Neuro Assessment.docx - Neuro Assessment Occurrence of...

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Neuro Assessment Occurrence of Neural Disease o Dependent on many factors o Disorders can occur in the central or peripheral nervous systems o Problem may be structure of function of neural cells. o Some neurologic conditions are secondary to chronic disease. o Problems may occur with manufacture or storage of neurotransmitters. o Some neurological conditions are the result of infectious diseases. Risk Factors o Age o Genetics o Injury o Hypertension o Gender o Infection o Exposure to toxic chemicals o Congenital defect o Hypoxia o Autoimmune disease o Hemorrhagic condtions o Vascular disease o Chronic disease ASSESSMENT o History o Mental or cognitive status o Physical exam o Speech exam o Cranial nerve exam o Motor exam o Sensory exam o A complete exam is done on admission or at the beginning of each shift. o Thereafter assessments can be more problem-focused, zeroing in on the individual patient's condition. o The patient's diagnosis and physical condition will help you decide how detailed your problem-focused assessments will be and how frequently you'll need to conduct them. Patient History o Sample Questions Tell me how this problem started. Was the onset gradual or abrupt? Did anything seem to precipitate the event? Did you do anything to treat the prob at home before you came in? What medicines have you taken today? What makes the symptoms better? What makes the symptoms worse? Symptoms o Tell me what you felt during this episode. o Did you experience any dizziness or light-headedness? o Can you describe the sensations you felt? o Were you able to speak and understand what was said to you? o Did your vision change? o Do you remember everything that happened during that time? o Were you able to move all parts of your body normally? o Were you able to walk steadily without assistance? Assessment of LOC o Apply stimuli to determine patient aroual o Observe spontaneous reactions vs. responses to stimuli o Stimuli can be visual, verbal, tactile, noxious o LOC is the most important indicator of neuro function Level of Consciousness o The single most important tindication of neurologic status is level of consciousness.
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o It is a sensitive indicator of cerebral perfusion and neuronal function. o Change in the patient's level of consciousness is often the first sign of deteriorating condition.
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  • Spring '14
  • Brinkley

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