Neuro Assessment & Dx Fall 2015 .pdf

Neuro Assessment & Dx Fall 2015 .pdf - NURN 236 Nursing...

This preview shows page 1 - 2 out of 9 pages.

10/21/2015 1 Neuro Assessment NURN 236 Nursing Concepts III Occurrence of Neural Disease Dependent on many factors Disorders can occur in the central or peripheral nervous systems Problem may be structure of function of neural cells. Some neurologic conditions are secondary to chronic disease. Problems may occur with manufacture or storage of neurotransmitters. Some neurological conditions are the result of infectious diseases. Risk Factors 1. AGE 2. GENETICS 3. INJURY 4. HYPERTENSION 5. GENDER 6. INFECTION 7. EXPOSURE TO TOXIC CHEMICALS 8. CONGENITAL DEFECT 9. HYPOXIA 10. AUTOIMMUNE DISEASE 11. HEMORRHAGIC CONDITIONS 12. VASCULAR DISEASE 13. CHRONIC DISEASE ASSESSMENT History Mental or cognitive status Physical exam Speech exam Cranial nerve exam Motor exam Sensory exam A complete exam is done on admission or at the beginning of each shift. Thereafter assessments can be more problem-focused, zeroing in on the individual patient's condition. 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 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 problem at home before you came in? What medicines have you taken today? What makes the symptoms better? What makes the symptoms worse?
Image of page 1

Subscribe to view the full document.

10/21/2015 2 Symptoms Tell me what you felt during this episode. Did you experience any dizziness or light-headedness? Can you describe the sensations you felt? Were you able to speak and understand what was said to you? Did your vision change? Symptoms Do you remember everything that happened during that time? Were you able to move all parts of your body normally? Were you able to walk steadily without assistance? Assessment of LOC Apply stimuli to determine pt. arousal Observe spontaneous reactions v. responses to stimuli Stimuli can be: visual, verbal, tactile, noxious LOC is the most important indicator of neurologic function Level of Consciousness The single most important indication of neurologic status is level of consciousness. It is a sensitive indicator of cerebral perfusion and neuronal function. Change in the patient's level of consciousness is often the first sign of deteriorating condition.
Image of page 2
You've reached the end of this preview.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern