Peter Simpson Clinical

Assessment & Reasoning Neurologic System Assessment: General • Mental status: assess speech, orientation, memory, and level of consciousness • Posture, position • Assess behavior, mood, and affect • Assess dress, grooming, hygiene Inspection: Neurological • Level of consciousness, orientation • Cranial nerves • Gait, balance, coordination Head: • Tongue-midline? • Symmetry in facial features • Grimace-big smile to assess facial droop • Sensation each side face • Pupils • Eyes: conjugate vs. disconjugate/extra ocular eye movements/visual fields ***Assess cranial nerve II (Optic) – Check PERRLA and visual fields • Evaluate posture, gait, balance, involuntary movements. • Assess light touch (to face and extremities), pain to extremities. • Fine motor coordination UPPER: finger to nose w/eyes closed (sobriety test) ***finger to nose then touch nurse’s finger ***fingers to thumb same hand in sequence • Fine motor coordination LOWER: Rub heel on opposite shin/calf downwards • Gross motor UPPER: bilateral hand grasp/pronator drift • Gross motor LOWER: dorsi/plantar flexion, bilateral leg lift, Babinski