Chiari Malformations, Headache, CM-I, cerebellar tonsillar herniation
Medicine and Health Sciences | Nursing
The well prepared advanced practice nurse will have a solid understanding of anatomy and physiology, as well as pathophysiological principles. The APN that practices in the emergency department or in the acute care setting should be familiar with a variety of common neurological disorders.
The National Institute of Neurological Disorders and Stroke (NIH) estimate that greater than 1 out of every 1000 persons will be identified with a Chiari malformation (CM) and the greater majority diagnosed will be female (National Institute of Neurological Disorders and Stroke [NIH], 2013, para. 6). Chiari malformations can be congenital or acquired and are staged as I, II, III, IV, 0 or 1.5. Stage I is the most common and it the only type that can be acquired. Not all CMs require treatment. There are CMs that only require monitoring as they are asymptomatic; however, other CMs can cause severe impairment and require surgical intervention. Effective management of chronic conditions, such as CM, can have profound effects on a variety of factors such as patient morbidity, mortality rates and health care utilization. For a nurse with a strong background in neurological intensive care, the study of neurological conditions is an especially significant area of interest.
Benner, Karin, "Chiari Malformation" (2017). Master of Science in Nursing (MSN) Student Scholarship. 247.