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It should be assessed first in all patients. Mental status testing can be divided into five parts: level of alertness; focal cortical functioning; cognition; mood and affect; and thought content.
This may be done by using different instruments: dull needles, tuning forks, alcohol swabs, or other objects. The healthcare provider may touch the patient's legs, arms, or other parts of the body and have him or her identify the sensation (for example, hot or cold, sharp or dull). Newborn and infant reflexes.
It should be assessed first in all patients. Mental status testing can be divided into five parts: level of alertness; focal cortical functioning; cognition; mood and affect; and thought content.
There are many aspects of this exam, including an assessment of motor and sensory skills, balance and coordination, mental status (the patient's level of awareness and interaction with the environment), reflexes, and functioning of the nerves.
At a minimum, NE should be performed upon admission to the ICU and once daily\u2014moderate evidence, best practice recommendation. 3.

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The following is an overview of some of the areas that may be tested and evaluated during a neurological exam: Mental status. ... Motor function and balance. ... Sensory exam. ... Newborn and infant reflexes. ... Reflexes in the older child and adult. ... Evaluation of the nerves of the brain. ... Coordination exam:
Otherwise any fall with head injury notify physician and monitor for any change in condition. We monitor neuros every 15 mins x 1 hour, then every 30 mins x 1 hour, then hourly x 4 hrs, then every shift for a total of 72 hrs.
A thorough neurologic assessment will include assessing mental status, cranial nerves, motor and sensory function, pupillary response, reflexes, the cerebellum, and vital signs.
Documentation of a basic, normal neuro exam should look something along the lines of the following: The patient is alert and oriented to person, place, and time with normal speech. No motor deficits are noted, with muscle strength 5/5 bilaterally. Sensation is intact bilaterally.
Vital signs and neurological observations should be performed hourly for 4 hours and then every 4 hours for 24 hours, then as required. The attending physician should be notified immediately if there is any change in observations.

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