SYSTEME DE CONTROLE DE GESTIONDescription complète
HKC HKCC C 2433 2433
Basi Basic c Heal Health th Asse Assess ssme ment nt and and Clin Clinic ical al Skil Skills ls
Neurological Neurological Assessment I Yes
1. 2. 3.
9.
Iden Identi tify fy the the clie client nt (ver (verba bal) l) Wash ha hands (v (verbal) Main Mainta tain in pat patie ient nt pri priva vacy cy (cl (clos osee cur curta tain in)) Provide for proper lighting Assess mental status Level of consciousness Thought processes Appearance and behavior Speech Obtain history Provide for exposure of areas to be examined Test cranial nerves Cranial nerve nerve I Olfactory (sensory) (sensory) Smell (omit)(verbal) Cranial nerve nerve II Optic (sensory) (sensory)
10 .
Visual acuity – snellen chart (omit) (verbal) Test for visual field Examine with opthalmoscope Cranial nerve III Oculomotor (motor) Six cardinal gazes Test for fixation and accomodation
11 .
Papillary constriction- direct and consensus Observe for ptosis of upper eyelid Cranial nerve IV Trochlear (motor) Inferior lateral movement of eyes Cranial nerve VI Abducens (motor) Inferior lateral eye movement Cranial nerve V Trigeminal rigemina l (sensory and motor) Corneal reflex (omit) Sensation of skin of the face (eyebrow, cheeks and chin), using a wisp of cotton
13 .
Motor – chewing, biting, lateral jaws movement, against resistance Cranial nerve nerve VII Facial (sensory and motor) Taste – anterior 2/3 of the tongue Sweet/ salt/ sour/ bitter ( omit) Motor – movement of forehead and mouth Raise eyebrows, show teeth, Smile and puff out cheeks, close eyes tight and against resistance Cranial nerve VIII Acoustic ( sensory) sensory) Hearing, balance Weber and Rinnie tests Whisper test Otoscope Cranial nerve nerve IX Glossopharyngeal Glossopharyngeal (sensory and motor)
14 .
15 .
16 .
No
Comments
HKC HKCC C 2433 2433
Basi Basic c Heal Health th Asse Assess ssme ment nt and and Clin Clinic ical al Skil Skills ls
swallowing and phonation (saying ahh) taste – posterior 1/3 of tongue (omit) Cranial nerve X Vagus (sensory and motor) sensation of posterior 1/3 of tongue, throat (omit) motor – gag reflex swallowing and phonation Cranial nerve nerve X Spinal accessory accessory (motor) shoulder movement, shoulder shrug, head rotation – push against examiner’s hand Cranial nerve nerve XII Hypoglossal (motor) (motor) tongue movement – protrude tongue, push tongue into the cheek saying sounds of letter l, t, d (e.g. letter, dinner)
17 .
18 .
19 .
Assess motor system Muscles (inspect and palpate) Size Strength Tone Involuntary movements
Assess cerebellar function Balance tests Gait (including tandem walking) Romberg test Coordination and skilled movements Rapid alternating movements (RAM) or Rapid finger-to-thumb finger-to-thumb Finger-to-finger Finger-to-finger test Finger-to-nose Finger-to-nose test Heel-to-shin test
