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The scale is made up of 11 different elements that evaluate specific ability. The score for each ability is a number between 0 and 4, 0 being normal functioning and 4 being completely impaired. The patients NIHSS score is calculated by adding the number for each element of the scale; 42 is the highest score possible.
Stroke severity may be stratified on the basis of NIHSS scores as follows: Very Severe: 25. Severe: 15 24. Mild to Moderately Severe: 5 14.
A score of
Conclusions: The NIHSS score strongly predicts the likelihood of a patients recovery after stroke. A score of or =16 forecasts a high probability of death or severe disability whereas a score of or =6 forecasts a good recovery.
BlueCloud7 and Apex Innovations8 are online education platforms that offer free NIH Stroke Scale training and certification courses. Both programs are worth 3.0 continuing education (CE) hours. The American Heart Association9 (AHA) also offers a free certification exam.
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The updated NIH Stroke Scale features a new illustration, the Precarious Painter, which shows a young man falling from a stepladder while painting a wall. Patients are asked to describe the detailed scene to evaluate their ability to communicate following a stroke.
Each element is evaluated with a numerical score. The higher the number, the greater impairment for that specific function. A maximum score of 42 represents the most severe and devastating stroke.
Is there a free NIH stroke scale certification? Yes, you can find NIHSS certification for free online. Some employers require employees to go through specific instructors, so be sure the course you choose fits these requirements.

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