Assessment of Neuro Flashcards
what will be subjective data in the assessment
things pt tells us:
hx
meds
surgery
etc
what will be objective info in the assessment
physical exam
what does the neuro physical exam consist of (5)
mental status
cranial nerve function
motor function
sensory function
reflexes
what will we asses in mental status & speech (6)
confusion/memory problems
LOC
appearance & behavior
speech
cognitive function
constructional ability
what 4 things could we chart about a pts LOC
Alert
Lethargic: sleepy but arousable
Stuporous: arousable w/ difficulty
Comatose: not arousable
what is constructional ability:
affects pts ability to perform simple tasks & use various objects
what will we assess when assessing pts cognitive function (4)
thought content
abstract thinking
judgement
emotional status
what are the 3 areas of memory loss
long-term or remotes memory
recall or recent
immediate or new memory
what is the glascow coma scale
standardized tool used to measure pts neuro status based on opening of eyes, speech, & movemement
what is the worst score on the glasgow coma scale
3
what is the best score on the glasgow coma scale
15
how do we assess sensory function (5)
pain
light touch
vibration
position
discrimination
discrimination assesses the cerebral cortex’s ability to ___ & ___ info
interpret
integrate
assessing motor function will consist of muscle tone in which we assess (4)
ROM arm
ROM leg
observe gait & motor activities
assessing motor function will also assess cerebellar function in which we will look at the (6)
Balance & coordination
gait
romberg’s test
finger to nose test
rapid alternating movement tests
