NIH Stroke Scale Training and Certification

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NIH Stroke Scale Training and Certification

1.rate what they actually do:

2.tips for scoring: use patient's first response

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3.ataxia: lack of muscle coordination, reflects the affected coordination

of one who has experienced a stroke

4.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.

5.is the NIH stroke scale a measure of disability?: no, it is a measuring

tool of impairments.

6.Relevance to medical specialties: emergency physicians, neurologists

7.: - administer scale items in their - exact order

-avoid coaching patient -accept patient's 1st effort -score only what patient does -be consistent 1 / 2

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8.NIH level of consciousness item 1a: 0 =

alert 1 = not alert; aroused with minor verbal stimulation 2 = not alert; requires strong or painful stimulation

• = reflex movements only or totally unresponsive *coma*

9.NIH level of consciousness item 1B: based on 2 questions

1)patient's age 2)month

• = answers both questions

correctly 1 = answers one question correctly

• = answers neither questions correctly

10.NIH level of consciousness item 1C: ask patient to perform 2 tasks

1)close your eyes, now open them 2)make a fist (independent limbs)

11.NIH Best Gaze: tests voluntary horizontal eye movements.

-notice position of the eyes at rest, -move finger/object horizontally and ask patient to follow moving target

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