University:
Camosun College
Course:
NURS132 | Promoting Health and Wellbeing
Academic year:

2023
Views:

467

Pages:

4
Author:

Aysha A

GENERAL NEUROLOGICAL EXAMINATION AIM: So demonstrate general neurological examination. REQUIREMENTS: Cotton wool, turing fork (128 Hz), pin, hot and cold water in test tubes. DISCUSSION:- SENSORY SYSTEM:- All sensory modalities should be tested one by one all over the body represented by cock dermatome, comparing the sensation of each side of the body at coresponding areas. When ac area of defeciency is detected the margine of the area of loss of sensation should be mapped by testing from impaired area to the normal areas. TACTILE SENSIBILITY fine touch is tested with a wisp of cotton wood. The conton wood should be placed on th skin gently without disturbing the hair. Cruck touch is testad with the tip of inder finger Ability to distinguich two points is detected. POSITION SENSE Position sense is tested in all jointe The subject closes eyes or looks away. The joint to be tested is stabilized by bre hand holding it by thumb and other fingers across the axis. mowment to be tested. The distal part is flexed or extended by the other hand, holding on the sides acres the axis of movement to avoid the force weed for movement giving any clue The patient should respond when the position is changed by saying up or down the dyner appreciation of movement is tested by asking the patient to say now as soon as he/she feels the movements. Normally moverent is felt within the angle of 10. RECOGNITION OF SIZE, SHAPE, WEIGHT AND FORM The patient is asked to close eyes or one hand is taken back and a farciliar object is placed in the hand. The patient will have to feed on identify the object. VIRRATION SENSE The part of a vibrating tuning fork is placed on the skin. Bony prints are Mo sensitive to this sensation. PAIN SENSE Superficial pain is tested with a pin but distinction should be made between pain sensation and fine touch. Pressure pain is tested by pressing hard or squeezing muscle TEMPERATURE SENSE Temperature sense is texted with test tubes containing hat and cold water. Adaptati of these receptors can be demonstrated by feeling water at room temperature after keeping the finger in hot or cold water for tin minuter. BULK OF MUSCLES This can be easily extimated by inspection palpation and by measuring the circumporn of the limbs with a tape mensure at certain pointe, and comparing them on the twn sider. upper limbs, the circumference is measured 5 inches above the elbow on 4 inches below it. lower limbs, the concumference is measured 9 inches above the knees and 6 inches below it. I murde mass decreases in ruscular atrophy. MUSCLE TONE When the patient is completely relaxed move the lirebs gently and feel the resistanc to movercent. Look for hypertonia or hypotonia. STRENGTH OF MUSCLES Ask the patient to foro his birds against resistance offered by you. Post the strength of each of rusce separately and compare with the opposite einde.