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Simple reflex actions involve an impulse traveling along a nerve to the

_____________________and back.
2. A common test used to illustrate this action is called the ____________________________.
3. Complex reflex actions involve an impulse traveling from its source through ____________ to
the ___________________ and up to the ______________.
Case Studies with Critical Thinking Questions
Scenario 1
Yesterday your nephew was severely injured in a motorcycle accident. The provider believes
there is a fracture in the thoracic spine but needs to have a radiological workup to determine the
extent of the injury. Your brother is very concerned because his son has no sensations or control
of his body from the waist down. He has asked you what you think of his condition.
1. Is it important to ask what the nephew’s physician has told your brother?
2. How would you answer your brother if he asks if the paralysis may be permanent?
3. How much encouragement for recovery should you give him?

1 answer

Here are the answers to the incomplete sentences and some considerations for the case study scenario:

Incomplete Sentences:

  1. Simple reflex actions involve an impulse traveling along a nerve to the spinal cord and back.
  2. A common test used to illustrate this action is called the knee-jerk reflex (or patellar reflex).
  3. Complex reflex actions involve an impulse traveling from its source through interneurons to the spinal cord and up to the brain.

Case Studies with Critical Thinking Questions:

Scenario 1:

  1. Is it important to ask what the nephew’s physician has told your brother?

    • Yes, it is very important. Understanding what the physician has conveyed about the injury, prognosis, and treatment options can provide clarity and help guide the conversation. It can also help reassure your brother by providing accurate information, addressing fears, and understanding any planned interventions.

  2. How would you answer your brother if he asks if the paralysis may be permanent?

    • You could explain that the extent and duration of paralysis depend on several factors, including the location and severity of the spinal injury, the promptness of medical care, and the rehabilitation process. It is too early to make definitive conclusions without further medical evaluation and treatment. Encourage your brother to have open discussions with the healthcare team for detailed insights regarding prognosis and potential outcomes.

  3. How much encouragement for recovery should you give him?

    • Offer balanced encouragement that is realistic yet hopeful. Acknowledge the seriousness of the situation, but also share stories of recovery and advancements in medical treatments for spinal injuries. Suggest that recovery can be a gradual process and emphasize the importance of physical therapy, rehabilitation, and a positive mindset, while also being prepared for the possibility of different outcomes. It’s essential to support him emotionally while also encouraging him to consult with medical professionals for the most accurate information regarding recovery potential.