Enviar búsqueda
Cargar
Neurological assessment
•
Descargar como PPT, PDF
•
16 recomendaciones
•
8,778 vistas
Albert Balace
Seguir
Salud y medicina
Educación
Denunciar
Compartir
Denunciar
Compartir
1 de 53
Descargar ahora
Recomendados
Nanda lists of diagnosis
Nanda lists of diagnosis
Jack Frost
Nervous system normal and abnormal findings
Nervous system normal and abnormal findings
Melz Susan
106066843 case-study-kawadaki
106066843 case-study-kawadaki
homeworkping7
4 subjective data
4 subjective data
Carmela Domocmat
Assessments heart & neck vessel
Assessments heart & neck vessel
Carmela Domocmat
Depression
Depression
kkapil85
management of patient with cheast and lower respiratory tract desorder
management of patient with cheast and lower respiratory tract desorder
Kalinga Institute of Medical Sciences
Suggested activities for psychiatric disordes
Suggested activities for psychiatric disordes
SonaliKatoch5
Recomendados
Nanda lists of diagnosis
Nanda lists of diagnosis
Jack Frost
Nervous system normal and abnormal findings
Nervous system normal and abnormal findings
Melz Susan
106066843 case-study-kawadaki
106066843 case-study-kawadaki
homeworkping7
4 subjective data
4 subjective data
Carmela Domocmat
Assessments heart & neck vessel
Assessments heart & neck vessel
Carmela Domocmat
Depression
Depression
kkapil85
management of patient with cheast and lower respiratory tract desorder
management of patient with cheast and lower respiratory tract desorder
Kalinga Institute of Medical Sciences
Suggested activities for psychiatric disordes
Suggested activities for psychiatric disordes
SonaliKatoch5
Nursing care plans, concept map bronhial asthma
Nursing care plans, concept map bronhial asthma
Reynel Dan
Sleep Disorders
Sleep Disorders
Susmita Halder
Physical Assessment for Pregnant women
Physical Assessment for Pregnant women
Areej AbdulRahman
Activity and sleep pattern
Activity and sleep pattern
Frances Santos
Case Study of Spina Bifida
Case Study of Spina Bifida
grimioire
Sample Gordon's Functional Health Pattern: Intestinal Obstruction Powerpoint ...
Sample Gordon's Functional Health Pattern: Intestinal Obstruction Powerpoint ...
Katherine 'Chingboo' Laud
Auditory hallucinations
Auditory hallucinations
Vijay Bhatia
Forgeinbody airway obstruction
Forgeinbody airway obstruction
sameerdm
Infant Physical Assessment
Infant Physical Assessment
Monique Trejeros
3 steps of health assessment
3 steps of health assessment
Carmela Domocmat
Nervous system exam
Nervous system exam
Puneet Shukla
Chest pain: nursing assessment and management
Chest pain: nursing assessment and management
Jamie Ranse
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
Nurse ReviewDotOrg
Neuro Assessment
Neuro Assessment
babykian05
L2 joint movement
L2 joint movement
Ysgol Dyffryn Aman
Ppt17
Ppt17
stanbridge
Joint movement
Joint movement
Jason Brand
Neurological assessment sp07 webversion
Neurological assessment sp07 webversion
coolboy101pk
disc prolapse
disc prolapse
Prashanth Kumar
nEUROLOGICAL EXAM OF LOWER LIMB
nEUROLOGICAL EXAM OF LOWER LIMB
Ruhul Amin
Motor system reflexes for students
Motor system reflexes for students
vajira54
Muscle tone and Deep tendon reflex assessment
Muscle tone and Deep tendon reflex assessment
shuchij10
Más contenido relacionado
La actualidad más candente
Nursing care plans, concept map bronhial asthma
Nursing care plans, concept map bronhial asthma
Reynel Dan
Sleep Disorders
Sleep Disorders
Susmita Halder
Physical Assessment for Pregnant women
Physical Assessment for Pregnant women
Areej AbdulRahman
Activity and sleep pattern
Activity and sleep pattern
Frances Santos
Case Study of Spina Bifida
Case Study of Spina Bifida
grimioire
Sample Gordon's Functional Health Pattern: Intestinal Obstruction Powerpoint ...
Sample Gordon's Functional Health Pattern: Intestinal Obstruction Powerpoint ...
Katherine 'Chingboo' Laud
Auditory hallucinations
Auditory hallucinations
Vijay Bhatia
Forgeinbody airway obstruction
Forgeinbody airway obstruction
sameerdm
Infant Physical Assessment
Infant Physical Assessment
Monique Trejeros
3 steps of health assessment
3 steps of health assessment
Carmela Domocmat
La actualidad más candente
(10)
Nursing care plans, concept map bronhial asthma
Nursing care plans, concept map bronhial asthma
Sleep Disorders
Sleep Disorders
Physical Assessment for Pregnant women
Physical Assessment for Pregnant women
Activity and sleep pattern
Activity and sleep pattern
Case Study of Spina Bifida
Case Study of Spina Bifida
Sample Gordon's Functional Health Pattern: Intestinal Obstruction Powerpoint ...
Sample Gordon's Functional Health Pattern: Intestinal Obstruction Powerpoint ...
Auditory hallucinations
Auditory hallucinations
Forgeinbody airway obstruction
Forgeinbody airway obstruction
Infant Physical Assessment
Infant Physical Assessment
3 steps of health assessment
3 steps of health assessment
Destacado
Nervous system exam
Nervous system exam
Puneet Shukla
Chest pain: nursing assessment and management
Chest pain: nursing assessment and management
Jamie Ranse
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
Nurse ReviewDotOrg
Neuro Assessment
Neuro Assessment
babykian05
L2 joint movement
L2 joint movement
Ysgol Dyffryn Aman
Ppt17
Ppt17
stanbridge
Joint movement
Joint movement
Jason Brand
Neurological assessment sp07 webversion
Neurological assessment sp07 webversion
coolboy101pk
disc prolapse
disc prolapse
Prashanth Kumar
nEUROLOGICAL EXAM OF LOWER LIMB
nEUROLOGICAL EXAM OF LOWER LIMB
Ruhul Amin
Motor system reflexes for students
Motor system reflexes for students
vajira54
Muscle tone and Deep tendon reflex assessment
Muscle tone and Deep tendon reflex assessment
shuchij10
Ppt17
Ppt17
stanbridge
Attachment
Attachment
toofy208
N 295 lecture 5 6 eye and ear student copy
N 295 lecture 5 6 eye and ear student copy
Elly Hb
Postural analysis
Postural analysis
Senthil Purushothaman
Nursing assessment
Nursing assessment
open university Malaysia
Comprehensive nursing assessment
Comprehensive nursing assessment
Kristine Mae Fernandez
Planes
Planes
Jason Brand
Neonatal examination
Neonatal examination
Mohamed Abass
Destacado
(20)
Nervous system exam
Nervous system exam
Chest pain: nursing assessment and management
Chest pain: nursing assessment and management
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
Neuro Assessment
Neuro Assessment
L2 joint movement
L2 joint movement
Ppt17
Ppt17
Joint movement
Joint movement
Neurological assessment sp07 webversion
Neurological assessment sp07 webversion
disc prolapse
disc prolapse
nEUROLOGICAL EXAM OF LOWER LIMB
nEUROLOGICAL EXAM OF LOWER LIMB
Motor system reflexes for students
Motor system reflexes for students
Muscle tone and Deep tendon reflex assessment
Muscle tone and Deep tendon reflex assessment
Ppt17
Ppt17
Attachment
Attachment
N 295 lecture 5 6 eye and ear student copy
N 295 lecture 5 6 eye and ear student copy
Postural analysis
Postural analysis
Nursing assessment
Nursing assessment
Comprehensive nursing assessment
Comprehensive nursing assessment
Planes
Planes
Neonatal examination
Neonatal examination
Similar a Neurological assessment
Neurological assessment dr nahla shaaban khalil 2018
Neurological assessment dr nahla shaaban khalil 2018
nahla khalil
Neurological assessment
Neurological assessment
nahla khalil
eye examination.ppt
eye examination.ppt
KennethDizon11
eye (1).ppt
eye (1).ppt
MariaChudary1
07.ppt
07.ppt
Silvia Rajesh
EYE ASSESSMENT.ppt
EYE ASSESSMENT.ppt
LizaJavaid
Fundamentals
Fundamentals
Rachel Blue
Child with Special Needs Part 2
Child with Special Needs Part 2
Dominick Maino
Part 2: I'm Ready to Take Control!
