Sensory and neurological fxns.drj alo


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Sensory and neurological fxns.drj alo

  2. 2. Sensory & Perception Fxns2 ¨ Sensory System Part of the nervous system drjAlo
  3. 3. SENSORY SYSTEM3 ¨ Responsible for processing sensory information ¤ Senses are physiological capacities of organisms that provide data for perception. n Physiology is the science of the function of living systems. This includes how organisms, organ systems, organs, cells, and bio-molecules carry out the chemical or physical functions that exist in a living system. n Perception (from the Latin perceptio, percipio) is the process of attaining awareness or understanding of the environment by organizing and interpreting sensory information.All perception involves signals in the nervous system, which in turn result from physical stimulation of the sense organs. drjAlo
  4. 4. 4 ¨ VISION involves light striking the retinas of the eyes, smell is mediated by odor molecules and hearing involves pressure waves. ¤ Perception is not the passive receipt of these signals, but can be shaped by learning, memory and expectation. ¤ Perception depends on complex functions of the nervous system, but subjectively seems mostly effortless because this processing happens outside conscious awareness. drjAlo
  5. 5. 5 ¨ The senses and their operation, classification, and theory are overlapping topics studied by a variety of fields, most notably neuroscience, cognitive psychology (or cognitive science), and philosophy of perception. The nervous system has a specific sensory system or organ, dedicated to each sense. ¨ Senses are transducers from the physical world to the realm of the mind drjAlo
  6. 6. 6 ¨ Human beings have a multitude of senses. ¤ Sight (ophthalmoception), ¤ hearing (audioception), ¤ taste (gustaoception), ¤ smell (olfacoception or olfacception), and ¤ touch (tactioception) are the five traditionally recognized and the only senses proven to to be existent in humans. ¨ Some believe in other senses, including temperature (thermoception), kinesthetic sense (proprioception), pain (nociception), balance (equilibrioception) and acceleration (kinesthesioception) drjAlo
  7. 7. Sensory system consists of7 ¨ Sensory receptors ¤ is a sensory nerve ending that responds to a stimulus in the internal or external environment of an organism. In response to stimuli the sensory receptor initiates n sensory transduction by creating graded potentials or action potentials in the same cell or in an adjacent one. drjAlo
  8. 8. 8 ¨ Transduction is the conversion of a stimulus from one form to another ¤ graded potential, is the transmembrane potential difference of a sensory receptor Transmembrane receptor:E=extracellular space; I=intracellular space; P=plasma membrane drjAlo
  9. 9. Transduction9 Stimulus Receptor potential (Generator potential) Action potential drjAlo
  10. 10. Action Potentials +30 Threshold - 55 Resting -70 Membrane Potential Stimulus Receptor potential10 drjAlo
  11. 11. Coding of sensory stimuli11 ¨ Stimulus strength is coded as the frequency of AP ¨ Higher the stimulus more frequent are the APs ¨ Amplitude of AP is constant drjAlo
  12. 12. Action potentials Receptor potentials Stimulus12 drjAlo
  13. 13. Sensory coding13¨ A receptor must convey the type ¨ It must send information about of information it is sending à the location and receptive field, the kind of receptor activated characteristic of the receptor determined the signal recognition by the brain¨ It must convey the intensity of the stimulus à the stronger the signals, the more frequent will be the APs drjAlo
