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By: Myrna Buiser Schnur, MSN, RN Oct 10 2022
How To Assess Doll's Eyes Reflex It can be challenging to complete a full neurologic assessment of the comatose patient. However, you can evaluate brainstem function and specific cranial nerves (III, IV, VI, VIII) by testing for the oculocephalic reflex, also known as doll&rsquo...
By: Myrna Buiser Schnur, MSN, RN Oct 10 2022
Special Techniques in Neurologic Assessment As you complete your neurologic assessment, there are three special techniques that you should perform if you suspect your patient might have meningeal inflammation: nuchal rigidity, Brudzinski sign, and Kernig sign (Bickley et al., 2021). Let...
By: Myrna Buiser Schnur, MSN, RN Oct 10 2022
How to Assess Discriminative Sensations A thorough neurologic assessment involves an evaluation of the sensory system. This begins with primary methods such as light touch, pain and temperature, vibration, and joint position.  These tests check if the afferent sensory pathways are...
By: Myrna Buiser Schnur, MSN, RN Oct 10 2022
What is Pronator Drift? A thorough neurologic assessment involves an evaluation of the motor system, including body position, involuntary movements, and coordination, as well as muscle bulk, tone, and strength. One basic component is the test for pronator drift which...
By: Myrna Buiser Schnur, MSN, RN Oct 10 2022
Spasticity vs. Rigidity: What’s the Difference? A key component of the neurological assessment includes evaluating the patient’s muscle tone. Normal muscle tone will maintain some residual tension with relaxation. You can assess this by noting the muscle’s resistance to passive...
By: Myrna Buiser Schnur, MSN, RN Oct 10 2022
How To Assess for Clonus As you complete your neurologic assessmentand test your patient’s deep tendon reflexes, if the reflexes appear to be hyperactive, take a moment to check for clonus. Clonus is an abonormal movement marked by a rhythmic alternating muscle...
By: Myrna Buiser Schnur, MSN, RN Oct 10 2022
Grading Deep Tendon Reflexes Reflexes are involuntary contractions of muscles in response to a stimulus and are classified as deep tendon, superficial, or pathologic (Hinkle, 2021). The most common reflexes tested are the deep tendon reflexes which include the biceps, triceps...
By: Myrna Buiser Schnur, MSN, RN Oct 10 2022
What is Asterixis? Also known as “flapping hand tremor,” asterixis is a neurologic condition in which a person loses motor control typically in the fingers and wrists. It is a clinical sign that describes a patient’s inability to maintain a...
By: Anne Dabrow Woods, DNP, RN, CRNP, ANP-BC, AGACNP-BC, FAAN Oct 1 2022
Supporting the Next Generation of Nurses We’ve all heard the news about nursing workforce issues: lack of faculty, resources, and clinical sites to educate nursing students; burnout; staffing issues; nurses being dismayed with the work of nursing; and nurses leaving the profession....
By: Lisa Bonsall, MSN, RN, CRNP, CCRN Sep 28 2022
This Month in Nursing: October 2022 Here’s a glance at what’s happening this month, along with some resources for your learning and professional development. Nursing Recognition DatesNational Midwifery Week          ...
By: Myrna Buiser Schnur, MSN, RN Sep 22 2022
Opioid Agonists - How Do They Work? Opioids are a class of analgesic agents known primarily to treat pain. These drugs can be categorized in several ways: by chemical class, by synthetic process, and by their action on opioid receptors in the central and peripheral nervous systems...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN Sep 21 2022
After Sepsis: Post-Sepsis Syndrome Explained Early recognition and intervention are improving short-term survival of sepsis, however there are many who suffer complications, long after resolution of the primary infection and discharge from the hospital. Post-sepsis syndrome (PSS) occurs in...
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