NEUROLOGICAL ASSESSMENT.ppt

GAIT AND ROMBERG'S TEST ALONG WITH:
1. mental and emotional status
2. cranial nerves
3. motor system
4. reflexes
5. coordination

1. DEMONSTRATION ON NEUROLOGICAL EXAMINATION PRESENTED BY- PALAK GIRI AIN/2020/598 2 ND YEAR BSC NURSING

2. CONTENT Definition Purpose Indication Contraindication Scientific principles Article preparation Preparation of unit and patient Procedure After care of patient and articles Documentation

3. DEFINITION A neurological examination is an essential component of a comprehensive physical examination. It is a systematic examination that surveys the functioning of nerves delivering sensory information to the brain and carrying motor commands and impulse back to the brain for processing and coordinating.

4. PURPOSE To determine if there is a neurological deficit: 1. Sensory 2. Motor 3. Behavioural 4. Coordinative To localize the site of problem. To determine the etiology of the problem.

5. INDICATION To identify the presence of any neurological dysfunction. As a part of routine physical examination. Patients suffering under such as: Meningitis Head injury Brain tumour Unconscious patient Tetanus

6. CONTRAINDICATION Injury or congenital anomalies to spinal cord or joints Malignancy of nervous system.

7. SCIENTIFIC PRINCIPLES People have diversity of habits and mode of behaviour. Patient and family will understand the patient’s behaviour and mental changes to physical changes.

8. PREPARATION OF UNIT Quiet. Adequate lighting. Unnecessary odour should be avoided.

9. ASSESSMENT OF PATIENT Should do not consume alcohol before the procedure. The patient should be awaken and alert, sitting on the chair facing the examiner. Assess the exercise tolerance level of client.

10. ARTICLES Opthalmoscope Sneller’s chart Torch

11. Reflexes Hammer Tunning fork Tongue depressor Essence vial Q tips cotton

12. CONTENT OF PROCEDURE Mental and emotional status Cranial status Motor system Reflexes Coordination

13. Gait assessment

14. Romberg’s Test

15. 1.Mental and emotional status Level of consciousness- ask questions Attentiveness- spell words Orientation- name place person Language- aphasia Memory

16. 2. Cranial nerve

17. 3. Motor system Visual inspection: Musculature Muscle Wasting Involuntary Movements Tremors Tone: flexion and Extension Strength and endurance: Shoulder Hands Legs

18. 4. Reflexes

19. Babinski reflex

20. 5. Coordination Finger nose test – dysdiadochokinesia

21. AFTER CARE OF ARTICLES Articles that cannot be used again should be discarded in their respective bins like cotton balls. Articles like tongue depressor should be send for sterilization to Central sterile processing department(CSSD) Reflexes hammer, tunning fork cotton swab with isopropyl alcohol solution or alcohol swabs.

22. DOCUMENTATION Before coming to conclusion :Review Integrate