  14. 14. Transduction in different receptors14 ¨ Different receptors have different ion channels ¨ Their opening causes receptor potential drjAlo
  15. 15. 15 drjAlo
  16. 16. NEURAL PATHWAYS and parts of the16 brain ¨ Involved in sensory perception. ¤ neural pathway, neural tract, or neural face, connects one part of the nervous system with another and usually consists of bundles of elongated, myelin-insulated neurons, known collectively as white matter. Neural pathways serve to connect relatively distant areas of the brain or nervous system, compared to the local communication of grey matter. drjAlo
  17. 17. Sensory pathway17 ¨ Once a receptor is stimulated ¨ impulse travels through a particular pathway ¨ known as sensory pathway or ascending pathway ¨ up to the brain drjAlo
  18. 18. Sensory pathway Sensory area in the brain18 Ascending Sensory pathway Central Connections Sensory nerveTouch stimulus Receptor Sensory modality drjAlo
  19. 19. Receptors19 ¨ Receptor cells are specific cells that are sensitive to different forms of energy from the environment ¨ These cells contain membrane receptors coupled to ion channels ¨ They transform the stimulus into electrical signals drjAlo
  20. 20. HUMAN SENSORY RECEPTORS20 Classifications: ¨ Chemosensor – TRANSDUCES a chemical signal into an action potential ¨ Nociceptor - responds to potentially damaging stimuli by sending nerve signals to the spinal cord and brain drjAlo
  21. 21. 21 ¨ Mechanoreceptor – RESPONDS to mechanical pressure or distortion. Transform displacement or mechanical force into action potentials. drjAlo
  22. 22. 22 ¨ Photoreceptor - specialized type of neuron found in the retina that is capable of phototransduction. drjAlo
  23. 23. 23 ¨ Thermoreceptor - is a sensory receptor, or more accurately the receptive portion of a sensory neuron, that codes absolute and relative changes in temperature drjAlo
  24. 24. Two ascending pathways24 ¨ Dorsal column - medial lemniscus pathway fast pathway ¨ Spinothalamic pathway slow pathwayThese two pathways come together at the level of thalamus drjAlo
  25. 25. Posterior (dorsal) Dorsal root ganglion Dorsal root Dorsal columns Dorsal horn Spinothalamic tracts Anterior (ventral)25 drjAlo
  26. 26. Spinothalamic pathway Dorsal column pathway Lateral Spinothalamic tract Anterior Spinothalamic tract26 drjAlo
  27. 27. Dorsal column pathway Spinothalamic pathway27 ¨ touch: fine degree ¨ Pain ¨ highly localised touch ¨ Thermal sensations sensations ¨ Crude touch & pressure ¨ crude localising sensations ¨ vibratory sensations ¨ tickle & itch ¨ sensations signalling ¨ sexual sensations movement ¨ position sense ¨ pressure: fine degree drjAlo
  28. 28. 3rd thalamocortical tracts order neuron internal capsule thalamus 2nd Medial lemniscus order neuron Dorsal column nuclei (cuneate & gracile nucleus) 1st Dorsal column order neuron28 drjAlo
  29. 29. dorsal column - medial lemniscus pathway29 ¨ after entering the spinal cord ¤ lateral branch: participates in spinal cord reflexes ¤ medial branch: turns upwards ¨ forms the dorsal columns ¨ spatial orientation: ¤ medial: lower parts of the body ¤ lateral: upper part of the body drjAlo
  30. 30. dorsal column - medial lemniscus pathway30 ¨ synapse in the dorsal column nuclei ¤ nucleus cuneatus & nucleus gracilus ¨ 2nd order neuron cross over to the opposite side and ascends upwards as medial lemniscus ¨ as this travels along the brain stem fibres from head and neck are joined (trigeminal) ¨ ends in the thalamus (ventrobasal complex) ¤ ventral posterolateral nuclei drjAlo
