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Administer stroke scale items in the order listed. Record performance in each category after each subscale exam. Do not go back and change scores. Follow directions provided for each exam technique. Scores should reflect what the patient does, not what the clinician thinks the patient can do.
NIH STROKE SCALE IN PLAIN ENGLISH 1a. Level of Consciousness 0= Alert 1= Sleepy but arouses 2= Can’t stay awake 3= No purposeful response or reflexive motor only (comatose) 1b. Questions (month, age) 0=Both correct 1=One correct /intubated 2=Neither correct (comatose) 1c. Commands
• Discuss the most current, relevant scoring systems and scales being used for the stroke population • Identify the strengths, limitations, and application of these scales
Asked to show teeth & raise eyebrows. 5. Motor Arm. Asked to extend arms (palm down) 90o (if sitting) or 45o (if supine) & hold for 10 seconds. Begin with non-paretic limb. 6. Motor Leg. While supine, asked to hold leg at 30o for 5 seconds. 7.Limb Ataxia. Finger – nose & heel – shin test on both sides.
NIH Stroke Scale. with notes for the comatose and intubated patients. Comatose Patient: Defined by a patient with a 3 on item 1a (LOC) Is a patient that makes no movement (other than reflexive posturing) in response to noxious stimulation. Can only score items 2 & 3 (oculocephalic move and blink to threat)
Administer stroke scale items in the order listed. Record performance in each category after each subscale exam. Do not go back and change scores. Follow directions provided for each exam technique. Scores should reflect what the patient does, not what the clinician thinks the pat ient can do. The clinician should
The National Institutes of Health Stroke Scale (NIHSS) is a standardized tool for assessing the severity of neurological deficits in suspected ischemic stroke. Practitioners who are documenting an NIHSS score should have completed a certification program (available for free online). The steps of the NIHSS are
