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PP - Patient Assessment > Neurological > Flashcards

Neurological Flashcards

1
Q

End Of Bed Assessment
[critical]
NEUROLOGICAL

A 
Safety
Patients general appearance
Levels of consciousness
Age
Gender
Obvious Pain/position
Environment
Obese/Wasted
Time Critical
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2
Q

Initial Approach To Patient
[critical]
NEUROLOGICAL

A

Greets the patient

Obtains Consent

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3
Q

Communication

NEUROLOGICAL

A 
Explains clearly
Builds Rapport
Shows empathy
Avoids jargon
Responds to concerns/expectations
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4
Q

Taking A History
[critical]
NEUROLOGICAL

A 
Presenting complaint
History of presenting complaint
Previous medical history
Drug history and allergies
Family/social history
Review of systems
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5
Q

JACCO

NEUROLOGICAL

A 
Jaundice
Anaemia
Cyanosis
Clubbing
Oedema
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6
Q

AVPU/GCS
[critical]
NEUROLOGICAL

A
  1. AVPU

GCS

  1. EYE
  2. Voice
  3. Motor
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7
Q

FAST Test
[critical]
NEUROLOGICAL

A

Face
Arms
Speech

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8
Q

Mini Mental Test

NEUROLOGICAL

A 
How old are you?
What is the time? (nearest hour)
Give patient an address, ask them to remember and repeat at end of the test.
What year is it
What is the name of where you are now
Identify 2 recognisable people.
What is your date of birth
When did the second world war end?
Who is the current prime minister?
Count down backwards from 20 to 1
Can you remember the address i gave you?
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9
Q

Cranial Nerves: Face

NEUROLOGICAL

A 
Puff cheeks
Raise eyebrows
Scrunch eyes
Purse lips
Bare teeth
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10
Q

Cranial Nerves: Eyes

NEUROLOGICAL

A 
Visual acuity - 20/20 vision
Visual fields
Extra ocular movements
Pupils - round, reactive, reflex and consensual
Accommodation
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11
Q

Cranial Nerves: Nose and Ears, Mouth, Neck and shoulder

NEUROLOGICAL

A 
Hearing
Smell/taste
Open mouth, say "ah" tongue out
Shrug
Head turn to resistance
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12
Q

Power And Tone

NEUROLOGICAL

A

Squeeze fingers, pull towards using biceps (C6)

Spread fingers (T2)

Plantar flexion of feet. Feet downwards +/- resistance (S2)

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13
Q

Sensation

NEUROLOGICAL

A

Abnormal response to light touch

Romberg test - stand with eyes closed - tests proprioception

ALWAYS ASK about change in urination/defecation and saddle anaesthesia if back/sciatic pain present.

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14
Q

Coordination
[critical]
NEUROLOGICAL

A

Gait
Heel toe walking
Finger - nose test
Rapid alternative movements

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15
Q

Essential Observations
[critical]
NEUROLOGICAL

A

BM

BP

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16
Q

Impression
[critical]
NEUROLOGICAL

A

1.
2.
3.
4.

17
Q

NEWS2/Pathfinder/PRT

NEUROLOGICAL

A

NEWS2
Pathfinder
PRT

18
Q

Plan: Non-conveyed

NEUROLOGICAL

A
  1. Ongoing care
  2. Safety Netting - advice to patient.

Referral to another HCP

  1. Accurate details
  2. Structure - use SBAR
  3. PRF signed
19
Q

Plan: Conveyed

NEUROLOGICAL

A
  1. Destination
  2. On-going care
  3. Reassessment of observations

Hand over to HCP

  1. Accurate details
  2. Structure - use SBAR

PP - Patient Assessment (5 decks)

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