Neurological Assessment includes
-client's current condition
-Glasgow Coma Scale
-pupillary changes
-hand grips/leg lifts/pushing strength of
... [Show More] feet
-Babinski reflex
Neurological Assessment of Client's Current Condition - Onset: It's important to know
when the symptoms started
Neurological Assessment of Client's Current Condition - Onset: Ask them _______________________________ and what ____________________________
when was the onset; symptoms did the client have intially
Neurological Assessment of Client's Current Condition - Description of Symptoms: Have them
describe
Neurological Assessment of Client's Current Condition - Description of Symptoms: Know the ________________, how __________________________, and how _______________
location; long the symptoms have persisted; severe
Neurological Assessment of Client's Current Condition - Associated Factors: Determine if there were any __________________________________ associated with the symptoms
triggers or aggravating factors
Neurological Assessment of Client's Current Condition - Associated Factors: Ask them "did anything ________________________ the symptoms?"
help relieve
Neurological Assessment of Client's Current Condition - Overall Appearance: Note the client's general
appearance and behavior
Neurological Assessment of Client's Current Condition - Overall Appearance: Observe if there are any ______________________________ of a ____________________________ deficit?
obvious signs; neurological (speech slur? drooping side of face?)
Neurological Assessment of Client's Current Condition - Degree of Consciousness: What is the MOST important aspect of the neuro exam?
assessment of the client's mental status, including LOC
Neurological Assessment of Client's Current Condition - Degree of Consciousness: Mental status includes
-awareness of surroundings and alertness
-orientation to person, place, and time
-memory: both short-term and long-term
Neurological Assessment of Client's Current Condition - Degree of Consciousness: The most sensitive indicator of neuro status is
LOC
Neurological Assessment of Client's Current Condition - Degree of Consciousness: A change in LOC may be
the first sign that there is a problem
Neurological Assessment - Glasgow Coma Scale: This scale is used to
assess the LOC in a client who already has altered consciousness or has the potential of altered consciousness
Neurological Assessment - Glasgow Coma Scale: This scale is used primarily in the
ED or ICU
Neurological Assessment - Glasgow Coma Scale: The definition of this scale is
a scale that measures the degree of LOC
Neurological Assessment - Glasgow Coma Scale: 3 responses of this scale
1. eye opening
2. motor response
3. verbal response
Neurological Assessment - Glasgow Coma Scale: RULE - we like a
high number ranging from 13 to 15
Neurological Assessment - Glasgow Coma Scale: What is always #1 with neurological assessment?
LOC [Show Less]