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PEATE’S BODY SYSTEMS THE NERVOUS SYSTEM
A CONCISE, ILLUSTRATED, AND ACCESSIBLE GUIDE TO THE NERVOUS SYSTEM
Each of the twelve volumes in Peate’s Body Systems series is rooted in the belief that a deep and thorough understanding of the human body is essential for providing the highest standard of care. Offering clear, accessible and up-to-date information on different body systems, this series bridges the gap between complex scientific concepts and practical, everyday applications in health and care settings. This series makes for an invaluable resource for those committed to understanding the intricacies of human biology, physiology and the various systems that sustain life.
The Nervous System is the perfect companion for students and newly registered practitioners across nursing and allied health fields with an interest in neurological care, providing a comprehensive yet easy-to-digest guide for both academic and clinical application.
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Seitenzahl: 311
Veröffentlichungsjahr: 2025
Cover
Table of Contents
Title Page
Copyright
Preface
Acknowledgements
Chapter 1 Anatomy and Physiology: The Nervous System
Organisation of the Nervous System
Sensory Division of the Peripheral Nervous System
Central Nervous System
Motor Division of the Peripheral Nervous System
Neurotransmitters
Neuroglia
Meninges
The Cerebrospinal Fluid
Brain
The Blood Supply to the Brain
Circle of Willis
The Peripheral Nervous System
The Autonomic Nervous System
Sympathetic Division
Parasympathetic Division
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 2 Assessment of the Nervous System
Assessing Needs
Assessing the Level of Consciousness
Vital Signs
Assessment of Pupillary Reaction
Motor and Sensory Assessments
The Patient History
Physical Examination
Assessing Mental Status
Cranial Nerve Assessment
Evaluating the System: Diagnostic Tests
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 3 Stroke
Pathophysiological Changes Associated with Stroke
Ischaemic Stroke
Haemorrhagic Stroke
Cellular and Molecular Events
Epidemiology
Risk Factors
Non-modifiable Risk Factors
Modifiable Risk Factors
Clinical Presentation
Ischaemic Stroke
Haemorrhagic Stroke
Transient Ischaemic Attacks
The FAST Acronym
Clinical Investigations and Diagnosis
Onset and Duration of Symptoms
Nature of Symptoms
Previous Strokes or Transient Ischaemic Attacks
Medical History
Risk Factors
Medication and Allergies
Social History
Psychosocial History
Pre-existing Conditions
Recent Procedures or Surgeries
Timing of Presentation to Healthcare Provider
Patient’s Perspective
Management
Post-acute and Long-term Management
Health Teaching
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 4 Dementia
Pathophysiological Changes Associated with Dementia
Confusion
Mild Cognitive Impairment
Prognosis
Epidemiology
Risk Factors
Other Risk Factors
Clinical Presentation
Clinical Investigations and Diagnosis
Management
Caregiver Support
Symptom Management
Health Teaching
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 5 Multiple Sclerosis
Pathophysiological Changes Associated with Acute Multiple Sclerosis
Prognosis
Epidemiology
Risk Factors
Clinical Presentation
Clinical Investigations and Diagnosis
Management
Supportive Care
Health Teaching
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 6 Epilepsy
Equality and Law
Pathophysiological Changes Associated with Epilepsy
Epidemiology
Risk Factors
Clinical Presentation
Clinical Investigations and Diagnosis
Management
Seizure First Aid
Mental Health and Well-being
Equality and Diversity
Treatment Goals
Health Teaching
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 7 Raised Intracranial Pressure
Idiopathic Intracranial Hypertension
Pathophysiological Changes Associated With Raised Intracranial Pressure
Consequences of Raised Intracranial Pressure
Epidemiology
Socioeconomic Factors
Risk Factors
Clinical Presentation
Clinical Investigations and Diagnosis
Management
Monitoring
Medical Management
Ventilation Management
Surgical Interventions
Cerebrospinal Fluid Drainage
Psychological and Emotional Needs
Multidisciplinary Approach
Prognosis and Follow-up
Health Teaching
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Chapter 8 Traumatic Brain Injury
Head Injury
Pathophysiological Changes Associated with Traumatic Brain Injury
Mechanisms of Injury
Location of the Injury
Open Versus Closed Brain Injuries
Secondary Injuries
Epidemiology
Risk Factors
Clinical Presentation
Severity of Symptoms
Symptoms of Specific Types of Traumatic Brain Injury
Clinical Investigations and Diagnosis
Management
Health Teaching
Understanding the Injury and Its Effects
Medication Management
Cognitive and Physical Rehabilitation
Emotional and Psychological Support
Preventing Complications
Safety Measures
Conclusion
Glossary of Terms
Multiple Choice Questions
References
Index
End User License Agreement
Chapter 1
Figure 1.1 Organisation of the nervous system
Figure 1.2 Motor neurone
Figure 1.3 Neuroglia
Figure 1.4 The meninges
Figure 1.5 The ventricles
Figure 1.6 The brain
Figure 1.7 The cerebrum
Figure 1.8 The cerebellum
Figure 1.9 The limbic system
Figure 1.10 The circle of Willis
Figure 1.11 The blood–brain barrier
Figure 1.12 Functions of cranial nerves
Figure 1.13 The spinal cord
Figure 1.14 The spinal cord and spinal nerves
Figure 1.15 Sympathetic nervous system
Figure 1.16 Parasympathetic nervous system
Chapter 2
Figure 2.1 Central pain stimulus for assessment of consciousness (a) supraorbital ridge p...
