1 / 9

Miss M. N. PRIYADARSHANIE ( BSc . Nursing ) Neurological Assessment

Miss M. N. PRIYADARSHANIE ( BSc . Nursing ) Neurological Assessment . Why we are doing a neurological assessment?. Assessment of neurological system Evaluation of mental status Evaluation of cranial nerve functions Evaluation of cerebellar functions

tobias
Download Presentation

Miss M. N. PRIYADARSHANIE ( BSc . Nursing ) Neurological Assessment

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Miss M. N. PRIYADARSHANIE ( BSc . Nursing ) Neurological Assessment

  2. Why we are doing a neurological assessment?

  3. Assessment of neurological system • Evaluation of mental status • Evaluation of cranial nerve functions • Evaluation of cerebellar functions • Evaluation of reflexes • Evaluation of motor, sensory functions • Assessment of level of consciousness by using GCS - The GCS is a tool for assessing a patient’s response to stimuli. Score range from 3-15.

  4. Glasgow Coma Scale

  5. Best eye response • No eye opening • Eye opening in response to pain. (Patient responds to pressure on the patient’s fingernail bed; if this does not elicit a response, supraorbital and sternal pressure or rub may be used.) • Eye opening to speech. (Not to be confused with an awaking of a sleeping person; such patients receive a score of 4, not 3.) • Eyes opening spontaneously

  6. Best verbal response • No verbal response • Incomprehensible sounds. (Moaning but no words.) • Inappropriate words. (Random or exclamatory articulated speech, but no conversational exchange) • Confused. (The patient responds to questions coherently but there is some disorientation and confusion.) • Oriented. (Patient responds coherently and appropriately to questions such as the patient’s name and age, where they are and why, the year, month, etc.)

  7. Best motor response • No motor response • Extension to pain (abduction of arm, external rotation of shoulder, supination of forearm, extension of wrist, decerebrate response) • Abnormal flexion to pain (adduction of arm, internal rotation of shoulder, pronation of forearm, flexion of wrist, decorticate response) • Flexion/Withdrawal to pain (flexion of elbow, supination of forearm, flexion of wrist when supra-orbital pressure applied ; pulls part of body away when nailbed pinched) • Localizes to pain. (Purposeful movements towards painful stimuli; e.g., hand crosses mid-line and gets above clavicle when supra-orbital pressure applied.) • Obeys commands.

  8. Generally, brain injury is classified as: • Severe, with GCS ≤ 8 • Moderate, GCS 9 - 12 • Minor, GCS ≥ 13 • GCS = 3 Brain death or pharmacological inhibition of neurological response • GCS = 15 Patient fully responsive

  9. Thank you !

More Related