Hello, I am a new grad RN and I am super duper confused on Neuro Assessment. I think it is best to ask neuro ICU nurse about neuro assessment
My questions are:
1. Is there a difference between alert, awake and arouse? To my understanding, a patient is considered normal when a patient is arousal (alert and awake) and aware. Confused state is when patient is arousal but not aware. Lethargic is when patient less alert and aware? Am I on the right track? Someone please explain further about these descriptions.
2. I am confused between alert and lethargic. For example: if a patient is easily aroused and startled as she/he awakens when I call his/her name, but patient falls asleep almost instantly. As I continue to call his/her name, he/she is able to answer all orientation questions, is this patient considered as lethargic? How about pretty much the same one but this patient fall asleep not instantly but after few questions?
Hey fellow new nurses, I'm in the process of making a head-to-toe assessment guide for myself just to have as a reference while I'm caring for my patients and here are the definitions/explanations of the levels of consciousnesses (LOC) that I have been using on my sheet (coming from the Nursing Made Easy Assessment series) which should help you with your Neuro assessments.
– AWAKE AND ABLE TO FULLY RESPOND WITH SPONTANIOUS EYE OPENING AND NORMAL SPEECH.
– ROUSABLE TO SPEECH BUT REMAINS DROWSY/FALLS ASLEEP EASILY.
– ROUSABLE TO PHYSICAL STIMULI BUT MAY BE CONFUSED/SLOW TO RESPOND.
– RESPONDS ONLY TO PAINFUL STIUMLI, MAY NOT BE ABLE TO RESPOND VERBALLY.
– NO RESPONSE TO REPEATED PAINFUL STIMULI, ABNORMAL POSTURING PRESENT.
Sorry the definitions are in all caps (I copy/pasted it from my document and it got stuck in all caps). Hopefully you find that helpful!
Last edit by cjcsoon2bnp on Jun 28, '12