LOC and Mentation
Your Pt tells you his name, the correct date and location
What is mentation (Wilson, Giddens, 2009)
These nerves are tested together to assess extraocular eye movements.
What is CN III (Oculomotor) CN IV (Trochlear) CN VI (Abducens) (Lewis, Heitkemper, Dirksen, O'Brien, Bucher 2007 pg 1456- 1461)
The client pushes and pulls against the resistance of the examiner's arm as it flexes and extends the clients muscles
What is Muscle Strength Testing (Lewis 2007)
Cotton wisp stroked over the extremities
What is Light Touch sensation (Lewis 2007)
This Greek hero's greatest weakness is the basis for this reflex test
What is Achilles
Earlier your pt was awake and chatty, now they require excessive stimulation.
What is Change in LOC
Use a cotton swab break in half use both sides on the maxillary, mandibular and opthlamic portions of both sides of the face tests this nerve
What is CN V (Trigeminal) (Lewis 2007)
With eyes closed the pt holds both arms out at shoulder height with arms up any drifting is noted as pronator drift
What is Muscle weakness
This is assessed by breaking a tongue depressor in half, using dull and sharp end to test.
What is Pain (Lewis 2007)
The other 4 tendons commonly tested with the Achilles tendon
What is Brachioradialis, patellar, biceps, and triceps (Lewis 2007)
GCS
What is Glascow Coma Scale
By asking the pt to stick out their tongue, raise their eyebrows, purse lips, close eyes tightly, smile and frown and noting any asymmetry you are testing this nerve
What is CN VII (Facial) (Lewis 2007)
These passive exercises are done to identify abnromals like hypotonia, hypertonia, athetosis, chorea and dystonia
What is Range Of Motion (ROM) (Lewis 2007)
This test is used to assess the position sense of the lower extremities.
What is Romberg Test (Lewis 2007)
This reflex is said to be positive if there is involuntary flexion of the hip and knees
What is Brudzinski's Sign (Lewis 2007)
Eye opening, Motor Response, and Verbal Response
What is GCS based on
CN II (Optic) assessment test
What is Confrontation Test (Lewis 2007)
You assess this everytime you get your pt up to walk
What is Gait and Balance (Lewis 2007)
The ability to feel writing on the skin is an important part of Cortical Sensory Function
What is Graphesthesia (Lewis 2007)
GCS score of 8 or less
What is Coma
Asking the client to shrug shoulders and turn head from side to side against resistance tests this
What is CN XI (Spinal Accessory nerve) (Lewis 2007)
Finger to nose test, rapid pronation and supination of wrists, heel to shin tests are all performed to assess this
What is Coordination (Lewis 2007)
Another test to determine Cortical sensory function is the ability to perceive the form and nature of familiar objects
What is Stereognosis (Lewis 2007)