Chapter 43 Take Home Case Study Name: Assessing An Unconscious Client
Learning Plan 1: Chapter 43 Take Home Case Study Name:
Assessing an Unconscious Client ____/ 35 total
Client 's Name: Amy Braden
Abstract:Amy Braden, age 24, is injured in an automobile accident. Upon arrival in the emergency room, she is unconscious.
Objectives:
1. Identify specific topics for consideration during a health history assessment interview of the client with neurologic disorders.
2. Conduct and document a physical assessment of neurologic structures and functions.
Amy Braden, age 24, was in the passenger seat of a car driven by her boyfriend …show more content…
The nurse in the emergency room takes vital signs which reveals: T 97.0 degrees F., P 88, R 22 and BP 108/58. She begins to show signs of arousal and the nurse assesses neurological function by using the Glasgow Coma Scale. What is this scale and how does the nurse use this in assessment? (10 points total-each question worth 5 points)
The Glasgow Coma Scale (GCS) is an accepted tool used for objective assessment of the neurological system and provides a way to document level of consciousness. It provides a way to gather baseline data so progress/deterioration can be measured over time by assigning numerical values to the areas of assessment. The lower the score the lower the level of consciousness.
A nurse uses this scale to establish baseline data for accurate assessment of patient progress. A nurse will perform the test by assessing the patient response to questions in the GCS, and then re-performing this test at periodic intervals, or a prn basis if deterioration seems
Assessing an Unconscious Client ____/ 35 total
Client 's Name: Amy Braden
Abstract:Amy Braden, age 24, is injured in an automobile accident. Upon arrival in the emergency room, she is unconscious.
Objectives:
1. Identify specific topics for consideration during a health history assessment interview of the client with neurologic disorders.
2. Conduct and document a physical assessment of neurologic structures and functions.
Amy Braden, age 24, was in the passenger seat of a car driven by her boyfriend …show more content…
The nurse in the emergency room takes vital signs which reveals: T 97.0 degrees F., P 88, R 22 and BP 108/58. She begins to show signs of arousal and the nurse assesses neurological function by using the Glasgow Coma Scale. What is this scale and how does the nurse use this in assessment? (10 points total-each question worth 5 points)
The Glasgow Coma Scale (GCS) is an accepted tool used for objective assessment of the neurological system and provides a way to document level of consciousness. It provides a way to gather baseline data so progress/deterioration can be measured over time by assigning numerical values to the areas of assessment. The lower the score the lower the level of consciousness.
A nurse uses this scale to establish baseline data for accurate assessment of patient progress. A nurse will perform the test by assessing the patient response to questions in the GCS, and then re-performing this test at periodic intervals, or a prn basis if deterioration seems