Part 2: I'm Ready to Take Control!
jdaliege
Company overview
Company overview
tvhearing
Nt6 health education of eye tumour revised
Nt6 health education of eye tumour revised
yingkum
Eye
Eye
student
Nursing assessment
Nursing assessment
Waleed Ameen Mohammed
Company Overview
Company Overview
audigymembers
Incare Shoe Training[1] Copy
Incare Shoe Training[1] Copy
Barry Jenkins
Diagnosis and Management of Special Populations Part II 2010
Diagnosis and Management of Special Populations Part II 2010
Dominick Maino
Adult cpr & aed copy multimdi
Adult cpr & aed copy multimdi
James Atkinson
Chapter 019
Chapter 019
Bell Tech Carrer Institute
Pulp vitality assessment/prosthodontic courses
Pulp vitality assessment/prosthodontic courses
Indian dental academy
Firstaid 2017
Firstaid 2017
HCEfareham
Similar a Neurological assessment
(20)
Neurological assessment dr nahla shaaban khalil 2018
Neurological assessment dr nahla shaaban khalil 2018
Neurological assessment
Neurological assessment
eye examination.ppt
eye examination.ppt
eye (1).ppt
eye (1).ppt
07.ppt
07.ppt
EYE ASSESSMENT.ppt
EYE ASSESSMENT.ppt
Fundamentals
Fundamentals
Child with Special Needs Part 2
Child with Special Needs Part 2
Part 2: I'm Ready to Take Control!
Part 2: I'm Ready to Take Control!
Company overview
Company overview
Nt6 health education of eye tumour revised
Nt6 health education of eye tumour revised
Eye
Eye
Nursing assessment
Nursing assessment
Company Overview
Company Overview
Incare Shoe Training[1] Copy
Incare Shoe Training[1] Copy
Diagnosis and Management of Special Populations Part II 2010
Diagnosis and Management of Special Populations Part II 2010
Adult cpr & aed copy multimdi
Adult cpr & aed copy multimdi
Chapter 019
Chapter 019
Pulp vitality assessment/prosthodontic courses
Pulp vitality assessment/prosthodontic courses
Firstaid 2017
Firstaid 2017
Último
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
TANUJA PANDEY
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
Dipal Arora
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Dipal Arora
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
chandars293
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
Arohi Goyal
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
discovermytutordmt
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
AlinaDevecerski
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
narwatsonia7
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
jageshsingh5554
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
narwatsonia7
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
parulsinha
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
hotbabesbook
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
vidya singh
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
vidya singh
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Dipal Arora
Último
(20)
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 9907093804 Top Class Call Girl Service Available
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 9907093804 Top Class Call Girl Service Available
Neurological assessment
1.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito NEUROLOGICAL ASSESSMENTNEUROLOGICAL ASSESSMENT
2.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Nervous SystemNervous System Central Nervous System •Brain •Spinal cord Peripheral Nervous System •Cranial nerves •Spinal nerves
3.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Central Nervous System-BrainCentral Nervous System-Brain
4.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Central Nervous System-Spinal CordCentral Nervous System-Spinal Cord
5.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Peripheral Nervous System-12 Pairs of Cranial NervesPeripheral Nervous System-12 Pairs of Cranial Nerves • Originate in the brain • Control many activities in the body • Take impulses to and from the brain
6.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Figure 24.4 Cranial nerves and their target regions. (Sensory nerves are shown in blue; motor nerves, in red.)
