Glasgow Coma Scale (GCS) assessment is an important aspect in neurological assessment and its management. It helps in the objective assessment of the patients and facilitates accurate interpersonal communication.
The Glasgow Coma Scale is a neurological scale used to assess and record a person's state of consciousness after brain injury. It evaluates motor response, verbal response, and eye opening on a scale of 1 to 6 for motor, 1 to 5 for verbal, and 1 to 4 for eye opening. The scores are added up to give a total between 3 and 15, with lower scores indicating more severe brain injury and worse prognosis. The scale categorizes levels of injury from mild to severe disability, vegetative state, and brain death.
The Glasgow Coma Scale (GCS) is used to assess the level of consciousness in patients with traumatic brain injuries. The GCS evaluates eye opening, verbal response, and motor response on a scale of 3-15, with lower scores indicating more severe brain injury. A score of 8 or less represents a severe brain injury, 9-12 is moderate, and 13-15 is mild. The document then provides details on scoring each component of the GCS.
Case Study on Cerebro Vascular Accident (CVA) Jaice Mary Joy
Case study on cerebro vascular accident (CVA) or stroke. It include History, Physical Examination, nursing care plan and Orem's nursing theory applied.
Cerebrovascular disorder or CVA is damage to part of the brain when its blood supply is suddenly reduced or stopped. The part of the brain deprived of blood dies and can no longer function. Blood is prevented from reaching brain tissue when a blood vessel leading to the brain becomes blocked (ischemic) or bursts (hemorrhagic). Symptoms following a stroke come on suddenly and may include: weakness, numbness, or tingling in the face, arm, or leg, especially on one side of the body trouble walking, dizziness, loss of balance, or coordination inability to speak or difficulty speaking or understanding, trouble seeing with one or both eyes, or double vision, confusion or personality changes, difficulty with muscle movements, such as swallowing, moving arms and legs, loss of bowel and bladder control, severe headache with no known cause, and loss of consciousness.
pictorial explanation of complete care of unconscious or bed ridden patients.
explanation of care using nursing diagnosis of patients.
level of consciousness.
The GCS assess a persons based on their ability to perform eye movements,, speak, and move their body. These three behaviors make up the three elements of scale: eye, verbal,& motor. A persons GCS score can range from 3 (completely unresponsive) to 15 (responsive). This score used to guide immediate medical care after a brain injury (such as car accident) and also to monitor hospitalized patients and track their level of consciousness.
The Glasgow coma scale was first published in 1974 at the university of Glasgow by neurosurgery professors Graham Teasdale & Bryan Jennett. The Glasgow coma scale is used to objectively describe the extent of impaired consciousness in all type of acute medical and trauma patients.
The Glasgow coma scale (GCS) is a clinical scale used to reliably measure a persons level of consciousness after a brain injury.
Or
The GCS is the summation of scores for eye, verbal, & motor responses. The minimum score is 3 which indicates deep coma or a brain dead state. The maximum is 15 which indicates a fully awake patients.
It's a presentation on GCS 2023.
1. The document discusses how to recognize adequate and inadequate breathing in patients and how to assist a patient using a prescribed inhaler for breathing difficulties.
2. It covers pediatric airway anatomy, the process of respiration, signs of adequate and inadequate breathing, assessing a patient with breathing difficulties, and properly administering a prescribed inhaler.
3. Key points include how to determine if a patient is breathing adequately or inadequately, the steps to take in caring for a patient with breathing difficulties including giving oxygen and using their prescribed inhaler if approved, and reassessing the patient after treatment.
1) The document discusses unconsciousness in dentistry, including general causes, predisposing factors, prevention, clinical manifestations, and management.
2) Important causes of unconsciousness discussed include neurogenic syncope, postural hypotension, cardiogenic issues, failed oxygenation, drugs, and acute adrenal insufficiency.
3) The basic steps for management of unconsciousness are: recognition (R), termination of the dental procedure (T), positioning the patient supine with feet elevated (P), then addressing airway (A), breathing (B), and circulation (C). Definitive care then depends on the underlying cause.
The Glasgow Coma Scale (GCS) is a neurological scale used to assess consciousness after brain injury. It evaluates eye opening, verbal response, and motor response on a scale of 3 to 15, with lower scores indicating worse condition. The GCS was developed in 1974 and provides a standardized way to record a patient's state and classify brain injuries as mild, moderate or severe based on the total score. Limitations include inability to fully assess intubated or facially injured patients.
The Glasgow Coma Scale is a neurological scale used to assess and record a person's state of consciousness after brain injury. It evaluates motor response, verbal response, and eye opening on a scale of 1 to 6 for motor, 1 to 5 for verbal, and 1 to 4 for eye opening. The scores are added up to give a total between 3 and 15, with lower scores indicating more severe brain injury and worse prognosis. The scale categorizes levels of injury from mild to severe disability, vegetative state, and brain death.
The Glasgow Coma Scale (GCS) is used to assess the level of consciousness in patients with traumatic brain injuries. The GCS evaluates eye opening, verbal response, and motor response on a scale of 3-15, with lower scores indicating more severe brain injury. A score of 8 or less represents a severe brain injury, 9-12 is moderate, and 13-15 is mild. The document then provides details on scoring each component of the GCS.
Case Study on Cerebro Vascular Accident (CVA) Jaice Mary Joy
Case study on cerebro vascular accident (CVA) or stroke. It include History, Physical Examination, nursing care plan and Orem's nursing theory applied.
Cerebrovascular disorder or CVA is damage to part of the brain when its blood supply is suddenly reduced or stopped. The part of the brain deprived of blood dies and can no longer function. Blood is prevented from reaching brain tissue when a blood vessel leading to the brain becomes blocked (ischemic) or bursts (hemorrhagic). Symptoms following a stroke come on suddenly and may include: weakness, numbness, or tingling in the face, arm, or leg, especially on one side of the body trouble walking, dizziness, loss of balance, or coordination inability to speak or difficulty speaking or understanding, trouble seeing with one or both eyes, or double vision, confusion or personality changes, difficulty with muscle movements, such as swallowing, moving arms and legs, loss of bowel and bladder control, severe headache with no known cause, and loss of consciousness.
pictorial explanation of complete care of unconscious or bed ridden patients.
explanation of care using nursing diagnosis of patients.
level of consciousness.
