p&c - part 1- brain anatomy

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    P E R C E P T I O N&

    C O O R D I N A T I O NBY:

    APPLE G. ALVAREZ, RN,MN

    Ateneo De Davao University

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    POLICIES

    1. Attendance will be checked 8:00 AM 8:00 -11:00 AM , 1:00PM 1:00 -4:00PM

    2. Quiz will be administered after attendance is check. 3. 15 minutes late considered absent!4. Doors will be closed after 15 MINUTES.5. Nobody is allowed to talk / chat once the class has already started. .

    If someone is caught - - - he/she will be asked to explain theconcept in the class.

    6. Anyone caught CHEATING will be reprimanded right away and willautomatically get a zero grade in his/her quiz.

    7. No loud voices during group activities . A deduction of 10 points will be the consequence.

    THANK YOU!

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    INDIVIDUAL ACTIVITY 1 June 14, 2012 15 POINTS

    Brain ResumePretend your brain was going on an interview for a particular job. Why would your brain be best for the

    position? What parts of your brain are best for the job?

    Develop a resume (a summary of qualifications,experience and education) for your brain.

    You may want to pick an occupation. For example, why is your brain best suited for a teacher?

    Why is your brain best suited for a basketball player?

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    WHAT KEEPS US FROM MOVING?

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    WHAT MAKES US INTERPRETSENSATIONS?

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    .

    WHAT IS PERCEPTION &COORDINATION?

    PERCEPTION mental process by which thebrain selects, organizes and

    interprets these sensations

    COORDINATION -movement of parts together: the

    skillful and balanced movement ofdifferent parts, especially parts of

    the body, at the same time

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    At the end of this session, thestudents shall:

    1. Enumerate the main divisionsof the nervous system with itscorresponding functions.

    2. Recall the appropriatediagnostic exam given thedisorder

    3. State the nursing responsibilitiesfor a particular diagnostic exam.

    LEARNING OBJECTIVES:

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    Anatomy and Physiology

    of theNERVOUS SYSTEM

    PART 1

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    Seat of all mentalactivity

    1.Consciousness2.Memory3. Thinking.

    NERVOUS SYSTEM

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    One of the bodys major regulatory andcoordinating systems

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    2 MAIN STEMS

    Central Nervous SystemBrain

    Spinal CordPeripheral Nervous System Nerves and Wirings

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    LargestMost prominent part of the brain

    Right hemisphereLeft hemisphere

    A. CEREBRUM

    SENSORY & MOTORFUNCTION

    THOUGHT &LEARNING

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    Outer gray layer

    Responsible for the

    conscious activities ofthe cerebrum

    Four (4) lobes

    1. Frontal lobe

    2. Parietal lobe

    3. Temporal lobe

    4. Occipital lobe

    B. CEREBRAL CORTEX

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    Interpretation ofpain, touch,

    temperature &pressure

    2.PARIETAL LOBE

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    Auditory center

    Wernickes area for

    sensory & speech

    3.TEMPORAL LOBE

    Language development

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    Visual area

    4.OCCIPITAL LOBE

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    SUMMARY

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    C. BASAL GANGLIA

    smooth voluntary movements

    Set /clusters of neuralstructuresInterconnectedBuried deep inside thecerebrum

    Main basal ganglia are :Caudate nucleusPutamen

    Globus Pallidus

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    PARKINSONSDISEASE

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    Located around the third ventricle

    Thalamus

    Hypothalamus

    D. DIENCEPHALON

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    Directing Sense Impulses Throughout the Body

    Autonomic Function ControlEndocrine Function Control

    Motor Function ControlHomeostasis

    Hearing, Vision, Smell, and Taste Touch Perception

    SEVERAL FUNCTIONS OFDIENCEPHALON

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    Sensory integration andmotor integration

    Receives sensoryinformation

    Relays it to the cerebralcortex

    Transmits this information

    to other parts of the brain andthe brain stem.

    THALAMUS

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    Controls body temperature,emotions, hunger, thirst, appetite,digestion and sleep

    Located at the base of the brainSize of a pea

    HYPOTHALAMUS

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    1. Medullaoblongata

    2. Pons3. Midbrain

    E. BRAINSTEM

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    ANOTHER PICTURE:BRAIN STEM

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    Most vital part of thebrain necessary forHUMAN LIFE

    BreathingBlood pressureHeart beat among

    other involuntary bodyfunctions not underconscious control

    1.MEDULLA OBLONGATA

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    Relay station - - fromcerebrum to cerebellum

    Respiratory centerRegulates breathing

    Regulates sleep

    2.PONS

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    Receives incoming sensorymessages, integrates them, and

    transmits decisions to theappropriate motor nerves

    Responsible for motorcoordination

    Contains the visual reflex &auditory relay centers

    3.MIDBRAIN

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    Second largestdivision of the brain

    Runs uninterrupted with the spinal cordCoordinates smoothmuscle movement

    Coordinates posture,

    equilibrium, andmuscle tone

    F. CEREBELLUM

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    - Protected by:MeningesCerebrospinal fluid

    Adipose tissue

    G. SPINAL CORD

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    LEVELS OF INJURY

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    Provides neuron and synapse networks to produceinvoluntary response to sensory stimulation

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    Allows for control of the number of pain impulses that pass through the spinal cord in their way to the brain.

