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By: Myrna Buiser Schnur, MSN, RN Nov 3 2022
Tests for Higher Cognitive Function The mental health assessment is critical to evaluating brain function, specifically cognition. While neuroimaging tests can examine structure, blood flow, metabolic function, and abnormal protein deposits in the brain, there’s still no way...
By: Anne Dabrow Woods, DNP, RN, CRNP, ANP-BC, AGACNP-BC, FAAN Nov 1 2022
Safety: A Priority for our Workplace and our Patients Let’s face it, everyone wants to live, work, and be cared for in a safe environment. Safety is defined as the condition of being protected from an experience likely to cause danger, risk, or injury (Oxford Languages, 2022). Unfortunately...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN Oct 31 2022
This Month in Nursing: November 2022 Here’s a glance at what’s happening this month, along with some resources for your learning and professional development. Nursing Recognition DatesMedical-Surgical Nurses Week November 1-7, 2022#MSNW22Medical Surgical Nursing...
By: Myrna Buiser Schnur, MSN, RN Oct 27 2022
Disorders of Thought Process and Thought Content Two critical elements of the mental status assessment are thought process and thought content. You can weave an evaluation of an individual’s thoughts throughout the general patient interview.   Thought Process (Bickley et al., 2021) ...
By: Myrna Buiser Schnur, MSN, RN Oct 27 2022
Understanding Aphasia We often take language and our ability to communicate for granted. For patients with aphasia, it is an extremely challenging and frustrating impairment. Aphasia is the loss of the ability to speak or comprehend written or spoken language.   ...
By: Myrna Buiser Schnur, MSN, RN Oct 25 2022
Assessing Level of Consciousness As a nurse, the first thing we often do when we walk into a patient’s room is assess the patient’s mental status and level of consciousness. We immediately observe whether the patient is awake and alert. If awake, we’ll ask them...
By: Myrna Buiser Schnur, MSN, RN Oct 19 2022
Insulin - How Does It Work? If you’re a nurse who’s worked in direct patient care, it’s likely you’ve administered insulin at some point in your career. Have you ever wondered how insulin works? Insulin Basic Review Before we dive into the mechanics...
By: Lisa Bonsall, MSN, RN, CRNP, CCRN Oct 17 2022
Summing Up the Research: Transforming Practice through Evidence Awareness of current research is a big component of staying up to date in nursing and healthcare and providing evidence-based care. Here’s a look at a selection of the latest studies and practice-changing recommendations. The Impact of the...
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...
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