The GCS assess a persons based on their ability to perform eye movements,, speak, and move their body. These three behaviors make up the three elements of scale: eye, verbal,& motor. A persons GCS score can range from 3 (completely unresponsive) to 15 (responsive). This score used to guide immediate medical care after a brain injury (such as car accident) and also to monitor hospitalized patients and track their level of consciousness.
The Glasgow coma scale was first published in 1974 at the university of Glasgow by neurosurgery professors Graham Teasdale & Bryan Jennett. The Glasgow coma scale is used to objectively describe the extent of impaired consciousness in all type of acute medical and trauma patients.
The Glasgow coma scale (GCS) is a clinical scale used to reliably measure a persons level of consciousness after a brain injury.
Or
The GCS is the summation of scores for eye, verbal, & motor responses. The minimum score is 3 which indicates deep coma or a brain dead state. The maximum is 15 which indicates a fully awake patients.
It's a presentation on GCS 2023.
1. The document discusses how to recognize adequate and inadequate breathing in patients and how to assist a patient using a prescribed inhaler for breathing difficulties.
2. It covers pediatric airway anatomy, the process of respiration, signs of adequate and inadequate breathing, assessing a patient with breathing difficulties, and properly administering a prescribed inhaler.
3. Key points include how to determine if a patient is breathing adequately or inadequately, the steps to take in caring for a patient with breathing difficulties including giving oxygen and using their prescribed inhaler if approved, and reassessing the patient after treatment.
1) The document discusses unconsciousness in dentistry, including general causes, predisposing factors, prevention, clinical manifestations, and management.
2) Important causes of unconsciousness discussed include neurogenic syncope, postural hypotension, cardiogenic issues, failed oxygenation, drugs, and acute adrenal insufficiency.
3) The basic steps for management of unconsciousness are: recognition (R), termination of the dental procedure (T), positioning the patient supine with feet elevated (P), then addressing airway (A), breathing (B), and circulation (C). Definitive care then depends on the underlying cause.
The Glasgow Coma Scale (GCS) is a neurological scale used to assess consciousness after brain injury. It evaluates eye opening, verbal response, and motor response on a scale of 3 to 15, with lower scores indicating worse condition. The GCS was developed in 1974 and provides a standardized way to record a patient's state and classify brain injuries as mild, moderate or severe based on the total score. Limitations include inability to fully assess intubated or facially injured patients.
The Glasgow Coma Scale (GCS) is a neurological scale used to assess conscious state and severity of head injuries. It evaluates eye, verbal, and motor responses on a scale of 3-15, with lower scores indicating more severe brain injury. The GCS was developed in 1974 by neurosurgeons to provide an objective way to record a patient's state both initially and over time to evaluate interventions. Factors like drug/alcohol use, low oxygen, or intubation can impact scores.
The Glasgow Coma Scale (GCS) was developed as a simple, practical tool for assessing neurological injury and monitoring patients. It evaluates eye opening, verbal response, and motor response on a scale of 3-15. A lower score indicates a lower level of consciousness and worse prognosis. While initially created for adults, modified versions have been made for children who cannot communicate verbally. Though developed decades ago, the GCS remains the standard for initial assessment of brain injury severity and predicting outcomes.
The document provides guidance on performing a neurologic examination. It outlines examining various aspects of cerebral function, the 12 cranial nerves, motor skills, sensory function, and reflexes. For each component, it describes the tests to perform and what normal and abnormal findings may indicate, such as signs of nerve damage or increased intracranial pressure. The goal is to indirectly evaluate neurologic function through assessing specific body parts controlled by the brain and peripheral nervous system.
The Glasgow Coma Scale is a clinical scale used to measure a person's level of consciousness after a brain injury, consisting of assessments of eye, verbal, and motor responses. It was developed in 1974 at the University of Glasgow to reliably evaluate brain injury severity. While widely used, the scale has limitations for assessing those with swollen eyes, tracheostomies, or who are intubated, and is less applicable to young children under 3 years old.
Glasgow coma scale evaluation and clinical considerationsZIKRULLAH MALLICK
The Glasgow Coma Scale (GCS) is a neurological scale used to assess level of consciousness. It evaluates eye opening, verbal response, and motor response on a scale of 3-15. Though widely used, it has limitations like not assessing brainstem function or distinguishing mild injuries. Several other scales have been developed, like the FOUR score which also evaluates brainstem reflexes and eye movements, and the Glasgow Outcome Scale which measures long-term recovery. The GCS remains valuable for initial assessment, monitoring changes, and predicting outcomes in various conditions like traumatic brain injury and stroke.
Injections can be administered via several routes including subcutaneous, intramuscular, intravenous, and intradermal. The key components of a syringe include the barrel, plunger, and tip. Medications can be drawn up from ampules or vials using aseptic technique. Intramuscular injections are administered at a 90 degree angle into muscle sites like the deltoid, gluteus maximus, or vastus lateralis. Subcutaneous injections are given at a 45-90 degree angle into the subcutaneous tissue. Intradermal injections involve injecting a small volume into the dermis to produce a wheal for diagnostic purposes.
The GCS is an important assessment tool that provides a common language for communication between multi-disciplinary groups
GCS is applicable for paediatrics as well as adults
The document provides information and guidance to nursing students on how to write a care plan, including defining the different components such as nursing diagnosis, goals, interventions, and evaluation. It explains each section in detail and provides examples. Resources are also included to help students understand and complete their care plan assignments.
