1. DISTURBANCE IN PERCEPTION & COORDINATION LUDY MAE B. NALZARO, RN, MN

2. The Nervous System

31. CRANIAL NERVES

34. Cranial Nerves Cranial Nerves Functions I.Olfactory SE Smell II.Optic SE Visual acuity, Visual Fields III. Oculomotor MO Movements of eye muscles, elevate the eyelid, [upil constriction IV.Trochlear MO Extrocular eye movement V.Trigeminal MI Innervates the skin of the face, nasal mucosa; sensations of teeth *corneal reflex; Movement of mastication VI.Abducens MO Movements of the lateral eye

36. Effects of Injury

37. Neurologic Assessment

47. QUICK CHECK OF MENTAL STATUS Question Function screened What’s your name? Orientation to person What’s today’s date? Orientation to time What year is it? Orientation to time Where are you now? Orientation to place How old are you? Memory Where were you born? Remote memory What did you have for breakfast? Recent memory Who’s the Phil. President? General knowledge Can you count back from 20 to 1? Attention and calculation Why are you here? Judgement

48. Glasgow Coma Scale

50. Glasgow Coma Scale

61. Visual Field Confrontation test

62. Nystagmus

64. Cataract

67. Rev. Nov 2006

70. Mydriasis –blown pupil Miosis (constriction of the pupil ) Anisocoria (Unequal size of pupils ) Ptosis

76. Weber’s Test

77. Rinne’s Test

87. Finger to Nose test

88. Alternating Supination & Pronation of Hands to Knees

89. Heel to Shin test

90. Heel to Toe walk

91. Romberg’s Test

92. Frontal Lobe

94. Plegia(Paralysis)

96. Atrophy

97. Bradykinesia

99. Muscle Strength Functional level Lovett Scale Grade % of normal No evidence of contractility 0 0 0 Evidence of slight contractility Trace 1 10 Complete ROM minus gravity Poor 2 25 Complete ROM with gravity Fair 3 50 Complete ROM with some resistance Good 4 75 Complete ROM vs. gravity with full resistance Normal 5 100

100. Muscle strength test

106. Biceps reflex

107. Triceps reflex

108. Patellar reflex

109. Achilles reflex

110. Babinski Reflex

111. Diagnostic Assessment

137. END

160. Thank YOU !