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    Carries sensory information to & motor information fromthe brain

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    Extends from the first cervical to second lumbar vertebra

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    Protected by meninges, cerebrospinal fluid and adiposetissue

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    31 segments:8 cervical12 thoracic

    5 lumbar5 sacral1 coccygeal

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    DEGENERATION

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    DISCS

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    To protect the brain and spinal cord

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    MENINGES

    Provide structural support to large blood vessels that supply the CNSPhysically anchor the brain to the skull

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    Is tough and fibrous membrane

    DURA MATER

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    Vascular membraneDelicate membrane is tightly bound to the surface of the

    brain and spinal cordCannot be dissected away without damaging the surface.

    PIA MATER

    Subarachnoid

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    Subarachnoidspace

    Between arachnoidmembrane and the Piamater

    Cerebral fluid flowsthrough this space

    I . CEREBROSPINAL FLUID

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    Secreted in the ventricles

    Circulates through the ventricles

    Arachnoid layer of themeninges

    where it isreabsorbed

    I . CEREBROSPINAL FLUID

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    ABNORMALITY- CSF

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    Circulates in thesubarachnoid space

    Acts as a protective

    cushion

    CEROSPINAL FLUID . . .

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    System of fluid-filled openspaces in the brain

    4 Ventricles

    Communicates between thesubarachnoid spaces

    Produces and circulatescerebrospinal fluid

    J. BRAIN VENTRICLES

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    FUNCTIONS OF THE

    BBB Protects the brain from"foreign substances" inthe blood that mayinjure the brain.Protects the brain fromhormones andneurotransmitters in therest of the body.Maintains a constantenvironment for thebrain.

    BLOOD BRAIN BARRIER

    Blood Brain Barrier

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    Blood Brain Barrier

    A mechanism that controls the passage of

    substances from the blood into the cerebrospinalfluid and thus into the brain and spinal cord

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    Chemicals whichallow thetransmission ofsignals from oneneuron to the nextacross synapses

    Found at the axon

    endings of motorneurons, where theystimulate the musclefibers.

    J. NEUROTRANSMITTERS

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    Acetylcholine Amino acidsPolypeptides

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    Nerve cells that transmitnerve signals to and fromthe brain

    Communicates with eachother = chemical processCell body that contains thenucleus

    Specialized extensions =axons and dendritesSpecialized structures =synapse &neurotransmitters

    K. NEURONS / NERVE CELLS

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    Take information away fromthe cell body

    Smooth surfaceNerve fibers -- elongated and

    slender

    Transmit signals

    Bring information to the cellbody

    Rough SurfaceExtensions of nerve cellsOperate as conductors of

    electrochemical stimuli receivedfrom neighboring cells

    Receive signals Impulses they receive are

    carried inwards and towards thesoma, or cell body

    DENDRITES AXONS

    Summary:

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    y

    1. Dendrites receive electrochemicalimpulses from other neurons, and carrythem inwards and towards the soma,

    while axons carry the impulses awayfrom the soma.

    2. Dendrites are short and heavily branchedin appearance, while axons are muchlonger

    3. Generally, dendrites receive neuronsignals, and axons transmit them

    4. Most neurons have a lot of dendrites and

    only have one axon.

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    Neurons that carries impulses to the CNS

    MOTOR NEURONS

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    SYNAPSE PROCESS

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    Information from one neuronflows to another neuron across a

    synapseSYNAPSE contains a small gapseparating neurons

    The synapse consists of:

    1. Presynaptic ending that containsneurotransmitters, mitochondria& other cell organelles

    2. Postsynaptic ending that contains

    receptor sites forneurotransmitters3. Synaptic cleft or space between

    the presynaptic and postsynapticendings

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    The synapse consists of:

    1. Presynaptic ending

    2. Postsynaptic ending(receiving like DENDRITES)

    3. Synaptic cleft or space

    Synaptic vesicles containsNEUROTRANSMITTERS

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    For communication between neurons to occur, an electricalimpulse must travel down an axon to the synaptic

    terminal.

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    The axon of one neurondoesn't touch the dendritesof the next.

    Nerve signals have to jumpacross a tiny gap.

    To get across the gap theyhave to change fromelectrical signals intochemical signals then backinto electrical signals.

