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Undertaking a neurological assessment.

Chris Carter1, Joy Notter1

  • 1Faculty of Health, Education and Life Sciences, Birmingham City University, Birmingham, England.

Nursing Standard (Royal College of Nursing (Great Britain) : 1987)
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PubMed
Summary
This summary is machine-generated.

Nurses use validated tools for neurological assessments in patients with altered mental status. This includes evaluating pupil size and response to understand raised intracranial pressure and its effects.

Keywords:
clinicalearly warning scoresneurologynursing careobservationspatient assessmentpatientsprofessionalvital signs

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Area of Science:

  • Neurology
  • Nursing Assessment

Background:

  • Altered mental status necessitates thorough neurological observations.
  • Pupil assessment is a critical component of neurological evaluation.
  • Raised intracranial pressure can significantly impact mental status.

Purpose of the Study:

  • To summarize the pathophysiology of raised intracranial pressure.
  • To outline conditions causing altered mental status.
  • To detail the use of neurological assessment tools and pupil evaluation.

Main Methods:

  • Review of pathophysiology of raised intracranial pressure.
  • Description of common neurological assessment tools.
  • Explanation of pupil size and response assessment.

Main Results:

  • Understanding of raised intracranial pressure pathophysiology.
  • Identification of conditions affecting mental status.
  • Guidance on utilizing neurological assessment tools and pupil assessment.

Conclusions:

  • Neurological observations, including pupil assessment, are vital for patients with altered mental status.
  • Validated tools aid in accurate neurological assessment.
  • Accurate recording of neurological observations presents challenges.