Part 1 Case Scenario #1 Mr. Royell Estropigan, 36-year-old male,…

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The Nursing Process Assessment {Data Collection) Patient
History Focused Assessment Data Collection for the Neurologic
System When gathering a history for a patient who …
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Mental function and level of consciousness Determine the level
of consciousness (LOC): the extremes being alert wakefulness
and deep coma (no responsiveness at all). When ob
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Figure 1. How to perform your Glasgow Coma Scale. TES
GLASGOW COMA SCALE : Do it this way GCS VERBAL MOTOR
Institute of Neurological Sciences NHS Greater Gla
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c:- 1What month is it? 0 Where are you now?” u Memory lapses
may be assessed by asking when the patient was born, what
state she resides in, what the last major holiday was
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Figure 3. Checking the cardinal positions of eye movement. o
Neuromuscular assessment is concerned with the function of
the motor pathways. Test each of the upper and lo
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sl- Failure to respond at all )- Nonpurposeful responses to pain
occur In two ways. 4- Decorticate iflexor] posturing. which is the
extension of the legs and internal rotation and addu
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I When pupils have been previously reactive, changes in pupil
size or reactivity may signal an emergency, and the provider must
be notified immediately. I To test for accommodatio
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The “neuro” check Monitoring the neurologic status
of a patient with a known neurologic disorder includes a
“neuro” check on a set schedule. It is pe
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