Types of angina pectoris and it's treatment MrBeen10
Angina pectoris is chest pain caused by reduced blood flow to the heart. There are three main types: stable angina occurs predictably during exertion and is relieved by rest; unstable angina is more severe and unpredictable, possibly indicating a heart attack; and variant angina occurs due to coronary artery spasms at rest. Treatments include medications to relieve pain, prevent angina episodes, and relax arteries, as well as lifestyle changes and procedures like bypass surgery for severe cases. Future research aims to develop more effective medications and integrate digital health tools to better manage angina.
nursing management of a patient with painancychacko89
This document discusses pain, including definitions, types, theories, assessment, and management. It defines pain as a sensory and emotional experience associated with tissue damage. There are different types of pain such as acute, chronic, neuropathic, and nociceptive. Theories discussed include specificity theory, pattern theory, and gate control theory. Pain is influenced by many factors and should be assessed using various scales tailored for different populations. Management includes pharmacological approaches like the WHO analgesic ladder as well as non-pharmacological options. Nurses play an important role in comprehensive pain assessment.
Health assessment involves systematically collecting subjective and objective data about a patient's health status. It is done for various purposes such as gathering baseline data, identifying nursing diagnoses, and evaluating outcomes of care. The assessment includes inspection, palpation, percussion, auscultation, and other techniques. It is important to position the patient properly, prepare the environment, obtain necessary equipment, obtain consent, ensure confidentiality, and document the findings.
This document discusses the assessment of the cardiovascular system through history and physical examination. It begins by introducing the cardiac conduction system, including the sinoatrial node, atrioventricular node, bundle of His, bundle branches and Purkinje fibers. It then discusses taking a thorough cardiac history, including presenting symptoms, past health history, risk factors and the NOPQRST format for evaluating chief complaints. Common cardiovascular signs and symptoms are also reviewed such as chest pain, dyspnea, edema and palpitations.
This document provides an overview of blood transfusions including:
- Defining a blood transfusion as transferring whole blood or components between individuals.
- Blood products include red blood cells, plasma, platelets, and whole blood which serve purposes like restoring blood volume or oxygen carrying capacity.
- Nursing plays an important role in procuring blood products and supervising transfusions, which requires carefully verifying patient identity and monitoring for complications.
- Proper storage, transport, and administration of blood is important to avoid issues like hemolysis or bacterial contamination.
White County Medical Center has a fall prevention program to identify patients at risk and maximize safety. All patients are assessed for fall risk on admission and daily using a standardized tool. This places patients into risk levels of I (low), II (moderate), or III (high). Higher risk patients receive additional interventions like armbands, increased monitoring, and bed alarms. If a fall occurs, staff must notify leaders and complete reports to document and address the incident.
This document provides an overview of the nursing process. It begins by outlining the objectives of understanding the nursing process, its characteristics, benefits, and phases. It then defines the nursing process as a modified scientific method used to assess client needs and develop a care plan. The key phases are described as assessment, nursing diagnosis, planning, implementation, and evaluation. Assessment involves collecting client data, nursing diagnosis identifies responses to health issues, planning develops the care approach, implementation provides care, and evaluation assesses effectiveness. The document explains each phase in further detail.
This nursing care plan outlines the diagnosis, goals, interventions, and evaluations for a child with pneumonia across 7 problems:
1) Ineffective airway clearance addressed through positioning, humidification, suctioning, and chest physiotherapy.
2) Ineffective breathing pattern assessed frequently and treated with positioning and supplemental oxygen.
3) Impaired gas exchange monitored via pulse oximetry and treated by encouraging coughing and administering bronchodilators.
4) Risk of fluid volume deficit prevented by IV or NG tube fluids and monitoring intake/output.
5) Altered nutrition addressed with small, frequent meals and encouragement of calorie-rich foods.
6) Fear and anxiety reduced via establishing trust
The document discusses different theories of disease causation:
1. The miasma theory attributed disease to polluted air. This led to a focus on sanitation and public health measures.
2. Germ theory identified specific microbes as the cause of different diseases, shifting focus to identifying and destroying disease agents.
3. The epidemiological triangle recognized diseases result from interactions between an agent, host factors, and the environment. This informed prevention through modifying exposure and susceptibility.
The document discusses pediatric resuscitation, including the chain of survival, causes of cardiac arrest in children, basic life support sequences, advanced life support, and neonatal resuscitation guidelines. It notes that rapid bystander CPR and access to emergency services are key to survival for children experiencing cardiac arrest. For newborns, the document outlines assessing respiration, heart rate, muscle tone and gestational age to determine if resuscitation is required, with steps including warming, clearing airways, and ventilation or compressions if needed. Endotracheal intubation may be used during resuscitation of newborns when other methods are ineffective or for procedures like suctioning meconium.
The Glasgow Coma Scale is a neurological scale used to assess a person's level of consciousness after brain injury. It was developed in 1974 by Graham Teasdale and Bryan Jennett. The scale consists of 3 components - eye opening, verbal response, and motor response - each of which are assigned a score between 1-5. The scores from each component are added to give a total score between 3-15, with lower scores indicating a worse level of consciousness. The Glasgow Coma Scale provides a standardized measure for initial assessment and ongoing monitoring of patients with brain injuries.
The Glasgow Coma Scale (GCS) is a neurological scale used to assess conscious state and severity of head injuries. It evaluates eye, verbal, and motor responses on a scale of 3-15, with lower scores indicating more severe brain injury. The GCS was developed in 1974 by neurosurgeons to provide an objective way to record a patient's state both initially and over time to evaluate interventions. Factors like drug/alcohol use, low oxygen, or intubation can impact scores.
The Glasgow Coma Scale (GCS) was developed as a simple, practical tool for assessing neurological injury and monitoring patients. It evaluates eye opening, verbal response, and motor response on a scale of 3-15. A lower score indicates a lower level of consciousness and worse prognosis. While initially created for adults, modified versions have been made for children who cannot communicate verbally. Though developed decades ago, the GCS remains the standard for initial assessment of brain injury severity and predicting outcomes.