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    31 pairs of spinal nerves

    Mixed nerve fibers are formed bythe joining of the anterior motor and

    posterior sensory roots. Anterior (ventral) roots- contain efferent (motor)nerve fibers

    Posterior (dorsal) roots- contain afferent(sensory) nerve fiber

    L. SPINAL NERVES

    31 pairs of spinal nerves

    Mixed nerve fibers are formedby the joining of the anteriormotor and posterior sensoryroots.

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    M. CRANIAL NERVES

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    Nerve Name Functions

    I Olfactory Smell

    II Optic Vision

    III Oculomotor Movement of the eyes, elevation of the eyelids, constriction of pupil in response to light

    IV Trochlear Inferior and lateral movement of the eyes

    V Trigeminal Sensation from the face, control of the muscles involved in chewing

    VI Abducent Lateral movement of the eye

    VII Facial Control of the muscles involved in facial expression, taste, tear production, salivation

    VIII Vestibulocochlear Hearing and balance

    IX Glossopharyngeal Salivation, taste, sensation from external ear

    X Vagus Control of the muscles involved in swallowing, taste, autonomic innervation of various organs including tongue,larynx (area of voice production), pharynx (throat), heart, bronchi of lungs, esophagus

    XI Accessory Control of the muscles of the palate, pharynx, larynx

    XII Hypoglossal Control of the muscles of the tongue

    CRANIAL NERVES

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    12 pairs 1st & 2 nd emerge from

    the cerebrum Olfactory Optic

    10 emerge from thebrain stem

    CRANIAL NERVES

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    II.OPTIC NERVE

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    Nerve that transmits visualinformation from the retina of the eyeto the brain

    GLAUCOMA

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    Eye nerve

    III. OCULOMOTOR

    NERVE

    Eye movement

    Constriction of the pupil

    Holding the eyelid open

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    Superior obliquemuscle

    IV.TROCHLEARNERVE

    Rotate the eye away from the nose

    Moves the eye downward

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    VI ABDUCENT

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    Last nerve to control the eyes

    VI. ABDUCENTNERVE

    Move the eyesaway from the

    MIDLINE

    VII FACIAL

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    Works = Trigeminal nerve Rest of the facial muscles Operates the middle ear's muscles

    Controls the rear two thirds of thetongue

    VII.FACIALNERVE

    TASTE & HEARING

    VIII. VESTIBULOCOCHLEAR

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    Auditory nerve Splits into two nerves as it

    enters the ear

    Cochlear nerve

    Vestibular nerve

    NERVE

    Information - hearing

    Information - balance

    G OSSO A G A

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    Mouth nerve

    IX. GLOSSOPHARYNGEALNERVE

    Sensory taste information Taking data from : tonsils, pharynx & middle ear

    X. VAGUS

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    PNEUMOGASTRICNERVE

    NERVE

    brainstem

    Jugular foramen

    head

    abdomen

    Innervates both the lungs and the stomach

    XI ACCESSORY NERVE

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    Neck muscles Sensory (haptic) feedback

    from the neck.

    XI.ACCESSORY NERVE

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    Last muscle involved in the use of themouth

    Tongue movement

    Responsible for eating and part ofspeech

    XII. HYPOGLOSSALNERVE

    COMPARISON

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    12 pairs Emerge = directly from

    brain

    31 Emerge = segments of

    the spinal cord

    Cranial Nerves Spinal Nerves

    COMPARISON

    N. AUTONOMIC NERVOUS

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    Peripheral nervous system

    Controls the glands and themuscles of the internal organs Operates on its own and isinvoluntary

    N. AUTONOMIC NERVOUSSYSTEM

    UNAWARE OF THE FUNCTION

    Parasympathetic Nervous

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    Parasympathetic NervousSystem

    Works to save energycausing the body torelax.Rest and Digest

    responseOriginates in the spinalcord and the medulla

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    Sympathetic NervousSystem

    Fight or Flight response.Originates in the spinal cord .

    2 DIVISIONS

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    1. Sympathetic "arousesthe body, mobilizing itsenergy in stressfulsituations" / F or F

    2. Parasympathetic

    Produces the oppositeeffect

    "calms the body,conserving its energy"

    2 DIVISIONS

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    Chart about the reactions of the organ inSympathetic and Parasympathetic Nervous System

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    Sympathetic and Parasympathetic Nervous System

    OrganSympathetic Parasympathetic

    Eyes Dilated Pupil Contracted Pupil

    Heart Accelerated Heartbeat Slow Heartbeat

    Stomach Inhibits Digestion Stimulates Digestion

    Liver Stimulates glucoserelease

    Stimulates gallbladder

    Kidney Decreased urine secretion Increased urine secretion

    Bladder Relaxes Bladder Contracts Bladder

    AROUSES CALMS

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