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Assessment: Neurological Nursing

  • : Sydney NSW 2000

Mental Status Examination, Cranial Nerves, Motor System, Reflexes, Senses, Coordination-Stance and Gait, Documentation

Overview

 

Neurological assessment is a complex skill to master, yet vital to the health outcomes of patients with a neurological injury. Knowledge of the underlying anatomy, physiology and pathophysiology of the central and peripheral nervous systems is necessary to perform a systematic neurological assessment. By attending this seminar, the learner will have an opportunity to:

  • Refresh their knowledge of the nervous system
  • Gain practical skills on how to perform a neurological assessment
  • Immediately translate these skills into their practice
  • Help your patients with a neurological injury to benefit from improved health outcomes

Gain knowledge and update your skills now!

 

Need for Program

 

Nurses and other health professionals such as physiotherapists, speech pathologists and occupational therapists are often the frontline carers of people with brain injury.

New evidence emerges daily about the importance of early intervention for the management of preventable brain cell death following a brain trauma or insult.

Correctly assessing a person’s neurological status, followed by the appropriate actions, can make the difference between profound or moderate disability and, in some cases, life or death.

However, effective neurological assessment is complicated and requires thoroughness, attention to detail and an understanding of the significance of the findings.

An illustrated seminar that systematically demonstrates and refreshes knowledge on how to assess the different parts of the nervous system in detail will enhance all nurses' awareness and skills, building on their ability to improve health outcomes in patients with a neurological injury.

 

Purpose of Program

The purpose of this seminar is offer nurses and other health professionals, including physiotherapists, occupational therapists and speech pathologists, an opportunity to improve their knowledge and skills when conducting a neurological assessment. After gaining this information, the learner will be able to appropriately translate findings of a neurological assessment to improved health outcomes in patients with a neurological injury.

Learning Outcomes

At the conclusion of this program it is expected that the participants will be able to:

  • Describe the key anatomy and physiology of the nervous system pertinent to a neurological assessment
  • Perform a systematic neurological assessment and differentiate between normal and abnormal findings
  • Apply knowledge and skills to practice by localising a lesion based on assessment findings
  • Document findings in a structured, systematic way, and initiate appropriate actions
  • Schedule Day One


    8:30am - Registration and Refreshments


    9:00am

    Introduction to Neurological Nursing and Assessment

    An overview of the two days of the program with a special reminder on the psychosocial aspects of neurological assessment.


    9:10am

    Neurological Anatomy and Physiology

    All assessment starts with a thorough understanding of underlying functionality. This interesting session will revise the anatomy and physiology of this complex system and help blow the cobwebs off certain forgotten information. Includes:

    • The nervous system
    • The brain
    • The meninges and cerebrospinal fluid (CSF)
    • Vascular anatomy
    • Brain lobes and functions
    • Cerebellum
    • Brainstem
    • Spinal cord
    • Spinal nerves
    • Neurons
    • Autonomic nervous system

    10:40am - Morning Tea and Coffee


    11:00am

    Neurological Assessment Made Easy

    The general consensus from nurses is that anything to do with the brain is seen as difficult to understand! Yet, a neurological assessment need not be as hard as it seems. The purpose of this session is to take you through the basics of a neurological assessment, including the following aspects:

    • What is a neurological assessment?
    • Types of neurological assessments
    • Components of a neurological assessment
      • Taking a history
      • Cognition
      • Consciousness
      • Arter, Voice, Pain, Unresponsive - AVPU
      • Glascow Coma Scale (GCS) – including practice GCS
      • Pupils
      • Limb strength
      • Sensation
    • Assessing for stroke using appropriate scales e.g. National Institutes of Health Stroke Scale (NIHSS)

    12:30pm - Lunch Break and Networking


    1:30pm

    The Cranial Nerve Assessment

    The cranial nerves are direct pathways to the brain and deficits as identified in a cranial nerve assessment may suggest a lesion in the central or peripheral nervous system. Cranial nerve assessment can appear a daunting task, but using a systematic approach makes it a relatively straightforward process. This illustrated session will give you a structured understanding of each cranial nerve and how it is assessed. Includes:

    • Introduction to a case study
    • Overview of the cranial nerve function
    • Cranial nerve assessment

