and viral meningitis caused by mumps and measles. Other ways to prevent meningitis include avoiding close contact with people who are sick and practicing good hand hygiene. Conclusion Migraine headaches, tension headaches, and meningitis are all common types of headaches. However, they have different causes, symptoms, and treatments. It is important to see a doctor to get a diagnosis and treatment plan for your headaches.  

Sample Answer

 

Migraine Headaches, Tension Headaches, and Meningitis: A Comparison

Risk Factors

Migraines

  • Female sex
  • Family history of migraines
  • Certain triggers, such as stress, hormonal changes, and certain foods and drinks

Tension headaches