7.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Peripheral Nervous System-Spinal nervesPeripheral Nervous System-Spinal nerves • 31 pairs of spinal nerves – 8 pairs of cervical nerves – 12 pairs of thoracic nerves – 5 pairs of lumbar nerves – 5 pairs of sacral nerves – 1 pair of coccygeal nerves
8.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Dermatome: band of skin innervated by the sensory root of a single spinal nerve SPINAL NERVESSPINAL NERVES
9.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Table 24.1 Cranial Nerves
10.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Equipment and suppliesEquipment and supplies • Percussion hammer • Tongue depressor (one broken diagonally for testing the pain sensation) • Wisps of cotton, to assess light to touch sensation • Test tubes of hot and cold water, for skin temperature assessment
11.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Procedure:Procedure: • Explain to the client what you are going to do, why is it necessary, and how he can cooperate. • Wash hands and observe appropriate infection control procedures. • Provide for client privacy. • Determine the client’s history of the following:
12.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Presence of pain in the head, back, or extremities, as well as onset and aggravating and alleviating factors. • Disorientation to time, place, or person. • Speech disorders. • Any history of loss of consciousness, fainting, convulsions, trauma, tingling or numbness, tremors or tics, limping, paralysis, uncontrolled muscle movements, loss of memory, or mood swings. • Alterations in smell, vision, taste, touch, or hearing.
13.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito LanguageLanguage • If the client displays difficulty speaking: Point to common objects, ask the client to name them. Ask the client to read some words and match the printed and written words with pictures. Ask the client to respond to simple verbal and written commands, e.g., “point to your toes” or “raise your left arm.”
14.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito OrientationOrientation • Determine the client’s orientation to time, place, and person by tactful questioning. Ask the client the city and state of residence, time of day, date, day of the week, duration of illness, and names of family members. More direct questioning may be necessary for some people, e.g., “Where are you now? ”What day is it today?”
15.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito MemoryMemory • Listen for lapses of memory. Assess for immediate recall, recent memory and remote memory.
16.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Attention Span and calculationAttention Span and calculation • Ask to recite the alphabet or to count backward from 100.
17.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Physical Assessment of thePhysical Assessment of the Neurologic SystemNeurologic System • Testing cranial nerves • Testing motor function • Testing sensory function • Testing reflexes (Always consider left to right symmetry)
18.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Areas of the Neurologic SystemAreas of the Neurologic System AssessmentAssessment • Testing cranial nerves – I – II – III – IV – V – VI – VII – VIII – IX – X – XI – XII
19.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito l. Olfactory: smelll. Olfactory: smell • Client both eyes and one naris are closed • Place a strong smelling item under each nostril individually and ask the person to identify it.