  31. 31. dorsal column - medial lemniscus pathway31 ¨ spatial orientation in the thalamus ¤ medial: upper part of the body ¤ lateral: lower part of the body drjAlo
  32. 32. 3rd thalamocortical tracts order neuron internal capsule thalamus 2nd Spinothalamic order tracts neuron 1st order neuron32 drjAlo
  33. 33. spinothalamic pathway33 ¨ after entering the spinal cord ¤ synapse in the dorsal horn ¨ cross over to the opposite side ¨ divide in to two tracts ¤ lateral spinothalamic tract: n pain and temperature ¤ anterior spinothalamic tract n crude touch drjAlo
  34. 34. spinothalamic pathway34 ¨ spatial orientation ¤ medial: upper part of the body ¤ lateral: lower part of the body drjAlo
  35. 35. Spinothalamic pathway Dorsal column pathway Lateral Spinothalamic tract Anterior Spinothalamic tract35 drjAlo
  36. 36. STIMULUS36 ¨ Sensory systems code for four aspects of a stimulus; ¤ type (modality) n Receptors are sensitive to certain types of stimuli (for example, different mechanoreceptors respond best to different kinds of touch stimuli, like sharp or blunt objects). ¤ Intensity n Receptorssend impulses in certain patterns to send information about the intensity of a stimulus (for example, how loud a sound is) drjAlo
  37. 37. 37 ¤ Location n gives the brain information about the location of the stimulus (for example, stimulating a mechanoreceptor in a finger will send information to the brain about that finger) ¤ Duration n The duration of the stimulus (how long it lasts) is conveyed by firing patterns of receptors. These impulses are transmitted to the brain through afferent neurons. ¤ Arrival time of a sound pulse and phase differences of continuous sound are used for localization of sound sources. drjAlo
  38. 38. 38 drjAlo
  39. 39. MODALITY39 ¨ A stimulus modality (sensory modality) is a type of physical phenomenon that can be sensed. nExamples are temperature, taste, sound, and pressure. The type of sensory receptor activated by a stimulus plays the primary role in coding the stimulus modality. drjAlo
  40. 40. Structure of human sensory system40 drjAlo
  41. 41. Typical myellinated vertebrate41 motorneuron drjAlo
  42. 42. I. Anatomy/Physiology42 A. Neuron- highly specialized for the processing and transmission of cellular signals 1. Basic component of the nervous sy. 2. Composed of cell body, axon & dendrites a. Cell body = center of metabolism b. Axon =long fibers > conduct impulses away from the cell body; usually 1 axon for each cell body c. Dendrites = short, unsheathed fibers> receive nerve impulses> transmit to cell body drjAlo
  43. 43. 43 3. Myelin sheath – covering that protects nerve fiber> facilitates> speed of impulse conductor a. Axon & dendrite – may/may not have myelin sheath b. Most axons leaving the CNS – heavily myelinated w/ schwann cells c. Gaps in myelin sheath – termed Nodes of Ranvier drjAlo
  44. 44. 44 4. Primary fxn – transmission of nerve impulses a. Afferent (sensory) n. – transmit impulses from peripheral receptors } CNS b. Efferent (motor) n. – conduct impulses from CNS c. Action potentials travel along axons} end of nerve fiber }impulse is transmitted across junction bet. nerve cells (synapse) }chemical interaction drjAlo
  45. 45. 45 5. Neuroglia – glial cells a. Provide support, b. Nourishment and c. Protection for neurons drjAlo
  46. 46. 46 B. PNS } contains cranial nerves, spinal nerves, autonomic nervous system(unconscious reflexes), sympathetic division (accelerates activity), & parasympathetic division(slows body processes). drjAlo
  47. 47. 47 C. CNS contains: 1. Cerebrum – divided into: left right hemisphere} longitudinal fissure drjAlo
