Fine coordination, balance, and reflex activity may be impaired. The aging adult experiences a general slowing in nerve conduction, resulting in a slowed motor and sensory interaction. Have you noticed if your child experiences episodes of not being aware of their environment?.Have you noticed if your child has any problems with walking or balance?.Do you experience headaches? If so, how often?.Have you ever had a head injury or a concussion?. Specific questions for children include the following: Has your infant had difficulty feeding, sucking, or swallowing?ĭepending on the child’s age and developmental level, they may answer questions independently or the child’s parent/guardian may provide information.Have you noticed your infant sleeping excessively or having difficulty arousing?.Specific questions to ask parents or caregivers of infants include the following: As the newborn develops, so do the motor and sensory integration. Additional information about newborn reflexes is provided in the “ Assessing Reflexes” section. Initial motor activity is primitive in the form of newborn reflexes. The newborn’s sensory system responds to stimuli by crying or moving body parts. The sensory and motor systems gradually develop in the first year of life. The brain is still developing, and the newborn’s anterior fontanelle doesn’t close until approximately 18 months of age. Have you ever experienced a neurological condition such as a stroke, transient ischemic attack, seizure, or head injury?ĭescribe the condition(s), date(s), and treatment(s).Īre you currently taking any medications, herbs, or supplements for a neurological condition?Īt birth, the neurologic system is not fully developed. Note: If critical findings of an acute neurological event are actively occurring, such as signs of a stroke, obtain emergency assistance according to agency policy. The PQRSTU method is described in the “ Health History” chapter. If the patient is seeking care for an acute neurological problem, use the PQRSTU method to further evaluate their chief complaint. Have you experienced any difficulty swallowing or speaking? Table 6.10a Interview Questions Related to Subjective Assessment of Neurological SystemĪre you experiencing any current neurological concerns such as headache, dizziness, weakness, numbness, tingling, tremors, loss of balance, or decreased coordination? See Table 6.10a for sample interview questions to use during the subjective assessment Ask follow-up questions related to symptoms such as confusion, headache, vertigo, seizures, recent injury or fall, weakness, numbness, tingling, difficulty swallowing (called dysphagia) or speaking (called dysphasia), or lack of coordination of body movements. Collect data from the patient using effective communication and pay particular attention to what the patient is reporting, including current symptoms and any history of neurological illness. Subjective data collection guides the focus of the physical examination. The neurological assessment begins by collecting subjective data followed by a physical examination. Now that we have reviewed tests included in a neurological exam, let’s review components of a routine neurological assessment typically performed by registered nurses.
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