In: Nursing
Neurological assessment
What are we actually assessing?
Is a GCS a neurological assessment? What are we assessing in a GCS? AVPU?
Respiratory assessment
# Respiratory depression versus Respiratory distress? S+S
# Lung Sounds (what do they mean?)
Cardiovascular assessment
# How and what do we assess?
Comprehensive pain assessment
How?
How does pain influence vital signs?
Types of pain – how can we tell the difference
Treatments, trends, precautions, ongoing evaluation
Wound assessment
# How do wounds heal?
# What are indicators of poor wound healing?
# Risk factors for poor wound healing?
[as there are multiple questions submitted, we are authorised to give the answer for the first question as it is not mentioned specifically about which one should be answered. So we are giving the answer for "Neurological assessment" here. Please submit the rest of the questions again seperately]
Q: What are we actually assessing?
A: We are assessing a patients level of consciousness.
Q: Is a GCS a neurological assessment?
A: Yes, GCS is a neurological assessment
Q: What are we assessing in a GCS? AVPU?
A: GCS is a scale for assessing a patient's level of consciousness
by certain parameters such as eye opening response (E), verbal
response (V) and motor response (M). The maximum score is recorded
as E4V5M6. In case of a brain injury, in severe cases GCS score
will be 8 or less and moderate it is in between 9-12. If the score
is between 13-15 the brain injury is mild.
AVPU is used in emergency and first aid situations for assessing
level of consciousness as a protocol. A stands for alert, V for
Verbal, P for pain, and U for unresponsive.
Alert - having spontaneous eye opening. Fully awake patient
Verbal - any response when the patient is asked whether he is okay,
for e.g. response like grunt or moan
Pain - This cal be assessed by painful stimuless like sternal rub
or squeezing
Unresponsive - patient is totally unresponsive