The document provides guidance on performing a neurologic examination. It outlines examining various aspects of cerebral function, the 12 cranial nerves, motor skills, sensory function, and reflexes. For each component, it describes the tests to perform and what normal and abnormal findings may indicate, such as signs of nerve damage or increased intracranial pressure. The goal is to indirectly evaluate neurologic function through assessing specific body parts controlled by the brain and peripheral nervous system.
The Glasgow Coma Scale is a clinical scale used to measure a person's level of consciousness after a brain injury, consisting of assessments of eye, verbal, and motor responses. It was developed in 1974 at the University of Glasgow to reliably evaluate brain injury severity. While widely used, the scale has limitations for assessing those with swollen eyes, tracheostomies, or who are intubated, and is less applicable to young children under 3 years old.
Glasgow coma scale evaluation and clinical considerationsZIKRULLAH MALLICK
The Glasgow Coma Scale (GCS) is a neurological scale used to assess level of consciousness. It evaluates eye opening, verbal response, and motor response on a scale of 3-15. Though widely used, it has limitations like not assessing brainstem function or distinguishing mild injuries. Several other scales have been developed, like the FOUR score which also evaluates brainstem reflexes and eye movements, and the Glasgow Outcome Scale which measures long-term recovery. The GCS remains valuable for initial assessment, monitoring changes, and predicting outcomes in various conditions like traumatic brain injury and stroke.
Injections can be administered via several routes including subcutaneous, intramuscular, intravenous, and intradermal. The key components of a syringe include the barrel, plunger, and tip. Medications can be drawn up from ampules or vials using aseptic technique. Intramuscular injections are administered at a 90 degree angle into muscle sites like the deltoid, gluteus maximus, or vastus lateralis. Subcutaneous injections are given at a 45-90 degree angle into the subcutaneous tissue. Intradermal injections involve injecting a small volume into the dermis to produce a wheal for diagnostic purposes.
The GCS is an important assessment tool that provides a common language for communication between multi-disciplinary groups
GCS is applicable for paediatrics as well as adults
The document provides information and guidance to nursing students on how to write a care plan, including defining the different components such as nursing diagnosis, goals, interventions, and evaluation. It explains each section in detail and provides examples. Resources are also included to help students understand and complete their care plan assignments.
Types of angina pectoris and it's treatment MrBeen10
Angina pectoris is chest pain caused by reduced blood flow to the heart. There are three main types: stable angina occurs predictably during exertion and is relieved by rest; unstable angina is more severe and unpredictable, possibly indicating a heart attack; and variant angina occurs due to coronary artery spasms at rest. Treatments include medications to relieve pain, prevent angina episodes, and relax arteries, as well as lifestyle changes and procedures like bypass surgery for severe cases. Future research aims to develop more effective medications and integrate digital health tools to better manage angina.
nursing management of a patient with painancychacko89
This document discusses pain, including definitions, types, theories, assessment, and management. It defines pain as a sensory and emotional experience associated with tissue damage. There are different types of pain such as acute, chronic, neuropathic, and nociceptive. Theories discussed include specificity theory, pattern theory, and gate control theory. Pain is influenced by many factors and should be assessed using various scales tailored for different populations. Management includes pharmacological approaches like the WHO analgesic ladder as well as non-pharmacological options. Nurses play an important role in comprehensive pain assessment.
Health assessment involves systematically collecting subjective and objective data about a patient's health status. It is done for various purposes such as gathering baseline data, identifying nursing diagnoses, and evaluating outcomes of care. The assessment includes inspection, palpation, percussion, auscultation, and other techniques. It is important to position the patient properly, prepare the environment, obtain necessary equipment, obtain consent, ensure confidentiality, and document the findings.
This document discusses the assessment of the cardiovascular system through history and physical examination. It begins by introducing the cardiac conduction system, including the sinoatrial node, atrioventricular node, bundle of His, bundle branches and Purkinje fibers. It then discusses taking a thorough cardiac history, including presenting symptoms, past health history, risk factors and the NOPQRST format for evaluating chief complaints. Common cardiovascular signs and symptoms are also reviewed such as chest pain, dyspnea, edema and palpitations.
This document provides an overview of blood transfusions including:
- Defining a blood transfusion as transferring whole blood or components between individuals.
- Blood products include red blood cells, plasma, platelets, and whole blood which serve purposes like restoring blood volume or oxygen carrying capacity.
- Nursing plays an important role in procuring blood products and supervising transfusions, which requires carefully verifying patient identity and monitoring for complications.
- Proper storage, transport, and administration of blood is important to avoid issues like hemolysis or bacterial contamination.
White County Medical Center has a fall prevention program to identify patients at risk and maximize safety. All patients are assessed for fall risk on admission and daily using a standardized tool. This places patients into risk levels of I (low), II (moderate), or III (high). Higher risk patients receive additional interventions like armbands, increased monitoring, and bed alarms. If a fall occurs, staff must notify leaders and complete reports to document and address the incident.
This document provides an overview of the nursing process. It begins by outlining the objectives of understanding the nursing process, its characteristics, benefits, and phases. It then defines the nursing process as a modified scientific method used to assess client needs and develop a care plan. The key phases are described as assessment, nursing diagnosis, planning, implementation, and evaluation. Assessment involves collecting client data, nursing diagnosis identifies responses to health issues, planning develops the care approach, implementation provides care, and evaluation assesses effectiveness. The document explains each phase in further detail.
This nursing care plan outlines the diagnosis, goals, interventions, and evaluations for a child with pneumonia across 7 problems:
1) Ineffective airway clearance addressed through positioning, humidification, suctioning, and chest physiotherapy.
2) Ineffective breathing pattern assessed frequently and treated with positioning and supplemental oxygen.
3) Impaired gas exchange monitored via pulse oximetry and treated by encouraging coughing and administering bronchodilators.