Figure 2.2 Pupil observations.
Figure 2.3 Motor response
Figure 2.4 Recording of the Glasgow Coma Scale
Figure 2.5 Neurological assessment
Chapter 3
Figure 3.1 Blood flow through the brain
Figure 3.2 Atherosclerosis
Figure 3.3 Ischaemia of brain tissue following vessel blockage
Figure 3.4 Haemorrhagic stroke
Figure 3.5 Clipping of an aneurysm
Chapter 4
Figure 4.1 Vascular dementia symptoms
Chapter 5
Figure 5.1 Demyelination
Chapter 1
Table 1.1 The cranial nerves
Table 1.2 Effects of the parasympathetic and sympathetic divisions of the autonomic nerv...
Chapter 2
Table 2.1 Some common terms used to describe level of consciousness
Table 2.2 The Glasgow Coma Scale
Table 2.3 The AVPU scale
Table 2.4 An overview of neurological observations
Table 2.5 An overview of headache
Table 2.6 Components of the neurological system history
Table 2.7 Some common manifestations of neurological problems
Table 2.8 Equipment needed to undertake a physical examination of the neurological syste...
Table 2.9 Assessing the cranial nerves (in the conscious patient)
Chapter 3
Table 3.1 Area of brain damaged according to side of brain affected
Table 3.2 The pathogenesis associated with stroke
Table 3.3 Modifiable risk factors associated with stroke
Table 3.4 FAST (American Stroke Association, https://www.stroke.org/en/about-stro...
Table 3.5 Key elements of the physical examination associated with stroke
Table 3.6 Investigations commonly used in the evaluation of a patient suspected of havin...
Table 3.7 Common deficits associated with stroke
Table 3.8 An overview of health teaching associated with stroke
Chapter 4
Table 4.1 A summary of the pathophysiological processes associated with dementia
Table 4.2 Differences between delirium and dementia
Table 4.3 Some epidemiological issues associated with dementia
Table 4.4 Additional risk factors associated with dementia
Table 4.5 Clinical presentation associated with dementia
Table 4.6 Symptoms related to specific subtypes of dementia
Table 4.7 Key health teaching needs for people with dementia
Chapter 5
Table 5.1 Risk factors associated with multiple sclerosis
Table 5.2 Red flags for alternative diagnoses in the context of multiple sclerosis
Table 5.3 An overview of the physical examination associated with a multiple sclerosis d...
Table 5.4 A summary of management approaches
Table 5.5 Key health teaching needs for those with multiple sclerosis
Chapter 6
Table 6.1 A summary of the pathophysiological changes that may occur in epilepsy
Table 6.2 Risk factors associate with epilepsy
Table 6.3 Key components of history taking and epilepsy
Table 6.4 Clinical investigations associated with making a diagnosis of epilepsy
Table 6.5 A summary of the treatment and management of epilepsy (Smith and Chadwick)
Table 6.6 Myths that exist surrounding epilepsy
Chapter 7
Table 7.1 Idiopathic intracranial hypertension and raised intracranial pressure
Table 7.2 Risk factors associated with raised intracranial pressure
Table 7.3 Acute situations related to potential neurological emergencies
Table 7.4 Highlights of diagnosis, raised intracranial pressure
Table 7.5 Some surgical interventions
Chapter 8
Table 8.1 Brain injury classification
Table 8.2 Symptoms associated with specific types of traumatic brain injury (NICE 2023a,...
