Note: If critical findings of an acute neurological event are actively occurring, such as signs of a stroke, obtain emergency assistance according to agency policy. The PQRSTU method is described in the “ Health History” chapter. If the patient is seeking care for an acute neurological problem, use the PQRSTU method to further evaluate their chief complaint. Have you experienced any difficulty swallowing or speaking? Table 6.10a Interview Questions Related to Subjective Assessment of Neurological SystemĪre you experiencing any current neurological concerns such as headache, dizziness, weakness, numbness, tingling, tremors, loss of balance, or decreased coordination? See Table 6.10a for sample interview questions to use during the subjective assessment Ask follow-up questions related to symptoms such as confusion, headache, vertigo, seizures, recent injury or fall, weakness, numbness, tingling, difficulty swallowing (called dysphagia) or speaking (called dysphasia), or lack of coordination of body movements. Collect data from the patient using effective communication and pay particular attention to what the patient is reporting, including current symptoms and any history of neurological illness. Subjective data collection guides the focus of the physical examination. The neurological assessment begins by collecting subjective data followed by a physical examination. Now that we have reviewed tests included in a neurological exam, let’s review components of a routine neurological assessment typically performed by registered nurses.
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