20.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito ll. Optic: visionll. Optic: vision • Visual acuity -Distance/Central vision: Snellen eye chart -Near vision (hand-held card) • Examine the Optic Fundi by using the Ophthalmoscope
21.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito • Visual acuity – Distance/Central vision: Snellen eye chart; position patient 20 feet (6 meters) from the chart o Patients should wear glasses if needed o Test one eye at a time Eyes – Techniques of ExaminationEyes – Techniques of Examination
22.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Eyes – Techniques of ExaminationEyes – Techniques of Examination • Visual acuity – Near vision: use (Jaeger or Rosenbaum chart (hand-held card) – can also use to test visual acuity at the bedside – hold 14 inches (about 30 cm) from patient’s eyes Rosenbaum chartJaeger chart
23.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito lll. Oculomotorlll. Oculomotor lV. TrochlearlV. Trochlear Vl. AbducensVl. Abducens • Test Extraocular Movements (EOM) • Test direct and consensual pupillary reaction to light • Accommodation
24.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito • Extraocular movements/six cardinal directions of gaze/wagon wheel method • The client must keep the head still while following a pen that you will move in several directions to form a star in front of the client’s eyes. • Always return the pen to the center before changing direction. Eyes – Techniques of ExaminationEyes – Techniques of Examination
25.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito • Accommodation An object held about 10 cm from the client’s nose Eyes – Techniques of ExaminationEyes – Techniques of Examination
26.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito V. TrigeminalV. Trigeminal • Bilaterally palpate temporal and masseter muscles while patient clenches teeth • (Sensation) Ask client to closed his eyes and test forehead, each cheek, and jaw on each side for sharp or dull (use a cotton swab) sensation. Direct the client to say ‘now’ every time the cotton is felt. • (Reflex) With the individual's eyes open and looking upward, the practitioner takes a strand of cotton, approaches the cornea from the side, and touches it with the cotton. This should initiate a blink response. Both eyes should be tested independently.
27.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Vll. FacialVll. Facial • Ask the client to close both eyes and keep them closed. Try to open them by retracting the upper and lower lids simultaneously and bilaterally. • Ask patient to raise eyebrows, show teeth, grimace, smile, puff both cheeks (Assess face for asymmetry, abnormal movements) • Use the sweet, salty, sour and bitter items to test taste (Between each solution the mouth needs to be rinsed with water)
28.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Vlll. AcousticVlll. Acoustic • Weber Test (by using a tuning fork). • Rinne test: to compares air and bone conduction • Romberg test: Ask the patient to remain still and close their eyes (for about 20 seconds).
29.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Ears – Hearing acuityEars – Hearing acuity – Rinne o Compare time of air vs. bone conduction o Place the base of the tuning fork on the client’s mastoid process- and note the number of seconds. o Then move the fork in front the external auditory meatus (1-2 cm) Air and bone conduction (AC and BC)
30.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito lX. GlossopharyngeallX. Glossopharyngeal X. VagusX. Vagus • Ask the client to open the mouth, depress the client’s tongue with the tongue blade, ask the client to say ”ah” . Usually, the soft palate raises and the uvula remains in the midline • Observe the individual swallowing. • Test gag reflex, warning patient first.
31.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito LX. GLOSSOPHARYNGEALLX. GLOSSOPHARYNGEAL X. VAGUSX. VAGUS Ask the client to open the mouth, depress the client’s tongue with the tongue blade, ask the client to say ”ah” . Usually, the soft palate raises and the uvula remains in the midline
32.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Xl. Spinal AccessoryXl. Spinal Accessory • Test the Trapezius muscle: have the client shrug the shoulders while you resist with your hands • Ask the client to try to touch the right ear to the right shoulder without raising the shoulder. Repeat with the left shoulder
33.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Xll. HypoglossalXll. Hypoglossal • Ask patient to protrude tongue and move it side to side. Assess for symmetry, atrophy.
34.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Areas of the Neurologic SystemAreas of the Neurologic System AssessmentAssessment • Motor function – Observation of gait and balance – Administration of the Romberg test – Administration of the finger-to-nose test – Observation of rapid alternating action movements
35.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Observation of gait and balance Ask the client to walk across the room and return
36.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Romberg’s test for balance. Ask the patient to remain still and close their eyes (for about 20 seconds).
37.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Finger-to-nose test. -Ask the client to extend both arms from the sides of the body -ask the client to keep booth eyes open -ask the client to touch the tip of the nose with right index finger, and then return the right arm to an extended position. -ask the client to touch the tip of the nose with left index finger, and then return the left arm to an extended position. -Repeat the procedure several times. -Ask the client to close both eyes and repeat the alternating movements
38.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Observation of rapid alternating action movements -Ask the client to sit with the hands placed palms down on the thighs. -Ask the client to return the hands palms up. -Ask the client to return the hands to a palms-down position. -Ask the client to alternate the movements at a faster pace. Testing rapid alternating movement, palms up. Testing rapid alternating movement, palms down. Testing rapid alternating movement, palms up. Testing rapid alternating movement, palms down.
