NIH Stroke Scale Training and Certification.pdf file:///C:/Users/HP/Desktop/New%20folder%20(3)/NIH%20Stroke%2
NIH Stroke Scale Training and Certification
1. rate what they actually do:
2. tips for scoring: use patient's first response
-
3. ataxia: lack of muscle coordination, reflects the affected coordination of one who
has experienced a stroke
4. Significance of NIH stroke scale: necessary prognostic tool for discerning
deficits within different parts of body.
provides in common language to understand nature of stroke and severity amongst
interdisciplinary team.
5. is the NIH stroke scale a measure of disability?: no, it is a measuring tool of
impairments.
1/3
1 of 8 12/10/2024, 8:01
,NIH Stroke Scale Training and Certification.pdf file:///C:/Users/HP/Desktop/New%20folder%20(3)/NIH%20Stroke%2
6. Relevance to medical specialties: emergency physicians, neurologists
7. : - administer scale items in their - exact order
- avoid coaching patient
- accept patient's 1st effort
- score only what patient does
- be consistent
8. NIH level of consciousness item 1a: 0 = alert 1
= not alert; aroused with minor verbal stimulation2
= not alert; requires strong or painful stimulation
3 = reflex movements only or totally unresponsive *coma*
9. NIH level of consciousness item 1B: based on 2 questions
1) patient's age
2) month
0 = answers both questions correctly1
2/3
2 of 8 12/10/2024, 8:01
NIH Stroke Scale Training and Certification
1. rate what they actually do:
2. tips for scoring: use patient's first response
-
3. ataxia: lack of muscle coordination, reflects the affected coordination of one who
has experienced a stroke
4. Significance of NIH stroke scale: necessary prognostic tool for discerning
deficits within different parts of body.
provides in common language to understand nature of stroke and severity amongst
interdisciplinary team.
5. is the NIH stroke scale a measure of disability?: no, it is a measuring tool of
impairments.
1/3
1 of 8 12/10/2024, 8:01
,NIH Stroke Scale Training and Certification.pdf file:///C:/Users/HP/Desktop/New%20folder%20(3)/NIH%20Stroke%2
6. Relevance to medical specialties: emergency physicians, neurologists
7. : - administer scale items in their - exact order
- avoid coaching patient
- accept patient's 1st effort
- score only what patient does
- be consistent
8. NIH level of consciousness item 1a: 0 = alert 1
= not alert; aroused with minor verbal stimulation2
= not alert; requires strong or painful stimulation
3 = reflex movements only or totally unresponsive *coma*
9. NIH level of consciousness item 1B: based on 2 questions
1) patient's age
2) month
0 = answers both questions correctly1
2/3
2 of 8 12/10/2024, 8:01
