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NIH Stroke Scale Training and Certification
rate what they ly do ✔✔
tips for scoring ✔✔use patient's first response -
ataxia ✔✔lack of muscle coordination, reflects the affected coordination of one who has experienced a stroke
Significance of NIH stroke scale ✔✔necessary prognostic tool for discerning deficits within different parts of body.
provides in common language to understand nature of stroke and severity amongst interdisciplinary team.
is the NIH stroke scale a measure of disability? ✔✔no, it is a measuring tool of impairments.
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Relevance to medical specialties ✔✔emergency physicians, neurologists
✔✔- administer scale items in their - exact order
- avoid coaching patient
- accept patient's 1st effort
- score only what patient does
- be consistent
NIH level of consciousness item 1a ✔✔0 = alert
- = not alert; aroused with minor verbal stimulation
- = not alert; requires strong or painful stimulation
- = reflex movements only or totally unresponsive *coma*
NIH level of consciousness item 1B ✔✔based on 2 questions 1) patient's age 2) month
- = answers both questions correctly
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