Neurological Assessment Flashcards
nervous system functions (5)
1) initiation / coordination of mvmnt
2) reception / perception of sensory stimuli
3) organization of thought processes
4) control speech
5) memory storage
alertness / orientation
- 4 components
- person, place, time, reason
- if off reorient the person & reassess
level of consciousness scale 1-5
1: deep coma (dont respond to voice or pain)
2: light coma
3: aroused to verbal stimuli
4: very tired
5: completely awake
Glasgow coma scale
- measures what
- 3 categories
- scale goes from what to what
- change in what ->
- measures level of consciousness
1) eye opening
2) verbal response
3) motor response
scale: 15 = highest, 3 = lowest - any change in 2 means something is off
language: evaluate cerebral cortex function
-ability to understand spoken / written word
-ability to express thoughts
writing, words, gestures, voice inflection, tone, manner of speech
aphasia (2)
-could be both
- speech problems
1) sensory (receptive) - inability to understand written or verbal speech
2) motor (expressive) - inability to write or speak appropriately (can’t express themselves)
intellectual function (5)
1) memory
- short term/recent
- long term/ remote
2) knowledge
3) abstract thinking
- interprets colloquialisms
4) association
- identifies related concepts
5) judgement
- logical decision making
stenosis
narrowing of vessels (carpotunnel)
ASSESS BOTH SIDES OF BODY
always
parasthesias
numbness & tingling
motor functions
-determine what
- cerebellar function smooth/steadyness of mvmnt
- balance
- equillibrium
- posture
coordination
perform rapid, rhythmical, alternating movements
balance: what test do you give
Romberg test
reflexes
-evaluated by who
advanced practitioners
