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A patient's history is the most important part of a neurological examination [2] and must be performed before any other procedures unless impossible (i.e., if the patient is unconscious certain aspects of a patient's history will become more important depending upon the complaint issued). [2]
More than 150 peer-reviewed scientific articles [4] describe Cognistat's use in patients with stroke, dementia, traumatic brain injury, major psychiatric disorders and substance abuse. It is used by internists , neurologists , neurosurgeons , physiatrists and psychiatrists , as well as psychologists , nurses , speech pathologists , occupational ...
The National Institutes of Health Stroke Scale, or NIH Stroke Scale (NIHSS), is a tool used by healthcare providers to objectively quantify the impairment caused by a stroke and aid planning post-acute care disposition, though was intended to assess differences in interventions in clinical trials.
Some conscious patients who are administered neuromuscular blocking agents such as succinylcholine may have low bispectral index scores; thus, the BIS may fail to detect consciousness in such patients. [22] Its numbers cannot be relied upon in all situations, including brain death, circulatory arrest or hypothermia.
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UAPs must be delegated responsibilities. The nurses are ultimately accountable for all the care patients receive as a result of their delegating. [5] Due to the nursing shortage and to reduce the heavy workload placed on nurses, delegating tasks to UAPs and other nursing staff such as licensed practical nurses (LPNs) is crucial. [1] [6]