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Mental Status Evaluation
List all the steps
1. Orientation
2. Level of alertness, attention and cooperation
3. Memory
4. Language
5. Calculations
6. Aparxia
7. Sequencing tasks
8. Abstraction
Mental Status
Orientation
Ask the pt's name, location and date
Mental Status
Level of Alertness, attention and cooperation
Ask pt to spell a word forward and backward
Ask pt to repeat a string of integers forward and backward
Ask pt to name the months forward and backward
Mental Status
Memory
Recent - recall three items after 5 minute delay
Remote - recall certain historical facts within pts memory
"where did you go to high school"
Mental Status
Language
Object naming
Repetition of single words and sentences
Mental Status
Calculations
simple additions and subtractions, should be two or more steps
Mental Status
Apraxia
Following a complex motor command like "pretend to comb your hair" or "pretend to brush your teeth"
Mental Status
Sequencing tasks
Ask pt to tap the table with: fist, open palm, then side of open hand(rock, paper, scissors) perform as rapidly as possible
Mental Status
Abstraction
abstration interpertation of a proberb or colloquialism :the early bird getsthe worm
Motor System Exam
the list
1. Inspection
2. Testing Muscle Strength
Motor System Exam
Inspection
check limbs and trunk for fasciculations's (hands, shoulders and thigh)
look for atrophy/hypertrophy
observe posture
Motor System Exam
Testing Muscle Strength
1. Passively move limbs through range of motion noting resistance and rigidity
2. Ask pt to hold arms straight out front palms up for 20 to 30 secs with eyes closed, look for drift to one side or pronator drift.
3. test muscle strength at multiple joints and record
Oxford or Van Allen's Scale
0 - nothing
1 - evidence of contraction
2 - and motion gravity neutral
3 - and motion against gravity
4 - and resistance
5 - and joint lock
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Author
SpikeySarr
ID
68520
Card Set
Neuro Lab
Description
For Neuro lab exam
Updated
2011-02-24T01:57:37Z
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