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How many items on the NIH stroke scale? - ANSWER>>11
NIH Stroke scale is - ANSWER>>an 11-item clinical
evaluation instrument widely used in clinical trials and
practice to assess neurologic outcome and degree of
recovery from stroke.
NIH Stroke Scale is used to quantify the effects of acute
cerebral ischemia on levels of ... (7 items) -
ANSWER>>levels of:
consciousness vision
motor function (facial and extremities)
cerebellar function sensation language
extinction or inattention
NIH SS is used to measure patient's status after a stroke
and to assess the outcome after - ANSWER>>treatment
Should the patient be coached? Should you go back and
rethink a particular assessment? - ANSWER>>NO
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, Having what when using NIH scale is important? -
ANSWER>>reference materials
DO NOT RATE what you think the patient wants to do or
what you think they can do, RATE ONLY - ANSWER>>rate
only what they actually do
use patient"s first response? - ANSWER>>YES - DO NOT
USE SUMMARY OF RESPONSES
re ataxia score
1-if real weak, assume ataxia score is...
2-if they can hold leg or arm up w/ minimal drift but are
all over place when trying finger to nose test, that's
probably...
3) Important to know if ataxia is present or not and if
present in _____ or _______ limbs
4) if patient very weak or paralyzed, the ataxia score
is... - ANSWER>>1) 0
2) ataxia
3) 1 or 2
4) 0
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, You should only score loss of sensation if you can really
demonstrate... - ANSWER>>that they have loss of
sensation
if patient has sensory loss from neuropathy, do you count
thatt? - ANSWER>>no, but you do if there's loss on top of
the neuropathy
aphasia is difficult because it can take a while to go
through the battery and it can be subjective as to
whether it is one of which classification? -
ANSWER>>mild, mod, severe
start to recognise aphasia when you meet them and start
talking and you don't get a history of... - ANSWER>>what
happened
dysarthria is interesting because there are many cultural
things about slurred ________? - ANSWER>>speech.
Score is associated with prognosis? - ANSWER>>YES
Is NIH scale a measure of disability? - ANSWER>>NO. The
NIH scale is a measure of impairments.
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, The NIH scale creates a common currency so that
everybody understands the patient's level of... -
ANSWER>>deficit, by giving a number that communicates
to other professionals how sick the patient is
how much time to budget to perorm NIH scale -
ANSWER>>7-10 mins
What effort should be recorded? Do not do what? -
ANSWER>>The patient's first effort. Don't go back and
change scores.
IMPORTANT CONVENTIONS IN ADMINISTRATION:
Administer scale items in their exact ______
-Avoid ______ing patient
-Accept patient's _______ effort
-Score only what the patient _______
-Be consistent
-Include all _________s into scoring, including those that
may be from _________s ______s - ANSWER>>-order
-coaching
-first
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