4) Risk of fluid volume deficit prevented by IV or NG tube fluids and monitoring intake/output.
5) Altered nutrition addressed with small, frequent meals and encouragement of calorie-rich foods.
6) Fear and anxiety reduced via establishing trust
The document discusses different theories of disease causation:
1. The miasma theory attributed disease to polluted air. This led to a focus on sanitation and public health measures.
2. Germ theory identified specific microbes as the cause of different diseases, shifting focus to identifying and destroying disease agents.
3. The epidemiological triangle recognized diseases result from interactions between an agent, host factors, and the environment. This informed prevention through modifying exposure and susceptibility.
The document discusses pediatric resuscitation, including the chain of survival, causes of cardiac arrest in children, basic life support sequences, advanced life support, and neonatal resuscitation guidelines. It notes that rapid bystander CPR and access to emergency services are key to survival for children experiencing cardiac arrest. For newborns, the document outlines assessing respiration, heart rate, muscle tone and gestational age to determine if resuscitation is required, with steps including warming, clearing airways, and ventilation or compressions if needed. Endotracheal intubation may be used during resuscitation of newborns when other methods are ineffective or for procedures like suctioning meconium.
The Glasgow Coma Scale is a neurological scale used to assess a person's level of consciousness after brain injury. It was developed in 1974 by Graham Teasdale and Bryan Jennett. The scale consists of 3 components - eye opening, verbal response, and motor response - each of which are assigned a score between 1-5. The scores from each component are added to give a total score between 3-15, with lower scores indicating a worse level of consciousness. The Glasgow Coma Scale provides a standardized measure for initial assessment and ongoing monitoring of patients with brain injuries.
1. Severe head injury is a leading cause of mortality and disability worldwide, especially in children under 5, teens and young adults, and those over 70. In Kenya it accounts for 10-14% of brain injuries.
2. The pathophysiology of brain injury involves both primary injury on impact and secondary injury developing over hours to days from processes like edema, increased intracranial pressure, and ischemia.
3. Treatment involves stabilizing the patient's airway, breathing, and circulation according to ATLS protocols, assessing neurological status including Glasgow Coma Scale, monitoring for increased intracranial pressure, and managing complications like seizures. S
The Glasgow Coma Scale (GCS) is a neurological scale used to assess level of consciousness after head injury. It was published in 1974 and aims to provide an objective way to record a person's conscious state. The scale evaluates eye opening, verbal response, and motor response on a scale of 1 to 6 for each, with lower scores indicating worse impairment. A total score of 13 or above indicates minor brain injury, 9 to 12 indicates moderate injury, and 8 or lower indicates severe injury. The Mini-Mental State Examination (MMSE) is a 30-point questionnaire used to screen for cognitive impairment and dementia. It samples functions like orientation, registration, attention, calculation, recall, and language. Scores of
- Several clinical factors are prognostic indicators of outcome following head injury, including age, hypoxia, blood pressure, and Glasgow Coma Scale score. Elderly patients and those with hypoxia or low blood pressure have worse outcomes.
- Radiological factors like obliteration of basal cisterns on CT scan and increased midline shift correlate with elevated intracranial pressure and increased mortality.
- Duration of post-traumatic amnesia is also predictive, with longer periods of amnesia associated with more severe brain injury and worse prognosis.
NEUROLOGICAL SCALES FOR ASSESSMENT OF CONSCIOUSNESS.pptxNeurologyKota
The document discusses neurological scales used to assess consciousness. It describes the Glasgow Coma Scale (GCS), which evaluates best eye opening, best verbal response, and best motor response on a scale of 3 to 15. The Full Outline of UnResponsiveness (FOUR) score is also discussed, which measures eye responses, motor responses, brainstem reflexes, and respiratory patterns on a scale of 0 to 16. The FOUR score is presented as having advantages over the GCS in certain clinical situations. A new scale, the FIVE score, is also mentioned which builds upon the FOUR score.
The document discusses the Glasgow Coma Scale (GCS) and its use in assessing level of consciousness. The GCS evaluates three criteria: eye opening, verbal response, and motor response on a scale of 1 to 6. It is commonly used to evaluate head injuries and monitor for changes in consciousness. A score of 12 for the patient described indicates a moderate head injury with intact brainstem function.
This document discusses classifications of traumatic brain injury (TBI). It describes several classification systems including:
- Glasgow Coma Scale (GCS) which grades severity as mild, moderate or severe.
- Mayo classification which defines moderate-severe TBI based on features like loss of consciousness over 30 minutes.
- Outcome-based classifications like Glasgow Outcome Scale which grades outcome on a scale from death to good recovery.
Pathophysiology of primary injury from mechanical forces and secondary injury from physiological changes are outlined. Initial stabilization priorities and neurological assessment techniques are also reviewed.
This document discusses the Glasgow Coma Scale (GCS), which is used to assess head injuries. It provides background on head injuries and their causes before explaining the components of the GCS. The GCS assesses eye opening, verbal response, and motor response on a scale of 1-6 to determine a patient's level of consciousness following a head injury. Scores are categorized as mild, moderate, or severe injury. Though widely used to predict outcomes, the GCS does not account for all factors like focal signs or intoxication.
gcs(Glasgow Coma Scale) ppt to understand.pptxjkm36403
The Glasgow Coma Scale (GCS) is a standardized system used to assess consciousness by evaluating eye opening, verbal response, and motor response. Each category is scored from 1 to 4 or 6 and the total score ranges from 3 to 15, with lower scores indicating worse neurological function or coma. The GCS is used to assess patients with impaired consciousness due to head injuries, seizures, overdoses, or other neurological impairments. It provides important information about a patient's brain functioning that can help determine if their condition is stable, improving, or deteriorating over time.
