Neurology Assessments

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Neurological Assessment includes
- History
- Mental Status
- Language and Speech
- Cranial Nerves
- Motor Functions
- Sensory and Perceptual status
Mental Status
- LOC - alert, disorientation, stupor, simicomatose, Comatose
- Earliest most sensitive indicator of the patients neurologic status.
- Earliest sign of increased intracranial pressure.
Glasgow Coma Scale
- Standardized system for assessing the degree of consciousness impairment predicting the duration and ultimate outcome of coma.
- three parts, eye opening, verbal response, motor response
- Score of 15-3 (8 or less defined as coma)
FOUR Score Coma Scale
- Full Outline of Unresponsiveness
- used to assess patient with neurologic conditions that affect cognitive function suck as stroke, craniotomy and traumatic brain injury.
- Assess eye response, motor response, brainstem reflexes and respirations
Aphasia

an abnormal neurologic condition in which the language function is defective or absent
Receptive aphasia (sensory aphasia)
- Inability to comprehend spoken or written word.
- Wernicke's area of the temporal lobe
Motor Aphasia (Expressive Aphasia)
- Uses Symbols of speech
- Broca's area in the frontal lobe mediates motor speech
Global Aphasia

Inability to understand the spoken work or to speak.
Anomia

Characterized by the inability to name objects
Dysarthria

Difficult, poorly articulated speech