![NEUROLOGICAL
ASSESSMENT
PRESENTED BY :
Ms. Yashaswini Hiremath
2nd
year B.Sc. Nursing
BBC College of Nursing Gangavathi
SUPERVISED BY:
Mr. George.D. Honnalli M.Sc.[N]
HOD, Dept of Medical Surgical Nursing
BBC College of Nursing Gangavathi](https://image.slidesharecdn.com/neurologicalassessment-240829124205-68811d8d/85/NEUROLOGICAL-ASSESSMENT-ppt-1-320.jpg)
NEUROLOGICAL ASSESSMENT.ppt .
- 1. NEUROLOGICAL ASSESSMENT PRESENTED BY : Ms. Yashaswini Hiremath 2nd year B.Sc. Nursing BBC College of Nursing Gangavathi SUPERVISED BY: Mr. George.D. Honnalli M.Sc.[N] HOD, Dept of Medical Surgical Nursing BBC College of Nursing Gangavathi
- 2. DEFINITION: A neurological assessment is an evaluation of a person's nervous system, which includes the brain, spinal cord, and the nerves that connect these areas to other parts of the body. It focuses on the nervous system to assess and identify any abnormalities that affect function and activities of daily living.
- 3. PURPOSES: 1.Diagnose neurological disorders. 2.Evaluate symptoms (e.g., headaches, dizziness, numbness). 3.Monitor disease progression and treatment response. 4.Determine functional status (motor, sensory, coordination, mental). 5. Screen for complications (e.g., increased intracranial pressure, neuropathy). 6. Guide further diagnostic testing (e.g., MRI, CT scans, EEG).
- 4. • History of numbness, tingling, or tremors. • History of headaches. • History of dizziness. • History of trauma to the head or spine. • History of infection of the brain. • History of stroke. • Changes in the ability to hear, see, taste, smell, or feel. • Loss of ability to control bladder and bowel. • History of high blood pressure. • History of chronic alcohol use and smoke. • History of diabetes mellitus or heart disease. • Family history of any neurological conditions. HEALTH HISTORY:
- 5. Components of Neurological Assessment: • Mental Status Examination •Cranial Nerve Assessment • Glasgow Coma Scale • Sensory System Assessment • Motor System Assessment • Coordination and Gait • Reflex Testing
- 6. MENTAL STAUTS EXAMINATION: 1.Appearance and Behavior 2.Orientation (time, place, person, situation) 3.Mood and Affect 4. Speech and Language 5. Thought Process 6.Thought Content 7. Perception 8.Cognition (attention, memory, reasoning) 9.Insight and Judgment 10.Psychomotor Activity 11.Level of Consciousness
- 10. SENSORY EXAMINATATION: 1.Light Touch Sensation: Assessing the patient's ability to perceive light touch on the skin using a cotton wisp or finger. 2. Pain Sensation: Testing the patient's response to sharp and dull stimuli, often using a safety pin or similar object 3. Temperature Sensation: Evaluating the ability to distinguish between warm and cold sensations. 4. Vibration Sensation: Using a tuning fork to test the patient's perception of vibration on bony prominences. 5. Position Sense : Assessing the patient's ability to perceive the position and movement of body parts, typically by moving a finger or toe up and down
- 11. 1 2 3 4 5
- 12. 6.Two-Point Discrimination: Measuring the ability to distinguish two close points on the skin as separate, often using a caliper or specialized tool. 7.Graphesthesia: Testing the ability to recognize writing on the skin purely by the sensation of touch. 8. Stereognosis: Assessing the ability to recognize objects by touch without visual input. 9.Extinction: Evaluating the ability to perceive multiple stimuli on both sides of the body simultaneously. 6 7 8
- 13. A) MUSCLE STRENGTH TESTING SCALE: MOTOR SYSTEM ASSESSMENT:
- 14. B) CO-ORDINATION TEST: Point-to-point movement evaluation Ask the patient to extend their index finger and touch their nose and then touch the examiner's outstretched finger with the same finger. Ask the patient to go back and forth between touching their nose and examiner's finger.
- 15. Romberg test: The Romberg test evaluates balance and proprioception. The person stands with their feet together and eyes open, then closes their eyes. If they sway or lose balance with eyes closed, it indicates possible problems with proprioception or vestibular function.
- 16. Ask the patient to • Walk across the room, turn and come back, • Walk heel-to-toe in a straight line, (tandem walking). • Walk on their toes in a straight line, • Walk on their heels in a straight line, • Hop in place on each foot, • Do a shallow knee bend, • Rise from a sitting position GAIT:
- 17. REFLEXES: Reflexes are automatic, involuntary responses to specific stimuli. They occur without conscious thought and are designed to protect the body or maintain homeostasis.
- 19. THANK YOU