The Glasgow Coma Scale (GCS) was developed in 1974 as a standardized means to assess consciousness and monitor patients with brain injuries. It evaluates eye opening, verbal response, and motor response on a scale of 3-15, with lower scores indicating worse neurological function or coma. The scale was created by Graham Teasdale and Bryan Jennett to provide a consistent, structured way for doctors to classify a patient's state of consciousness and predict outcomes after head injuries. It is still widely used today in trauma and critical care settings to monitor patients' recovery from brain injuries or illnesses affecting consciousness.
The Glasgow Coma Scale provides a standardized method to assess consciousness and monitor responses in brain injury patients. It tests eye opening, verbal response, and motor response on a scale of 3 to 15, with lower scores indicating more severe brain dysfunction. Assessment allows for initial decision making and monitoring of trends over time. While valuable, the GCS may not always evaluate all components due to pre-existing factors, current treatments, or other injuries affecting response.
The Glasgow Coma Scale (GCS) objectively measures a patient's level of consciousness and awareness following acute brain injury or illness. It assesses eye opening, verbal response, and motor response on a scale of 3-15, with lower scores indicating more severe impairment. The GCS allows for standardized communication of a patient's condition and guides management decisions. It has been shown to correlate with patient outcomes, with mortality increasing as GCS scores decrease. The GCS is a core assessment for many clinical guidelines involving trauma, critical illness, and neurological conditions.
This document discusses head injuries and their management. It covers various types of head injuries like scalp lacerations, skull fractures, and different types of intracranial bleeding. Assessment involves the Glasgow Coma Scale and other scales. Management depends on the type of injury and may include wound closure, observation, surgery to repair fractures or evacuate hematomas. The goal is to prevent secondary brain damage from low blood pressure, hypoxia, swelling, and infections.
The Glasgow Coma Scale (GCS) was developed to assess the level of neurological injury from brain trauma. It assesses eye opening, verbal response, and motor response on a scale of 3 to 15, with lower scores indicating more severe brain injury. The GCS provides a practical and consistent way to monitor head injury patients and indicates their level of impairment, prognosis, and likelihood of recovery. It is an important tool used worldwide in hospitals to evaluate brain injury.
Neuroassessment important neuro reflex’s in icu for nurses +rass score+tbiMURUGESHHJ
its an small guide to assess the neuorological status with various pictures , it explains clearly about GCS, MUSCULAR POWER ASSESSMENT , PUPILLARY REACTION & IMPORTANT REFLEXES specially for nurses ....it has brief information about TBI PROTOCAL & RASS SCORE
The document outlines the components of a neurological examination, including:
1) Gathering a patient history with details of present illness, past medical history, family history, and socioeconomic status.
2) Performing a physical exam including vital signs, general exam, and focused neurological exam of cranial nerves, motor and sensory systems.
3) Evaluating mental status, cognition, and primitive reflexes.
4) Localizing neurological deficits based on involved pathways, tracts, and regions of the brain or spinal cord.
This document discusses the case of a 25-year-old male presenting with double vision since 2 months following a head trauma. On examination, he was found to have a left eye esotropia with an abduction deficit grade of 4, indicating a left sixth nerve palsy. Sensory testing showed binocular uncrossed diplopia maximum in left gaze. The patient was diagnosed with an acquired post-traumatic left sixth nerve palsy. He was initially managed conservatively with fogged glasses with regular follow-up to monitor recovery.
MOM-Training.ppt Management of MedicationMOM-Training.ppt Management of MedicationMOM-Training.ppt Management of MedicationMOM-Training.ppt Management of MedicationMOM-Training.ppt Management of MedicationMOM-Training.ppt Management of MedicationMOM-Training.ppt Management of MedicationMOM-Training.ppt Management of Medication
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AN APPROACH TO SEDATION IN ICU
Sedative medications should be titrated to maintain a light rather than a deep level of sedation in adult ICU patients, unless contraindicated.
keep patients comfortable and safe using the minimum possible amount of sedation.
use protocolised care with sedation score monitoring.
AN APPROACH TO SEDATION IN ICU
Sedative medications should be titrated to maintain a light rather than a deep level of sedation in adult ICU patients, unless contraindicated.
keep patients comfortable and safe using the minimum possible amount of sedation.
use protocolised care with sedation score monitoring.
AN APPROACH TO SEDATION IN ICU
Sedative medications should be titrated to maintain a light rather than a deep level of sedation in adult ICU patients, unless contraindicated.
keep patients comfortable and safe using the minimum possible amount of sedation.
use protocolised care with sedation score monitoring.
AN APPROACH TO SEDATION IN ICU
Sedative medications should be titrated to maintain a light rather than a deep level of sedation in adult ICU patients, unless contraindicated.
keep patients comfortable and safe using the minimum possible amount of sedation.
use protocolised care with sedation score monitoring.
AN APPROACH TO SEDATION IN ICU
Sedative medications should be titrated to maintain a light rather than a deep level of sedation in adult ICU patients, unless contraindicated.
keep patients comfortable and safe using the minimum possible amount of sedation.
use protocolised care with sedation score monitoring.
AN APPROACH TO SEDATION IN ICU
Sedative medications should be titrated to maintain a light rather than a deep level of sedation in adult ICU patients, unless contraindicated.
keep patients comfortable and safe using the minimum possible amount of sedation.
use protocolised care with sedation score monitoring.
AN APPROACH TO SEDATION IN ICU
Sedative medications should be titrated to maintain a light rather than a deep level of sedation in adult ICU patients, unless contraindicated.
keep patients comfortable and safe using the minimum possible amount of sedation.
use protocolised care with sedation score monitoring.
This document provides information on assessing and interpreting vital signs, including temperature, pulse, respiration, blood pressure, and pain. It describes the normal ranges for each vital sign and factors that can influence them. The procedures for measuring each vital sign are outlined, including the appropriate equipment and sites on the body. Reasons for routinely measuring vital signs and guidelines for documentation are also discussed.
Adverse Drug Recation-Adverse Drug Reaction (ADR): Any noxious change which is suspected to be due to a drug, occurs at doses normally used in man, requires treatment or decrease in dose or indicates caution in future use of the same drug.
