Best writers. Best papers. Let professionals take care of your academic papers

Order a similar paper and get 15% discount on your first order with us
Use the following coupon "FIRST15"
ORDER NOW

STROKE SCALE ANSWERS

/in /by

01­ NIHSS­ English Group A­V3 ­ 1st Certification/3/2018 4:12:38 Surpassed of 90(98.89 %)View Responses Patient 1 Topic Question Answer Grade Level of Consciousness 1a. Level of Consciousness: The investigator mustchoose a response, evenif a full evaluation isprevented by suchobstacles as anendotracheal tube,language barrier,orotrachealtrauma/bandages. A 3 isscored only if thepatient makes nomovement (other thanreflexive posturing) inresponse to noxiousstimulation.0 = Alert; keenly responsiveCorrectLOC Questions1b. LOC Questions: Thepatient is asked themonth and his/her age.The answer must becorrect ­ there is nopartial credit for beingclose. Aphasic andstuporous patients whodo not comprehend thequestions will score 2.Patients unable to speakbecause of endotrachealintubation, orotrachealtrauma, severedysarthria from anycause, language barrieror any other problemnot secondary toaphasia are given a 1. Itis important that onlythe initial answer begraded and that theexaminer not “help” thepatient with verbal ornon­verbal cues.0 = Answers both questionscorrectlyCorrectLOC Commands1c. LOC Commands:The patient is asked toopen and close the eyesand then to grip and0 = Performs both tasks correctlyCorrect

release the non­paretichand. Substituteanother one stepcommand if the hands cannot be used. Creditis given if anunequivocal attempt ismade but not completeddue to weakness. If thepatient does notrespond to command,the task should bedemonstrated to them(pantomime) and scorethe result (i.e., followsnone, one or twocommands). Patientswith trauma,amputation, or otherphysical impedimentsshould be given suitableone­step commands.Only the first attempt isscored.Best Gaze2. Best Gaze: Onlyhorizontal eyemovements will betested.Voluntary orreflexive (oculocephalic)eye movements will bescored but calorictesting is not done. Ifthe patient has aconjugate deviation ofthe eyes that can beovercome by voluntaryor reflexive activity, thescore will be 1. If apatient has an isolatedperipheral nerve paresis(CN III, IV or VI) scorea 1. Gaze is testable inall aphasic patients.Patients with oculartrauma, bandages, pre­existing blindness orother disorder of visualacuity or fields shouldbe tested with reflexivemovements and achoice made by theinvestigator.Establishing eye contactand then moving aboutthe patient from side toside will occasionally0 = NormalCorrect

clarify the presence of apartial gaze palsy.Visual3. Visual: Visual fields(upper and lowerquadrants) are tested byconfrontation, usingfinger counting or visualthreat as appropriate.Patient must beencouraged, but if theylook at the side of themoving fingersappropriately, this canbe scored as normal. Ifthere is unilateralblindness orenucleation, visual fieldsin the remaining eye arescored. Score 1 only if aclear­cut asymmetry,including quadrant anopia is found. If patient is blind from any cause score

 
Looking for a Similar Assignment? Order now and Get 10% Discount! Use Coupon Code "Newclient"