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Health Assessment

Health Assessment-Neuro

QuestionAnswer
Questions to ask: Any numbness? tingling? weakness? changes in memory? hx of LOC?
A/O X3 person, place, time? how are they groomed? note facial expression and speaking ability.
recall steps ask pt to repeat series of numbers (immediate). name 3 objects and ask patient to recall them in 2 minutes (recent). Ask pt birth date or where born (remote).
more questions: What is 4 plus 5? (math) Define apple. Interpret a proverb.
C1 and C2 verbalize what they are: olfactory-sense of smell & optic-visual acuity by Snellen chart
C3, C4, C6 Test EOMs, pupillary reaction to light and accommodation.
C5 Test facial sensation c cotton swab.
C7 Have pt smile and frown.
C8 Hearing test (whisper 5 feet from them and have them repeat the word you siad).
C9, C10 note quality of voice, ability to swallow and cough. look for symmetrical rise of uvula.
C11 have pt raise shoulder against your resistance
C12 stick out tongue
Tongue blades assess sharp/dull sensation
Tuning fork assess vibration on joint (great toe)
DTR Assess at biceps, knee, and Achilles region. What would you do if they were having trouble c reflexes? (distract)
Meningitis a worry? assess nuchal rigidity
Created by: rlvander
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