Medication Administration
Policy & Process
Medication Administration
Policy & Process
Medication Administration
Policy & Process
Medication Administration
Policy & Process
The document repeatedly lists the quality department of Ford Hospital and Research Centre in Patna without providing any other details. It consists solely of multiple repetitions of "QUALITY DEPARTMENT-FORD HOSPITAL AND RESEARCH CENTRE-PATNA".
Urinary catheterization is the insertion of a hollow tube through the urethra into the bladder to drain urine and is done for various purposes such as relieving urinary retention, obtaining sterile urine samples, and emptying the bladder before, during, or after surgery. The procedure involves cleaning and lubricating the catheter, inserting it into the urethra and advancing it into the bladder, inflating the balloon, securing it, and connecting it to a drainage system. Catheter size depends on factors like patient gender and age. Indwelling catheters require ongoing care and maintenance to prevent infection, and are removed by deflating the balloon and gently pulling the catheter.
The document outlines pre-operative nursing care including assessment, teaching, and physical preparation of patients. It discusses pre-operative assessment including reviewing lab tests and medical history, and assessing physical, psychological, and cultural needs. Teaching covers the surgical procedure, expectations before and after surgery, and exercises. Physical preparation includes ensuring adequate nutrition, elimination, hygiene, sleep, care of valuables, removal of prosthetics, and application of anti-embolism stockings. The goal is to reduce risks and anxiety and ensure patients understand post-operative care.
The document provides guidelines for the implementation of biomedical waste management during the COVID-19 pandemic. It discusses the categories of biomedical waste and how waste should be segregated at COVID isolation wards, sample collection centers, quarantine facilities, and more. Proper segregation, collection, storage, and handover procedures are outlined to ensure waste is managed safely without risk of further transmission. Training of healthcare workers on waste handling practices is also emphasized.
The document is a cover page prepared by Pradeep Sharma, who is a representative of the SHCO for the Consortium of Accredited Healthcare Organizations governing committee. It provides basic information about the author and their role but does not include any other details about the contents of the document.
Oropharyngeal airways are curved, hard plastic devices that are inserted into the mouth of unconscious patients to prevent the tongue from blocking the airway. They are indicated for use in patients without a gag reflex, and come in varying sizes selected based on measurement from the patient's mouth to jaw angle. To insert, the airway is placed upside down into the mouth and rotated sideways as it passes the tongue, then positioned with the flange at the teeth. Proper airway management is crucial to prevent preventable deaths in prehospital settings through early detection of issues and effective intervention.
This document discusses biomedical waste management. It defines biomedical waste and notes its various types including hazardous, infectious, pharmaceutical, and sharps waste. It provides details on waste generation rates in developing and developed countries. It outlines the four main categories of waste - yellow, red, blue, and white/translucent - and the types of waste that fall under each category along with the appropriate containers. The document then discusses transportation, treatment, and disposal requirements for different waste types including autoclave conditions and alternatives for sharps containers. It concludes with dos and don'ts for proper waste management.
This document provides information on airway management and tracheal intubation. It discusses airway anatomy, indications for intubation, equipment used, and techniques for oral and nasal intubation. It also covers airway devices like oral/nasal airways and laryngeal mask airways. Complications of laryngoscopy and intubation are outlined. Tracheal intubation is described as useful for controlling ventilation and oxygenation during anesthesia by delivering gases directly to the trachea. Proper patient positioning and techniques are important to successfully intubate while minimizing risks.
Objectives of learning pressure ulcer
evaluate the strengths and limitations of pressure ulcer guidelines; discuss the challenges related to clinical trials in the domain of pressure ulcers; discuss methods and educational strategies for implementing pressure ulcer prevention and treatment protocols in practice.
Vital signs include temperature, pulse, respiration, blood pressure, and pain. Procedures for accurately assessing each vital sign are described along with common factors that can influence readings. Key equipment for taking vital signs includes a thermometer, stethoscope, sphygmomanometer, watch, and recording sheet. Vital signs are usually taken on admission, with changes in condition, before/after certain medications or procedures, and according to hospital policy in order to monitor a patient's health status and detect any deviations from normal ranges.
The Modified Early Warning System (MEWS) is a screening tool that aggregates scores from multiple physiological indicators like temperature, heart rate, blood pressure, respiratory rate, and level of consciousness to help identify patient deterioration earlier. It was implemented at Ford Hospital to detect changes before patients reach a deteriorated state requiring rapid response or code teams. MEWS focuses on changes across several areas of a patient's condition, unlike rapid response which is typically triggered by one change. It will be used to routinely screen adult medical-surgical and progressive care patients at least twice per shift and with any changes in condition.
Endotracheal suctioning is a procedure to remove secretions from the trachea and bronchial tubes of patients who are intubated or have a breathing tube. It involves inserting a suction catheter through the endotracheal tube and applying negative pressure to remove secretions. The procedure must be performed carefully to avoid complications like hypoxemia, cardiac arrhythmias, and lung collapse.
Endotracheal suctioning is a procedure presented by Ms. Tissymol Thomas, Nursing Superintendent at Ford Hospital & Research Center. The presentation covers the process of endotracheal suctioning to clear secretions from the trachea of intubated patients. Pradeep Sharma of Ford Hospital & Research Center also contributed to the presentation.
The document discusses various care bundles used to improve patient outcomes. It defines a care bundle as a set of interventions that significantly improves patient outcomes when used together. It then provides details on specific care bundles to prevent surgical site infections, catheter-associated urinary tract infections, central line-associated bloodstream infections, and ventilator-associated pneumonia. Each bundle lists the set of interventions that are included.
