By Claudia B Fenderson, Wen K Ling
Regardless of the perform setting-acute care, rehabilitation, outpatient, prolonged care, or in a school-turn to this useful pocket consultant to the neurological exam. Small in measurement, yet now not in content material, it covers all the universal neuromuscular stipulations, issues, and ailments chances are you'll encountered in sufferers all through their lifespans. A spiral binding, thumb tabs and approximately 240 illustrations insure you will find simply what you are looking for. water resistant, reusable pages allow you to list medical facts after which wipe the pages fresh with alcohol.
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Extra resources for Neuro Notes: Clinical Pocket Guide
Circle Best Answer Most Least Question Confident Confident Taking a bath or shower? 1 2 3 4 5 6 7 8 9 10 Reaching into cupboards? 1 2 3 4 5 6 7 8 9 10 Preparing a meal (not requiring carrying heavy or hot objects)? 1 2 3 4 5 6 7 8 9 10 Walking around the house? 1 2 3 4 5 6 7 8 9 10 Getting in and out of bed? 1 2 3 4 5 6 7 8 9 10 Answering the door or telephone? 1 2 3 4 5 6 7 8 9 10 Getting in and out of a chair? 1 2 3 4 5 6 7 8 9 10 Getting dressed or undressed? 1 2 3 4 5 6 7 8 9 10 Doing light housekeeping?
Initiation of gait (patient asked to begin walking down hallway) 2. Step height (begin observing after first few steps: observe one foot, then the other; observe from side) 3. Step length (observe distance between toe of stance foot and heel of swing foot; observe from side; do not judge first few or last few steps; observe one side at a time) Score 0–unable to bend down, or unable to get upright after bending down, or takes multiple attempts to upright 1–able to get object and get upright in single attempt but needs to pull self up with arms or hold onto something for support 2–able to bend down and pick up the object and is able to get up easily in single attempt without needing to pull self up with arms 0–unsafe (misjudged distance; falls into chair) 1–uses arms or not a smooth motion 2–safe, smooth motion 0–hesitates; multiple attempts; initiation of gait not a smooth motion 1–no hesitation; initiation of gait is single, smooth motion 0–swing foot is not completely raised off floor 1–swing foot completely clears floor by no more than 1–2 in.
Adjust depth to Ͼ11 in. Handrail height Adjust height to 34–38 in. Handrail location Install handrails on both sides Ramp grade 1 in. in height is required for every 12 in. in length If ramp is Ͼ30 ft, a platform is required for rest 34 35 Environment, Home, and Work Recommendations—Cont’d Category Entrance Areas to Be Assessed Door clearance Door handles Door thresholds Door width Recommendations Adjust space beyond swing-out door to 5 ϫ 5 ft & swing-in door to 3 ϫ 5 ft Adapt door handles depending on patient’s hand function Remove, if any Adjust to 32–34 in.
Neuro Notes: Clinical Pocket Guide by Claudia B Fenderson, Wen K Ling