Neurological Assessment in Psychiatric Nursing of Mental Health Patient

This is provide a clinical outline of Neurological assessment of mental health patient in Psychiatric Nursing,
Its involve how a psychiatric Nurse ot a Clinical Nurse should used the neurological assessment tools to evaluate a patient in required.

Neurological Examination
        I.            Level Of Conciousness
1. Alert / Lethargic / Stuporous / Semi-Comatose / Comatose
Score Of Glasgow Coma Scale:
      II.            Mental Status Examination
·         General Appearance
·         Speech
·         Thought  Process
·         Mood
·         Cognitive Function
-          Attention And Concentration
       Serial 7
       Digit Span – Backward, Forward
-          Orientation
Time
Place
Person
-          Memory
Immediate
Recent
Remote
-          General Knowledge
-          Abstract Reasoning
-          Judgement
-          Insight
Iii. Special Cerebral Function
·         Agnosia / Apraxia/ Aphasia
Iv. Cranial Nerve Examination
1.       Olfactory Nerve – Sense Of Smell – Present / Absent
2.       Optic Nerve – Inspection Of Eye –Inflamation / Cataract / Forgein Bodies / Any Abnormalities
-          Visual Acuity (Snellen ‘S Chart)
-          Visual Field Examination – Right Eye
                                                        Left Eye
-          Opsthalmoscope Examination
-          Color Vision – Present / Absent
          3.  Oculomotor, Trochlear And Abducent Nerve S
-           Pupillary Reaction To The Light – Reacting /Not Reacting
-          Pupillary Size – Equal / Unequal
-          Eye Movement  In Six Direction – Normal / Abnormal
-          Nystagmus – Present / Absent
-          Diploplia -  Present /Absent
4.  Trigeminal Nerve
-          Coroneal Reflex – Present / Absent
-          Facial Sensory Response- Present / Absent
-          Mandibular Strength- Adequate / Hpotonia
5. Facial Nerve
-   Facial Expression – Normal / Hypotonia
-   Taste Sensation – Present / Absent
6. Vestibular Cochlear Nerve
-          Auditory Acuity Test
-          Air Conduction
-          Bone Conduction
7. Glassopharengeal And Vagus Nerve
-          Gag Reflex – Present / Absent
-          Swallowing Refelex – Present/ Absent
-          Position And Movement  Of Uvulva And Palate – Normal Position / Deviation
-          Sensation Of Taste – Present / Absent
8.  Spinal Accessory Nerve
-          Stenocleidomastoid Muscle Strength- Normal  / Hypotonia
-          Elevation Of Shoulders – Adequate Strength / Weakness
-          Turning Of Head – Adequate / Inadequate
9. Hypoglossal Nerve
-          Tongue Movement – Norma L / Abnormal
V.Motor Function Assessment
-          Muscle Size
-          Muscle Strength
-          Muscle Tone
-          Muscle Co-Ordination
-          Gait
-          Movements Of All The Joints
-          Deformities
-          Abnormal Movement
Vi. Sensory Functionn Assessment
-          Pain Sensation : Present / Absent
-          Temperature Sensation :Present / Absent
-          Touch Sensation : Present / Absent
-          Vibration Sensation : Present / Absent
Vii. Assessment Of Cerebellar Function
1.       Finger To Finger Test -  Normal / Abnormal
2.       Finger To Nose Test- Normal / Abnormal
3.       Romberg Test – Normal / Unable To Perform
4.       Tandem Walking Test- Normal / Unable To Perform
Viii. Assessement Of Refelexes
1.       Superficial Reflexes- Present / Absent
Abdominal / Plantar / Corneal / Pharengeal / Creamasteric / Anal
2.       Deep Tendon Reflexes – Present / Absent
Bisceps / Triceps / Brachioradial / Patellar / Achilles
3.       Any Abnormal Reflexes- Present / Absent


               
                


Comments

Post a Comment

Popular posts from this blog

PRINCIPLES OF PAEDIATRIC NURSING

PRINCIPLES OF PAEDIATRIC NURSING INTRODUCTION pediatrics nursing deals with individuals who are going through a period of growth .in the case of adults ,his body will change little during the remainder of his life .whereas in the case of a child he has to accommodates to more than a 3fold increase in length and an approximate 20 fold increase in weight between birth and adolescence so also ,in his muscular and intellectual skills and his emotional controls progress from the rudimentary state of the complex highly integrated level of adults . The newborn undergoes various changes from helpless state of earliest infancy to adolescence where physical and emotional maturity occures.in order to provide expert care to children of different age group, the pediatric nurse must equip herself­­­ himself with the principles of child care 1Respect the child’s need regress and help him to accept dependence on other if he resists this. Child is like an adult .he is different from adult i...
Read more

CURRENT TRENDS AND ISSUES IN NURSING ADMINISTRATION

INTRODUCTION Administration is an essential factor in the development of any service. Administration provides the means whereby most effective use can be made of the knowledge and the skills of all those who are involved in it. The development of nursing service has been enhanced greatly by advances made in professional skills and technical proficiency. But it is apparent that the, same development has not been made in nursing administration. DEFINITION "Administration is the organization & direction of human and material resources to achieve desired ends".                                                                      ...
Read more

PREVENTION IN PSCHIATRIC NURSING

       In 1960s, psychiatrist Gerald Caplan described levels of prevention specific to psychiatry. He described primary prevention as an effort directed towards reducing the incidence of mental   disorders in a community. Secondary prefer refers to decreasing the duration of disorder while tertiary prevention refer to reducing the level of impairment. PRIMARY PREVENTION Primary prevention seeks to prevent the occurrence of mental disorders by strengthening individual, family and group coping abilities. ROLE OF NURSE IN PRIMARY PREVENTION  Community mental health nurses are in a key position to identify individual, family group needs, conflicts and stressors. Thus they play a major role in identifying high risk groups and preventing the occurrence of mental illness in them. Some interventions include: 1. Individual centred intervention ·          Antenatal ca...
Read more