    2:30pm

    Motor and Sensory Assessments

    Performing an examination of the motor system involves sensing and feeling what the muscle is actually doing during the action. When a person has a motor function disorder they are unable to move in such a manner. The sensory assessment is critical in helping you to localise the location of a spinal cord lesion or to identify peripheral neuropathy. This session will enhance your knowledge of these important nursing assessment. Includes:

    • Definitions and anatomical references
    • Taking a history
    • Motor assessments
      • Posture and drift
      • Fasciculations
      • Tone
      • Motor power
      • Flexion and extension testing
    • Sensory assessments
      • Neural tracts
      • Dermatomes
      • Pain
      • Temperature
      • Light touch
      • Vibration
      • Discrimination
      • Proprioception
      • Extinction
      • Stereognosi a and graphesthesia

    3:45pm - Afternoon Tea and Coffee


    4:00pm

    Assessment of Gait and Balance

    The cerebellar and stance/gait assessments provide you with information about a person’s balance, strength and coordination. Based on your findings from this assessment concern for stroke, tumours, Parkinson’s disease, Huntington's disease, hereditary ataxia, diabetic neuropathy and other conditions can be raised. This interesting session will sharpen your skills in this often overlooked aspect of assessment. Includes:

    • Cerebellar functioning
    • Ataxia
    • Rapidly alternating movements
    • Rebound
    • Gait
      • Tandem
      • Heel and toe walking
      • Gait disturbances
      • Romburg test

    4:40pm - Close of Day One of Program

    Day Two

    9:00am - Commencement of Day Two


    9:00am

    Assessment of Reflexes

    Reflexes are an automatic and rapid response to a particular stimulation. However, the command system for each reflex can be located in the brain or spinal cord. By performing an assessment of reflexes the health of the nervous system can be thoroughly tested. This session will systematically go through the process of assessment of reflexes and includes:

    • Reflex assessment
    • Reflex grading
    • Superficial reflexes
    • Deep tendon reflexes

    9:45am

    Neurological Deterioration - Part I

    Causes of neurological deterioration may be varied and clinical effects can be potentially fatal. Underlying assessment principles are essential so that appropriate interventions can be rapidly put in place and patient outcomes optimised. This session considers the following:

    • Definition and causes of altered conscious state
    • Raised intracranial pressure (ICP)
    • Brain herniation
    • ICP monitoring - indications and basic overview
    • Clinical signs and symptoms that may be subtle but very serious
    • Actions to take if deterioration is detected
    • Case studies to help put it all together

    10:30am - Morning Tea and Coffee


    10:15am

    Neurological Deterioration - Part II

    This session follows on from the previous session. It will help build your knowledge of causes, assessment and interventions in the context of neurological deterioration.


    11:30pm

    Neuroimaging - The Window into the Soul?

    This session will provide an overview of neuroimaging. It will consider the advantages and disadvantages of the following methods:

    • X-Rays
    • CT scans
    • MRI scans
    • CT scans in stroke
    • Case study to help put it all together

    12:30pm - Lunch Break and Networking


    1:30pm

    Stroke - Treatment and Care

    Recognition of a stroke is important for ensuring that best-practice management is implemented and patient outcomes are improved. Timely appropriate assessment and interventions are key to preventing long-term neurological problems. This session reviews:

    • Facts and figures - how prevalent and how costly to the person is stroke?
    • What is a stroke?
    • Types of stroke
    • The ischaemic cascade
    • Stroke risk factors
    • Signs and symptoms of stroke
    • Pre-hospital treatment
    • Care in the Stroke Unit

    3:00pm - Afternoon Tea and Coffee


    3:15pm

    Brain Death and Organ and Tissue Donation

    Severe brain injury may be associated with an increase in pressure inside the skull, so much so that blood supply is cut off. This final session will review this interesting, yet complex topic. Includes:

    • What is brain death?
    • How does clinical testing confirm brain death?
    • What happens once brain death is confirmed, e.g organ donation?

    3:00pm - Afternoon Tea and Coffee


    4:00pm

    Questions and Final Discussion

    4:30pm - Close of Seminar and Evaluations

    Presenters


    To Be Determined

    To Be Determined
    Title
    Assessment: Neurological Nursing
    Speciality Classification
    Location
    Type
    Delivery
    Provider Type
    RTO
    Duration
    11 hours
    Start Date
    06-Apr-2017
    End Date
    07-Apr-2017
    CPD
    11 hours
    Fees
    $506.00
    Location
    Sydney NSW 2000
    Venue
    Venue TBA, Sydney,
    Posted By
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