  48. 48. 48 a. Frontal lobes n Precentral gyrus – contralateral movement; face, arm, leg, trunk n Broca’s area – dominant hemisphere } respon.> formation of words n Supplementary motor area – contralateral head & eye turning n Prefrontal area- personality, initiative n Paracentral lobule- contralateral inhibition of bladder & bowel drjAlo
  49. 49. 49 b. Parietal lobes ¤ Postcentralgyrus – body sensations; temp, touch, pressure, pain }from opposite side of the body ¤ Dominant parietal lobe- wernickes’ speech area, auditory & visual aspects> comprehensions are integrated n Responsible for skills { handle numbers & calculations ¤ Nondominant parietal lobe- concept of body image & awareness of external envi{ ability to construct shapes drjAlo
  50. 50. 50 c. Occipital lobes – visual center; comprehension of written word d. Temporal lobes ¤ Dominant hearing of language; taste, smell ¤ Memory ¤ Wernicke’s speech area – recognition of language drjAlo
  51. 51. 51 2. Basal ganglia – reg & integr skeletal voluntary & autonomic motor activity originating in cerebral cortex 3. Diencephalon – connects the cerebrum & brain stem; contains several small structures, the most important of w/c are the thalamus & hypothalamus a. Thalamus – relay station for discrimination of sensation }received from periphery>several nuclei in the thalamus, each w/ specific fxns} such as: integration of sensory stimuli necessary for abstract thinking & reasoning, vision, hearing; relay station for fibers going to limbic system drjAlo
  52. 52. 52 ¤ Hypothalamus- responsible for maintaining momeostasis} thru the secretion of hormones & central control of ANS n Controls vital fxn: water balance, BP, sleep, appetite, temp n Affects some emotional responses ] pleasure/fear n Control center for pituitary fxn n Affects both divisions of the ANS drjAlo
  53. 53. 53 c. Limbic system –responsible for controlling various functions in the body. Structures of this system include the hippocampus, hypothalamus, and thalamus ¤ Fig. drjAlo
  54. 54. 54 4. Brain stem- contains; midbrain, pons & medulla oblangata, extending from the cerebral hemispheres to the foramen magnum @ the base of the skull a. Contains nuclei- 5,6,7,8th Cnerves & ascending sensory & descending motor tracts b. Contains vital center- respiratory, vasomotor & cardiac fxn c. Reticular formation – relays sensory of info; controls vasomotor/respiratory activity drjAlo
  55. 55. 55 5. Ventricular system & CSF – supports & cushions CNS ¤ Removes metabolic wastes ¤ Compensatory mechanisms for ICVolume/pressure ¤ Produces 55 cc/d of CSF; 130-150cc amt ave in sy drjAlo
  56. 56. 56 6. Cranial meninges ¤ Dura mater – dense, fibrous, outermost layer serves as periosteum for Cnerves ¤ Arachnoid mater n Delicate, avascular membrane lying under dura n Surrounds brain loosely n Subarachnoid space contains; CSF, arteries & veins n Contains arachnoid granulations that enable CSF } pass from subarachnoid space>venous system ¤ Pia mater n Most delicate inner meningeal layer n Barrier system drjAlo
  57. 57. 57 7. Cerebellum – control of: muscle motion, balance, coordination; trunk mobility & equilibrium ¤ Spinal cord – communications link bet CNS & PNS n Ascending pathways ] transmit n Sensory information n Descending pathways] relay n Motor instrtuctions drjAlo
  58. 58. HUMAN SENSORY SYSTEM58 ¨ The Human sensory system consists of the following sub-systems: ¤ Visual system consists of the photoreceptor cells, optic nerve, and V1. ¤ Auditory system ¤ Somatosensory system consists of the receptors, transmitters (pathways) leading to S1, and S1 that experiences the sensations labelled as touch or pressure, temperature (warm or cold), pain (including itch and tickle), and the sensations of muscle movement and joint position including posture, movement, and facial expression (collectively also called proprioception). ¤ Gustatory system ¤ Olfactory system drjAlo