Table 8.3 Components of the physical examination
Table 8.4 An overview of care and management of people with traumatic brain injury
Cover
Table of Contents
Title Page
Copyright
Preface
Acknowledgements
Begin Reading
Index
End User License Agreement
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Ian Peate, OBE FRCN EN(G) RGN DipN(Lond) RNT BEd(Hons) MA(Lond) LLM
Editor in Chief, British Journal of Nursing;
Consultant Editor, Journal of Paramedic Practice;
Consultant Editor, International Journal for Advancing Practice;
Visiting Professor, Northumbria University;
Visiting Professor, Buckinghamshire New University;
Professorial Fellow, University of Roehampton;
Visiting Senior Clinical Fellow, University of Hertfordshire
This edition first published 2025.
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Library of Congress Cataloging-in-Publication Data
Names: Peate, Ian, author.
Title: The nervous system / Ian Peate, OBE FRCN EN(G) RGN DipN(Lond) RNT Bed BEd (Hons) MA(Lond) LLM Editor in Chief, British Journal of Nursing; Consultant Editor, Journal of Paramedic Practice; Consultant Editor, International Journal for Advancing Practice; Visiting Professor, Northumbria University; Visiting Professor, St Georges University of London and Kingston University London; Professorial Fellow, Roehampton University; Visiting Senior Clinical Fellow, University of Hertfordshire.
Description: Hoboken, NJ : Wiley Blackwell, 2025. | Series: Peate’s Body systems ; 5 | Includes bibliographical references and index.
Identifiers: LCCN 2024041160 (print) | LCCN 2024041161 (ebook) | ISBN 9781394252473 | ISBN 9781394252480 (epub)
Subjects: LCSH: Nervous system–Textbooks. | Brain–Textbooks.
Classification: LCC QP361 .P43 2025 (print) | LCC QP361 (ebook) | DDC 612.8–dc23/eng/20241213
LC record available at https://lccn.loc.gov/2024041160
LC ebook record available at https://lccn.loc.gov/2024041161
Cover Images: © marinashevchenko/Adobe Stock, © phototechno/Getty Images, © 4luck/Adobe Stock, © Oleksandr Pokusai/Adobe Stock
Cover Design: Wiley
Welcome to Peate’s Body Systems; there are 12 books in the series. This is a comprehensive collection of textbooks designed to support and enrich the knowledge of health and care workers across various fields. This series is intended to be a valuable resource for those who are dedicated to understanding the intricacies of human biology, physiology and the various systems that sustain life.
Peate’s Body Systems series is rooted in the belief that a deep and thorough understanding of the human body is essential for providing the highest standard of care. Each book in this series is thoroughly crafted to offer clear, accurate and up-to-date information on different body systems. The aim is to bridge the gap between complex scientific concepts and practical, everyday applications in healthcare settings.
The purpose of this series is to provide health and care workers with:
Foundational knowledge, with explanations of the anatomical structures and physiological functions of the body systems
Insights into how these systems interact with each other and how they are impacted by various diseases and conditions, highlighting clinical relevance and encouraging practical application
Each book in Peate’s Body Systems focuses on a specific body system:
The Cardiovascular System
The Respiratory System
The Digestive System
The Renal System
The Nervous System
The Endocrine System
The Female Reproductive System
The Male Reproductive System
The Musculoskeletal System
The Skin
The Ear, Nose and Throat
The Eyes
Every chapter is designed to be comprehensive yet accessible, making complex information easier to digest and apply. Figures, tables, boxes, illustrations and flowcharts have been extensively used to support visual learning and reinforce key concepts.
This series is tailored for:
Healthcare students: those in nursing and allied health programmes
Practicing professionals: nurses, therapists and other care workers seeking to deepen their understanding and stay current with the latest developments in health and care
Educators and trainers: educators who require reliable and comprehensive teaching materials to advise and instruct the next generation of healthcare providers
The series is committed to providing quality educational resources that not only inform but also inspire and empower health and care workers. By equipping you with a robust understanding of the systems of life, you will be better prepared to make informed decisions, deliver compassionate care and ultimately improve patient outcomes.
Thank you for choosing Peate’s Body Systems as your trusted resource. I hope these textbooks serve as a valuable tool in your ongoing journey of learning and professional development.
Ian Peate
London
I would like to acknowledge the help and support of my partner Jussi Lahtinen. Acknowledgements also go to staff at the RCN Library in London. My thanks go to Tom Marriott, Christabel Daniel Raj, Bhavya Boopathi and all those at Wiley.