39.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Areas of the Neurologic SystemAreas of the Neurologic System AssessmentAssessment • Sensory function – Observation of light touch identification – Sharp, dull determination – Stereognosis – Graphesthesia (Number identification)
40.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito -Evaluation of light touch. -Use wisp of cotton to touch the skin lightly on both sides simultaneously. -Test several areas on both the upper and lower extremities. -Ask the patient to tell you if there is difference from side to side or other "strange" sensations.
41.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Testing the client’s ability to identify sharp sensations. -Ask the client to say “sharp” or “dull” when something sharp or dull is felt on the skin. -Touch the client using random locations. Testing the client’s ability to identify dull sensations Testing the client’s ability to identify sharp sensationsTesting the client’s ability to identify dull sensations Testing the client’s ability to identify sharp sensations
42.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito -Testing stereognosis using a coin -Use as an alternative to graphesthesia. -Place a familiar object in the patient's hand (coin, paper, pencil, etc.). -Ask the patient to tell you what it is.
43.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito -Testing graphesthesia (Number identification) -With the blunt end of a pen or pencil, draw a large number in the patient's palm. -Ask the patient to identify the number.
44.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Areas of the Neurologic SystemAreas of the Neurologic System AssessmentAssessment • Reflexes (Stimulus-response activities of the body.( – Biceps – Triceps – Brachioradialis – Patellar (knee) – Achilles – Plantar (Babinski). – Abdominal
45.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Testing the biceps reflex. -The patient's arm should be partially flexed at the elbow with the palm down. -Place your thumb or finger firmly on the biceps tendon. -Strike your finger with the reflex hammer. -look for contraction of the biceps muscle and slight flexion of the forearm.
46.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Testing the triceps reflex. -Support the upper arm and let the patient's forearm hang free. -Strike the triceps tendon above the elbow with the broad side of the hammer. -observe contraction of the triceps muscle with extension of the lower arm.
47.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Testing the brachioradialis reflex. -Have the patient rest the forearm on the abdomen or lap. -Strike the radius about 1-2 inches above the wrist. -Watch for flexion and supination of the forearm.
48.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Testing patellar (knee) reflex, client in a sitting position. -Have the patient sit with the knee flexed. -Strike the patellar tendon just below the patella. -Note contraction of the quadraceps muscle and extension of the knee.
49.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Testing the Achilles tendon reflex with client in a sitting position. -Dorsiflex the foot at the ankle. -Strike the Achilles tendon. -Watch and feel for plantar flexion at the ankle.
50.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Testing the plantar reflex (Babinski). -Stroke the lateral aspect of the sole of each foot with the end of a reflex hammer or key. -Observe for planter flexion of the foot .
51.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Abdominal reflex testing pattern. -Use a blunt object such as a key or tongue blade. -Stroke the abdomen lightly on each side in an inward and downward direction. -Note the contraction of the abdominal muscles and deviation of the umbilicus towards the stimulus.
52.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito REFLEXES: SCALE FOR GRADINGREFLEXES: SCALE FOR GRADING Reflexes are usually graded on a 0 to 4+ scale 4+ Very brisk, hyperactive, with clonus (rhythmic oscillations between flexion and extension) 3+ Brisker than average; possibly but not necessarily indicative of disease 2+ Average; normal 1+ Somewhat diminished; low normal 0 No response
53.
Copyright ©2012 by
Pearson Education, Inc. All rights reserved. Health & Physical Assessment in Nursing, Second Edition Donita D’Amico • Colleen Barbarito Areas of the Neurologic SystemAreas of the Neurologic System Assessment-Additional assessmentsAssessment-Additional assessments
Descargar ahora