Assessing Patients With Altered Level of Consciousness

Author:

Hill Michelle1,Moreda Melissa2,Navarro Jacqueline3,Mulkey Malissa4

Affiliation:

1. Michelle Hill is the Comprehensive Stroke Program coordinator, OhioHealth Riverside Methodist Hospital, Columbus, Ohio.

2. Melissa Moreda is an inpatient diabetes clinical nurse specialist, Duke Raleigh Hospital, Raleigh, North Carolina.

3. Jacqueline Navarro is an advanced practice clinician, pulmonary critical care, University of Utah Hospital, Salt Lake City, Utah.

4. Malissa Mulkey is a postdoctoral research fellow, Indiana University–Purdue University Indianapolis, Indiana, and an intensive care unit clinical nurse specialist, University of North Carolina Rex Hospital, Raleigh.

Abstract

Patients with alterations in level of consciousness are among the most difficult to assess, so knowledge of how to assess these patients is important for tracking trends and identifying changes. This article discusses methods used to assess patients admitted with an altered level of consciousness and describes the neurological assessment of and potential causes for altered level of consciousness. Identifying and understanding certain examination findings enable faster recognition and intervention for life-threatening neurological events, directly impacting outcomes for neurologically compromised individuals.

Publisher

AACN Publishing

Subject

Critical Care Nursing,General Medicine

Reference27 articles.

1. Comprehensive neurological examination;Hickey,2020

2. Understanding disorders of consciousness: opportunities for critical care nurses;Mulkey;Crit Care Nurse,2021

3. The Curing Coma Campaign: framing initial scientific challenges-proceedings of the first Curing Coma Campaign scientific advisory council meeting;Provencio;Neurocrit Care,2020

4. Assessment;Baumann,2016

5. Bell SD, Lee CCT, Zeeman J, Kearney M, Macko L, Cartwright CC. Neurological assessment of the adult hospitalized patient. American Association of Neuroscience Nurses. 2021. Accessed July 15, 2022. https://aann.org/uploads/about/AANN21_Neuro_White_Paper_V9.pdf

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Validation of a Novel Neurologic Assessment Test for Healthcare Staff;Journal of Neuroscience Nursing;2024-03-07

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