More from SKILLVERSITY COUNCIL OF TRAINING AND EDUCATION (20)
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
Sectional dentures for microstomia patients.pptxSatvikaPrasad
Microstomia, characterized by an abnormally small oral aperture, presents significant challenges in prosthodontic treatment, including limited access for examination, difficulties in impression making, and challenges with prosthesis insertion and removal. To manage these issues, customized impression techniques using sectional trays and elastomeric materials are employed. Prostheses may be designed in segments or with flexible materials to facilitate handling. Minimally invasive procedures and the use of digital technologies can enhance patient comfort. Education and training for patients on prosthesis care and maintenance are crucial for compliance. Regular follow-up and a multidisciplinary approach, involving collaboration with other specialists, ensure comprehensive care and improved quality of life for microstomia patients.
End-tidal carbon dioxide (ETCO2) is the level of carbon dioxide that is released at the end of an exhaled breath. ETCO2 levels reflect the adequacy with which carbon dioxide (CO2) is carried in the blood back to the lungs and exhaled.
Non-invasive methods for ETCO2 measurement include capnometry and capnography. Capnometry provides a numerical value for ETCO2. In contrast, capnography delivers a more comprehensive measurement that is displayed in both graphical (waveform) and numerical form.
Sidestream devices can monitor both intubated and non-intubated patients, while mainstream devices are most often limited to intubated patients.
The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
R3 Stem Cell Therapy: A New Hope for Women with Ovarian FailureR3 Stem Cell
Discover the groundbreaking advancements in stem cell therapy by R3 Stem Cell, offering new hope for women with ovarian failure. This innovative treatment aims to restore ovarian function, improve fertility, and enhance overall well-being, revolutionizing reproductive health for women worldwide.
As Mumbai's premier kidney transplant and donation center, L H Hiranandani Hospital Powai is not just a medical facility; it's a beacon of hope where cutting-edge science meets compassionate care, transforming lives and redefining the standards of kidney health in India.
Mental Health and well-being Presentation. Exploring innovative approaches and strategies for enhancing mental well-being. Discover cutting-edge research, effective strategies, and practical methods for fostering mental well-being.
Hypertension and it's role of physiotherapy in it.Vishal kr Thakur
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPTblessyjannu21
Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
Emphysema is a disease condition of respiratory system.
Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis.
Emphysema of lung is defined as hyper inflation of the lung ais spaces due to obstruction of non respiratory bronchioles as due to loss of elasticity of alveoli.
It is a type of chronic obstructive
pulmonary disease.
It is a progressive disease of lungs.
1. GCS
Prepared by:
Ms Tissymol Thomas
GNM, B Sc (Nursing) M Sc. (Medical & Surgical)
Certified Internal Auditor (NABH 5th Edition)
Infection Preventation & Control (WHO)
Severe Acute Respiratory Infection –Treatment Facility (WHO)
Clinical Care Severe Acute Respiratory Infection (WHO)
nCOVID - 19 Awareness and Prevention Program (Apollo Med skill & NSDC)
MARIT- Managing emergency and rapid intervention and Treatment –Oxford Brookes University
BLS & ACLS (SCTE)
Nursing Superintendent-Ford Hospital & Research Centre
Academic Director: SKILLVERSITY COUNCIL OF TRAINING AND EDUCATION
2. Glasgow Coma Scale
The Glasgow Coma Scale (GCS) is
used to describe the general level of consciousness in
patients with traumatic brain injury (TBI) and to
define broad categories of head injury. [1] The GCS is
divided into 3 categories, eye opening (E), motor
response (M), and verbal response (V). The score is
determined by the sum of the score in each of the 3
categories, with a maximum score of 15 and a minimum
score of 3.
3. The three responses measuredare:
Best motor response - maximum score of 6
Best verbal response - maximum score of 5
Eye opening - maximum score of 4.
4. The lowest score for each category is 1, therefore the
lowest score is 3 (no response to pain + no verbalization +
no eye opening).
A GCS of 8 or less indicates severe injury, one of 9-
12 moderate injury, and a GCS score of 13-15 is
obtained when the injury is minor.
5. Grades of Best Motor Response
6 Carrying out request ('obeying command') -patient does
simple things you ask.
5 Localising response to pain.
4 Withdrawal to pain - pulls limb away from painful
stimulus.
3 Flexor response to pain - pressure on nail bed causes
abnormal flexion of limbs - decorticate posture.
2 Extensor posturing to pain - stimulus causes limb
extension - decerebrate posture. 1 No response to pain.
6. Grades of Best Verbal Response
5 Oriented - patient knows who and where they are, and
why, and the year, season and month.
4 Confused conversation - patient responds in
conversational manner, with some disorientation and
confusion.
3 Inappropriate speech - random or exclamatory speech,
with no conversational exchange.
2 Incomprehensible speech - no words uttered, only
moaning.
1 No verbal response.
7. Eye Opening
4 Spontaneous eye opening.
3 Eye opening in response to speech - that is, any speech
or shout.
2 Eye opening in response to pain. 1 No eye opening.
8.
9.
10. PresentationA 64 year old woman with hypertension was admitted by her GP after
complaining of right-sided weakness. Over the next couple of days her condition worsened,
and four days later she appeared to suffer a serious stroke, following which she was completely
unresponsive. Tests confirmed brain stem death and permission was sought to switch off her
life support.
History
The woman had a 10-year history of hypertension. When she noticed loss of sensation and loss
of power on her right side she went to her GP, who had her admitted.
Examination
Pulse was 80bpm, bp 154/80, normal heart sounds.
A positive Babinsky sign was noted in her right foot.
Moderate loss of power and sensation of limbs on right side.
Weakness of right side of face, and dysarthria.
Test results:
No abnormal findings on CT scan or EEG.
Progression She showed no improvement of her right-sided weakness after admission to
hospital. A small stroke was suspected, but no lesion could be seen on the CT scan. Four days
after admission she deteriorated. Her Glasgow coma scale rating was 3. She was totally
unresponsive. An MRI showed a suspected brain stem haemorrhage and a small established
infarct in the left parietal lobe.
When tests showed brain stem death, permission was sought from her family to switch off her
life support, and she died 6 days after admission.