  59. 59. I. ANATOMY OF THE EYE59 ¨ A. three layers ¤ Sclera –fibrous outer coat ¤ Choroid – middle vascular coat ¤ Retina – inner nerve coat ¨ B. Lens ¤ Lies behind pupil & iris ¤ Held in position by suspensory ligament attached to the ciliary body ¤ Elastic qualities allow accommodation to focus image on the retina drjAlo
  60. 60. 60 ¨ C. Iris ¤ Colored portion of eye ¤ Attached around circumference by ciliary body ¤ Opening at center – pupil ¤ Controls the amt of light entering eye ¨ D. retina 1. Innermost lining 2. Contains rods & cons a. Rods fxns w/ colorless, twilight vision b. Cones fxns w/ perception of color & bright, daylight vision drjAlo
  61. 61. 61 c. Optic disk 1) Point of entrance of nerve & bld vessels 2) Blind spot 3) Most prominent structure visible on the fundus (retina lining of the back of the eye) a) Excessive pallor signals optic atrophy, a partial or complete destruction of the optic nerve b) Excessive redness- papilledema inflamation c) Papilledema – choked disks: severe form i. Inflammation ii. Passive congestion from ICP drjAlo
  62. 62. II. VISUAL FUNCTION62 ¨ A. Assessment (fig) ¤ Test n Tonometry –measures IOP n Visual fields – measurement of range of vision (perimetry) n Snellen test – visual acuity n Client preparation: recumbent/sitting position, remove contact lenses, not to squint/cough/hold breath during procedure drjAlo
  63. 63. 63 ¨ B. S/S of eye problem 1. Redness, pain & burning 2. Edema 3. #lacrimation & exudate 4. Headache 5. Nausea & vomiting 6. Squinting 7. Visual disturbances 8. Disorders of accommodation drjAlo
  64. 64. 64 DISORDERS OF ACCOMMODATION Types Nsg Considerations Myopia (nearsightedness) – Corrective lenses light rays refract at a point in front of the retina Hyperopia (farsightedness) – Corrective lenses light rays refract behind the retina Presbyopia with aging Commonly occurs after age 35 Astigmatism – uneven curvature Corrective lenses of cornea causing blurring of vision drjAlo
  65. 65. 65 ¨ C. Treatments 1. Eye irrigation method a. Tilt head back toward the side of affected area b. Allow irrigating fluid to flow from the inner to outer canthus c. Use a small bulb syringe/eye dropper to dispense fluid d. Place a small basin close to head to collect excess fluid/drainage drjAlo
  66. 66. 66 ¤ 2. Eyedrop instillation a. Tilt head back toward the side of affected area b. Allow irrigating fluid to flow from the inner to outer canthus c. Use a small bulb syringe/eye dropper to dispense fluid d. Place a small basin close to head to collect excess fluid/drainage drjAlo
  67. 67. 67 ¨ D. Nsg Mgt 1. Prevent eye injuries a. Provide safe toys b. Use of eye protectors when working w/ chemicals c. Use of eye protectors during sports d. Protect eyes from ultraviolet rays e. Instruction for first aid drjAlo
  68. 68. 68 ¤ 2. Emergency Treatment n A. Burns Types Nsg Considerations Chemical – acids, cleanser, Eye irrigation w/ copious insecticides amts of H2O for 15-20min Radiation – sun, lightning, Prevention- use of eclipses eyeshields Thermal – hot metals, Use of goggles to protect liquids, occupational the cornea, patching, hazards analgesics drjAlo
  69. 69. 69 ¨ B. EyeTrauma Types Nsg considertions Nonpenetrating- abrasions Eye patch for 24hrs Nonpenetrating- contusions Cold compresses, analgesics Penetrating – pointed or Cover w/ patch sharp objects drjAlo
