How many items on the NIH stroke scale? - ANS-11
NIH Stroke scale is - ANS-an 11-item clinical evaluation instrument widely used in clinical trials and
... [Show More] practice to assess neurologic outcome and degree of recovery from stroke.
NIH Stroke Scale is used to quantify the effects of acute cerebral ischemia on levels of
... (7 items) - ANS-levels of: consciousness
vision
motor function (facial and extremities) cerebellar function
sensation language
extinction or inattention
NIH SS is used to measure patient's status after a stroke and to assess the outcome after - ANS-treatment
Should the patient be coached? Should you go back and rethink a particular assessment? - ANS-NO
Having what when using NIH scale is important? - ANS-reference materials
DO NOT RATE what you think the patient wants to do or what you think they can do, RATE ONLY - ANS-rate only what they actually do
use patient"s first response? - ANS-YES - DO NOT USE SUMMARY OF RESPONSES
re ataxia score
1- if real weak, assume ataxia score is...
2- if they can hold leg or arm up w/ minimal drift but are all over place when trying finger to nose test, that's probably...
4) if patient very weak or paralyzed, the ataxia score is... - ANS-1) 0
2) ataxia
3) 1 or 2
4) 0
You should only score loss of sensation if you can really demonstrate... - ANS-that they have loss of sensation
if patient has sensory loss from neuropathy, do you count thatt? - ANS-no, but you do if there's loss on top of the neuropathy
aphasia is difficult because it can take a while to go through the battery and it can be subjective as to whether it is one of which classification? - ANS-mild, mod, severe
start to recognise aphasia when you meet them and start talking and you don't get a history of... - ANS-what happened
dysarthria is interesting because there are many cultural things about slurred
? - ANS-speech.
Score is associated with prognosis? - ANS-YES
Is NIH scale a measure of disability? - ANS-NO. The NIH scale is a measure of impairments.
The NIH scale creates a common currency so that everybody understands the patient's level of... - ANS-deficit, by giving a number that communicates to other professionals how sick the patient is
how much time to budget to perorm NIH scale - ANS-7-10 mins
What effort should be recorded? Do not do what? - ANS-The patient's first effort. Don't go back and change scores.
IMPORTANT CONVENTIONS IN ADMINISTRATION:
Administer scale items in their exact
-Avoid ing patient
-Accept patient's effort
-Score only what the patient
-Be consistent
s - ANS--order
-coaching
-first
-does
-Be consistent
-previous strokes
ITEM 1a and how to get it - ANS--examiner's overall impression of patient alertness
-ask 2-3 questions about circumstances of admission, stimuate patient by patting or tapping, occasionally pinching [Show Less]