NIH STROKE SCALE 5(FULL LESSONS COVERED)

NIH STROKE SCALE 5(FULL LESSONS COVERED) Level of Consciousness (LOC) - CORRECT ANSEWRS--General alertness -Includes Questions and Commands LOC Questions - CORRECT ANSEWRS--What is the month? -How old are you? LOC Commands - CORRECT ANSEWRS-Pt is asked to: -Open/close eyes -Grip then release non-paretic hand Best Gaze - CORRECT ANSEWRS--Have pt follow moving objects side to side -Only horizontal movements are tested Visual - CORRECT ANSEWRS--Visual fields are tested by confrontation -Includes upper and lower quadrants -Identify when they see your hand move by pointing to the hand that is moving Facial Palsy - CORRECT ANSEWRS--Ask pt to show teeth or raise eyebrows and close eyes -"smile" -Look for facial droop Motor Arm - CORRECT ANSEWRS--Limb is placed in appropriate position (extend arms in pronation to 90 degrees (sitting) or 45 degrees (laying) -Look for drift of arm Motor Leg - CORRECT ANSEWRS--Always tested in supine -Place leg at 30 degrees and hold -watch for drift Limb Ataxia - CORRECT ANSEWRS--Touch nose with finger tips then shins with heels on both sides -Test with eyes open Sensory - CORRECT ANSEWRS--Test for sensation/grimace to pin prick Best Language - CORRECT ANSEWRS--Pt asked to describe whats happening in the picture -Name the items on naming sheet -read from a list of sentences Dysarthria - CORRECT ANSEWRS--pt asked to read/repeat words from an attached list Extinction and Inattention (formerly neglect) - CORRECT ANSEWRS--Extinction is an impaired ability to perceive multiple-simultaneous stimulation (they'll only see on their strong side) -Sufficient information to identify neglect may be obtained during prior testing. -Touch left/right/both sides and they identify -done with eyes cl