  70. 70. III. Visual Function70 ¨ A. Assessment 1. Adjustment to vision loss depends upon: a. Age of onset b. Degree of suddenness 2. Principles of working w/ blind persons a. Facilitate normal lifestyle patterns a. Adapted household eqpt b. Books/newspaper w/ large print for partially sighted c. Information > aids for the blind d. Braile, canes, guide dogs e. Facilitate dev patterns f. Enc social devt g. Provide for educ & employment drjAlo
  71. 71. 71 ¨ 3. Nsg Mgt for the blind px a. Enhance communication a. Address px by name b. Always introduce self c. State reason for being there d. Inform px when leaving the room b. Provide sense of safety/security a. Explain procedures in detail b. Keep furniture arrangement consistent, provide hand rail c. Door should never be half open d. Lightweight walking stick if walking alone drjAlo
  72. 72. IV. SELECTED DISORDERS OF THE EYE72 ¨ A. DETACHED RETINA ¤ 1. History n Flashes of light n Blurred or sooty vision n Sensation of particles moving in line of vision n Delineated of vision areas blank n Feeling of coating coming u & down n Loss of vision n Confusion/apprehension drjAlo
  73. 73. 73 ¨ 2. Characteristics ¤ Separation of the retina from choroid ¤ Cause n Trauma n Aging process n Diabetes n Tumors ¤ Medical mgt n Sedatives & tranquilizers n Surgery- retina to adhere to choroid drjAlo
  74. 74. 74 ¨ 3. Nsg Mgt ¤ Bedrest ¤ Affected eye maybe patch- to decrease movement of eyes ¤ Specific positioning ¤ Hairwashing delayed for 1 wk ¤ Avoid strenuous activity for 3 mos drjAlo
  75. 75. 75 ¨ B. CATARACTS ¤ 1. Hx n Objects appear distorted and blurred n Annoying glare n Pupil changes from black to gray to milky white drjAlo
  76. 76. 76 ¨ 2. Assessment ¤ Partial/total opacity of the normally transparent crystalline lens ¤ Cause n Congenital n Trauma n Aging process n Assoc w/ diabetes mellitus, intraocular surgery n Drugs- steroid therapy drjAlo
  77. 77. 77 ¤ Surgical Mgt – laser surgery n Extracapsular extraction – cut thru the anteriorcapsule to express the opaque lens material n Intracapsular extraction (method of choice) –entire removal of lens & capsule n Lens implantation ¤ Nsg Mgt n Observe for post-operative complications n Hemorrhage n #IOP n Slipped suture n If lens implant, pupil should remain constricted; if aphakic, pupil remains dilated drjAlo
  78. 78. 78 n Avoid straining /no heavy lifting n Bend from the knees only to pick up things n Instruct in instillation of eye drops/use of night shields n Protect from bright light n Adjustments needed if aphakic n Diversional activities drjAlo
  79. 79. 79 ¨ GLAUCOMA ¤ 1. Assessment n Cloudy, blurry vision n Artificial lights appear to have rainbows n Loss of vision n #decreased peripheral vision n Pain, headache n Nausea, vomiting n Tonometer readings exceed normal IOP (10-21mmhg) drjAlo
  80. 80. 80 ¨ 2. Characteristics ¤ A. Abnormal #IOP leading to visual disability/blindness – obstruction of outflow of aqueous humor ¤ B. Types n Acute/close(narrow) – angle glaucoma; sudden onset n Chronic or open (wide) – angle glaucoma; most common ¤ C. Causes n Close-angle glaucoma – assoc w/ ocular d’s, trauma n Open-angle glaucoma – assoc w/ aging, heredity, retinal vein occlusion drjAlo
  81. 81. 81 ¤ D. Tx n Meds – miotics, carbonic anhydrase inhibitors, oral glycerin & mannitol n Surgery – laser trabeculoplasty, standard glaucoma surgery ¤ Common nsg diagnosis – sensory/ perceptual/visual alteration drjAlo
