Neurological assessments
This scale, ranging from 3 to 15, is commonly used by nurses to assess a patient's level of consciousness based on eye opening, verbal response, and motor response.
What is the Glasgow Coma Scale?
Often seen as the acronym ROM
What is range of motion?
This is an assessment technique that is commonly used to evaluate pain intensity on a scale of 0-10
This is the term for exercises that are performed by the individual without assistance or resistance
What are active range of motion exercises?
This tool, often used by nurses, evaluates a patient's risk of falling based on factors such as history of falls, medication usage, and mobility status
What is the Scott Fall's risk assessment?
During a neurological assessment, what score indicates patient is fully conscious and alert?
What is a score of 15?
This is tested by performing the "Straight Leg Raise" during a musculoskeletal assessment
What is sciatic nerve compression?
This is the "P" in the OPQRST pain assessment mnemonic
What is Provocative factors?
This is a movement that decreases the angle between two body parts at a joint.
What is flexion?
When assessing a patient's risk of falling, this term refers to a condition characterized by a sudden, temporary drop in blood pressure, often occurring when a person stands up from a seated or lying position.
What is orthostatic hypotension?
This test assesses balance
What is the Romberg test?
This is often referred to as a crackling or popping sensation.
What is "Crepitus"?
This component of the OPQRST pain assessment focuses on the timing and duration of pain
What is "T" - Time?
This is a movement that involves bending the foot at the ankle joint, bringing the top of the foot closer to the shin.
What is dorsiflexion?
This term describes the assessment technique where a nurse evaluates a patient's gait, balance, and stability while they walk a short distance, often in a straight line or in a figure-eight pattern?
What is gait?
This term describes the simultaneous constriction of the pupil in response to focusing on a near object, a process crucial for clear vision at close distances.
What is accommodation?
Patient history for use of alcohol and caffeine; cigarette smoking; constant dieting; calcium intake less than 500mg daily etc.
What are risk factors for osteoporosis?
This describes the characteristics or nature of the pain
This occurs at a joint, typically involving the outward movement of a body part away from the midline of the body
What is abduction?
A score of 10 on the Scott Falls Risk assessment?
What is moderate fall risk
This cranial nerve is responsible for controlling eye movements and pupillary reflexes
What is cranial nerve III (oculomotor nerve)?
This is an exaggeration of the posterior curvature of the thoracic spine.
What is Kyphosis?
This tool is commonly used to assess pain intensity in non-verbal patients or those with cognitive impairment
What is the Behavioral Pain Scale or the Pain Assessment in Advanced Dementia (PAINAD) scale?
This involves extending a joint beyond its normal anatomical position or beyond the neutral position
What is hyperextension?
These are included in the post fall assessment.
What are the musculoskeletal, neurological and pain assessments?