- Information
- AI Chat
Neurological Shadow Health Objective tina jones
Health Assessment Of Individuals Across The Lifespan (NUR 3065L)
University of North Florida
Recommended for you
Preview text
Neurological (40 min minimum) Results | Turned In
Advanced Physical Assessment Across the Lifespan (FNP) - USU - October 2021, msn
Return to Assignment (/assignments/567764/)
Objective Data Collection: 36 of 37 (99%)
Your Results
Overview Transcript
Subjective Data Collection
Objective Data Collection Education & Empathy
Documentation
Correct Partially correct
Incorrect Missed
Confirmed orientation 1 of 1 point
To Person (1/3 point) Oriented to person Not oriented to person
To Place (1/3 point) Oriented to place Not oriented to place To Time (1/3 point) Oriented to time Not oriented to time
Evaluated abstract thinking 1 of 1 point
Abstractness (1/2 point) Abstract Concrete
Relevance (1/2 point) Relevant Not relevant
Evaluated attention span 1 of 1 point
Serial 7s Test (1/1 point) Accurate Not accurate
Evaluated comprehension 1 of 1 point
Observations (1/1 point) Able to follow instructions Unable to follow instructions
Evaluated general knowledge 1 of 1 point
Accuracy (1/1 point) Accurate Not accurate
Evaluated judgment 1 of 1 point
Observations (1/1 point) Intact Not intact
Evaluated memory 1 of 1 point
Remote Memory (1/3 point) Intact Not intact
Immediate Memory (1/3 point) Intact Not intact
New Learning Ability (1/3 point) Accurate Not accurate
Observed vocabulary 1 of 1 point
Complexity (1/1 point) Expected complex for patient's age, education level, and general ability Not expected complexity
Observed articulation 1 of 1 point
Observations (1/1 point) No observed problems with pronunciation or expression Imprecise pronunciation of consonants Slurring Hesitation Stutter
Tested olfactory nerve 1 of 1 point
Sense Of Smell (1/2 point) Able to discriminate Not able to discriminate
Symmetric (1/2 point) Symmetric bilaterally Asymmetric
Tested visual acuity (optic nerve) 1 of 1 point
Right (1/2 point) 20/ 20/ 20/ 20/ 20/ 20/ 20/ 20/ 20/ 20/
Left (1/2 point) 20/ 20/ 20/ 20/ 20/ 20/ 20/ 20/ 20/ 20/
Examined retina with ophthalmoscope (optic nerve) 0 of 1 point
Right: Fundus (No point) No visible abnormal findings Myelinated nerve fibers Papilledema Glaucomatous cupping Drusen bodies Cotton wool bodies Hemorrhage
Right: Disc Margin (1/4 point) Sharp Blurred
Left: Fundus (1/4 point) No visible abnormal findings Myelinated nerve fibers Papilledema Glaucomatous cupping Drusen bodies
Left: Disc Margin (1/4 point) Sharp Blurred
4 - Full but weak range of motion against gravity, with some resistance 5 - Full range of motion against gravity, with resistance
Tested neck strength (accessory nerve) 1 of 1 point
Strength (1/1 point) 0 - No evidence of movement 1 - Trace of movement 2 - Full range of motion with passive movement only 3 - Full range of motion against gravity, with no resistance 4 - Full but weak range of motion against gravity, with some resistance 5 - Full range of motion against gravity, with resistance
Inspected tongue (hypoglossal nerve) 1 of 1 point
Symmetry (1/2 point) Symmetric Asymmetric
Observations (1/2 point) No visible abnormal findings Fasciculations Deviation from midline Atrophy
Tested deep tendon reflexes in triceps 1 of 1 point
Right (1/2 point) 0 - No response 1 - Diminished 2 - Expected (active) 3 - Hyperactive 4 - Hyperactive, with clonus
Left (1/2 point) 0 - No response 1 - Diminished 2 - Expected (active) 3 - Hyperactive 4 - Hyperactive, with clonus
Tested deep tendon reflexes in biceps 1 of 1 point
Right (1/2 point) 0 - No response 1 - Diminished 2 - Expected (active) 3 - Hyperactive 4 - Hyperactive, with clonus
Left (1/2 point) 0 - No response 1 - Diminished 2 - Expected (active) 3 - Hyperactive 4 - Hyperactive, with clonus
Tested deep tendon reflexes in brachioradialis 1 of 1 point
Right (1/2 point) 0 - No response 1 - Diminished 2 - Expected (active) 3 - Hyperactive 4 - Hyperactive, with clonus
Left (1/2 point) 0 - No response 1 - Diminished 2 - Expected (active) 3 - Hyperactive 4 - Hyperactive, with clonus
Tested deep tendon reflexes in patellar tendon 1 of 1 point
Right (1/2 point) 0 - No response 1 - Diminished 2 - Expected (active) 3 - Hyperactive 4 - Hyperactive, with clonus
Left (1/2 point) 0 - No response 1 - Diminished 2 - Expected (active) 3 - Hyperactive 4 - Hyperactive, with clonus
Tested deep tendon reflexes in Achilles tendon 1 of 1 point
Right (1/2 point) 0 - No response
Left (1/2 point) 0 - No response
1 - Diminished 2 - Expected (active) 3 - Hyperactive 4 - Hyperactive, with clonus
1 - Diminished 2 - Expected (active) 3 - Hyperactive 4 - Hyperactive, with clonus
Tested point-to-point movements: Finger to nose 1 of 1 point
Right (1/2 point) Smooth and accurate Jerky Inaccurate
Left (1/2 point) Smooth and accurate Jerky Inaccurate
Tested point-to-point movements: Heel to shin 1 of 1 point
Right (1/2 point) Smooth and accurate Jerky Inaccurate
Left (1/2 point) Smooth and accurate Jerky Inaccurate
Tested coordination with rapid alternating hand movements 1 of 1 point
Observations (1/1 point) Able to perform without difficulty Performs but with difficulty Unable to perform
Observed gait 1 of 1 point
Balance (1/2 point) Steady Unsteady
Gait (1/2 point) Continuous, symmetric steps Discontinuous steps Asymmetric steps Stagger Swaying Hesitancy due to injury Use of arms
Tested graphesthesia 1 of 1 point
Right (1/2 point) Able to identify Unable to identify
Left (1/2 point) Able to identify Unable to identify
Tested sensation in arms 1 of 1 point
Right: Dull Touch (1/6 point) Expected sensation in proximal and distal Decreased proximal sensation Decreased distal sensation
Left: Dull Touch (1/6 point) Expected sensation in proximal and distal Decreased proximal sensation Decreased distal sensation
Right: Soft Touch (1/6 point) Expected sensation in proximal and distal Decreased proximal sensation Decreased distal sensation
Left: Soft Touch (1/6 point) Expected sensation in proximal and distal Decreased proximal sensation Decreased distal sensation
Right: Sharp Touch (1/6 point) Expected sensation in proximal and distal Decreased proximal sensation Decreased distal sensation
Left: Sharp Touch (1/6 point) Expected sensation in proximal and distal Decreased proximal sensation Decreased distal sensation
Tested sensation in legs 1 of 1 point
Neurological Shadow Health Objective tina jones
Course: Health Assessment Of Individuals Across The Lifespan (NUR 3065L)
University: University of North Florida
- More from:Health Assessment Of Individuals Across The LifespanNUR 3065LUniversity of North Florida23 Documents