  82. 82. 82 ¨ Nsg Mgt ¤ Compliance w/ medical therapy ¤ Avoid tight clothing ¤ Reduce external stimuli ¤ Avoid heavy lifting, straining at stool ¤ Avoid use of mydriatics ¤ Educate public to 5 danger signs of glaucoma: n Brow arching n Blurry vision n Diminished peripheral vision n Headache or eye pain drjAlo
  83. 83. I. Anatomy & Physiology of EAR83 ¨ A. External Ear ¤ Pinna/auricle ¤ External acoustic meatus ¤ External auditory canal drjAlo
  84. 84. 84 ¨ B. Middle ear ¤ Located in temporal lobe ¤ Contains ossicles n Malleus n Incus n Stapes ¤ Eustachian tube – connects middle ear to the throat & assist in equalizing pressure drjAlo
  85. 85. 85 ¤ Physiology of sound n Sound waves enter external auditory canal >tympanic membrane >vibrates, triggering ossicles(m,i,s) } transmitted to oval window to acoustic nerve and brain ¨ C. Inner ear ¤ Contains: vestibule, semicircular canals, cochlea(labyrinth) } movment of the sensory hair signals changes in position; aids in maintaining stable posture drjAlo
  86. 86. II. Alterations in Fxn86 ¨ A. Assessment ¤ S/S } pain, fever, headache, discharge, altered growth & dev, personality changes (irritability, depression, suspiciousness, w/drawal ¤ Dx } Audiogram – quantitative(degree of loss), Tuning fork – qualitative (type of loss) ¤ Types: n Conductive loss drjAlo
  87. 87. 87 ¤ Types: n 1. Conductive loss – disorder in auditorycanal, eardrum/ossicles n Causes: infection, inflammation, foreign body, trauma n Complications : meningitis resulting from initial infection n Nsg Mgt: heat, antibiotics, ear drops/ointments/irrigation, surgery, hearing aid n 2. perceptive(sensorineural loss) – due to disorder of organ of corti/auditory nerve n Causes: congenital-maternal exposure to com’cable d’s, infection, drug toxicity, trauma, labyrinth dsfxn(Meniere’s d’s n Complications: vertigo, tinnitus, vomiting n Mgt: meds, surgery, combined loss- conductive & sensorineural, psychogenic loss-functional drjAlo
  88. 88. 88 ¨ C. Nsg Mgt ¤ Ear irrigation ¤ Ear drop instillation ¤ Px undergoing surgery ¤ Discharge teaching – avoid getting water in ear, flying, drafts, crowds, exercise caution around people w/ respiratory infections drjAlo
  89. 89. 89 ¨ III. Selected disorders ¤ A. Acute otitis media – infection of middle ear, cause: pathogenic organisms(bacteria/virus) ¤ B. Mastoiditis –inflammation ¤ C. meniere’s syndrome(endolymphatic hydrops) – dilation of the labyrinth, causes: trauma, intoxication,syphilis, otitis media, otosclerosis drjAlo
  90. 90. 90 ¨ Medical & Nsg Mgt ¤ Saltfree/neutral ash diet(furstenberg diet) – restrict h2o & salt intake ¤ Symptomatic treatment: antiemetics, histamines, vasodilators ¤ Px education: need to slow down body motion, self protection, occupational counseling drjAlo
  91. 91. SOMATIC SENSATION (TOUCH)91 ¨ somatosensory system ¤ isa diverse sensory system composed of the receptors and processing centres to produce the sensory modalities such as touch, temperature, proprioception (body position), and nociception (pain). The sensory receptors cover the skin and epithelia, skeletal muscles, bones and joints, internal organs, and the cardiovascular system. drjAlo
  92. 92. CORTICAL homunculus92 drjAlo
  93. 93. Taste/GUSTATION93 ¨ Taste (also called smatch) ¤is one of the traditional five senses. It refers to the ability to detect the flavor of substances such as food, certain minerals, poisons drjAlo
  94. 94. 94 ¨ Taste buds ¨ Taste receptors drjAlo
  95. 95. Smell/ OLFACTION95 ¨ Human olfactory system. ¨ 1: Olfactory bulb 2: Mitral cells 3: Bone 4: Nasal epithelium 5: Glomerulus (olfaction) 6: Olfactory receptor cells drjAlo
  96. 96. THANK YOU.All credibility, all good conscience, all evidence of truth come only from the senses. Friedrich Nietzsche drjAlo