Neurological Assessment E-Book

Karen Jones

Description

Neurological Assessment is a quick reference tool for identifying those all important links to pathology and physiology – crucial for efficient clinical reasoning and ultimately better patient care. Tabulated and coded neuroanatomy and assessment sections ensure clear navigable links from the problem definition (pathology) to relevant assessment information.

For each clinical assessment tool there is a description of what the procedure is assessing, why it needs to be assessed and finally a step by step guide to how the assessment is carried out. All sections give detailed reasoning on any possible findings from the assessment technique and an example of how to record the procedure, encouraging the clinician to reflect on the technique carried out and to consider the overall impression from the patient, so facilitating the process of clinical reasoning.

Part of the Physiotherapist’s Toolbox Series – unlock your key skills! Perfect for use on placement and in the clinic.

• Highly illustrated with clear step-by-step guidance
• Includes five main pathologies and basic neuroanatomy to support clinical reasoning
• Primarily aimed at guiding clinical assessment
• Hints, Tips and Caution boxes provide easy to digest small packages of information essential to clinical practice
• All sections follow the same structure and format for ease of use
• Spiral-binding allows for easy, lie-flat reference

Sujets

• Physical Therapy
• Allied Health Services
• Medical
• Médecine

Informations

• Publié par: Churchill Livingstone
• Date de parution: 29 novembre 2011
• Nombre de lectures: 0
• EAN13: 9780702046605
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

Neurological Assessment
A Clinician’s Guide

Karen J. Jones, MSc SRP
Cardiff University, Heath Park, Cardiff, UK
Table of Contents
Cover image
Title page
Copyright
Acknowledgements
Introduction
Section 1: Pathology (key facts)
Introduction
Introduction
Definition
Epidemiology
Aetiology
Pathology
Signs and symptoms
Chapter 1: Cerebrovascular accident
Definition
Epidemiology
Aetiology
Pathology
Outcome and prognosis
Signs and symptoms
Chapter 2: Multiple sclerosis
Definitions
Epidemiology
Aetiology
Pathology
Outcome and prognosis
Signs and symptoms
Chapter 3: Parkinson's disease
Definition
Epidemiology
Aetiology
Pathology
Outcome and prognosis
Signs and symptoms
Chapter 4: Motor neuron disease
Definition
Epidemiology
Aetiology
Pathology
Outcome and prognosis
Signs and symptoms
Chapter 5: Guillain–Barré syndrome
Definition
Epidemiology
Aetiology
Pathology
Outcome and prognosis
Signs and symptoms
Section 2: Functional Neuroanatomy
Introduction
Introduction
Chapter 6: Introduction to excitable tissue
Basic anatomy
Function of a neuron
Chapter 7: The cerebral cortex
Basic anatomy
Function of the cerebral cortex
Chapter 8: Meninges, ventricular system and blood supply
Meninges
The ventricular system
Circulatory systems of the brain
Chapter 9: Thalamus and limbic system
Basic anatomy OF THE THALAMUS
Function of the thalamus
The limbic system
Chapter 10: Brain stem, cranial nerves, visual system, vestibular system, reticular system
Brain stem
Cranial nerves
Visual system
Vestibular system
Reticular system
Chapter 11: Basal ganglia
Basic anatomy
Function of the basal ganglia
Chapter 12: Cerebellum
Basic anatomy
Function of the cerebellum
Chapter 13: The spinal cord and spinal reflexes
Basic anatomy and function of the spinal cord
Basic anatomy and function of spinal reflexes
Chapter 14: The descending tracts
Basic anatomy and function of the main descending tracts
Chapter 15: The ascending tracts
Basic anatomy and function of the main ascending tracts
Section 3: Clinical Assessment
Introduction
Introduction
Subjective assessment
Objective assessment
Recording
Impression
Limitations
Creating a problem list
Creating smart patient-centred goals
Chapter 16: Subjective assessment
Personal information
Present complaint (PC)
History of present complaint (HPC)
Past medical history (PMH)
Drug history (DH)
Social history (SH)
Planning the objective assessment
Chapter 17: Objective assessment (general observation)
Vision
Hearing
Communication
Cognition and perception
General appearance
Behaviour
Exercise tolerance
Chapter 18: Objective assessment (functional assessment)
Observation of how the patient moves
Analysis
Chapter 19: Gait
What is gait?
Why do I need to assess gait?
How do I do gait analysis?
Outcome measures
Chapter 20: Postural alignment
What is postural alignment?
Why do I need to assess postural alignment?
How do I assess postural alignment?
Recording
Analysis
Outcome measures
Chapter 21: Muscle tone
What is normal muscle tone?
What is abnormal muscle tone?
Why do I need to assess muscle tone?
How do I assess muscle tone?
Recording
Analysis
Outcome measures
Chapter 22: Reflexes
What is reflex testing?
Why do I need to assess reflexes?
How do I assess reflexes?
Recording
Analysis
Outcome measure
Chapter 23: Sensation
What is sensation?
Why do I need to assess sensation?
How do I assess sensation?
Recording
Analysis
Outcome measures
Chapter 24: Dermatomes
What is a dermatome?
Why do I need to assess dermatomes?
How do I assess a dermatome?
Recording
Analysis
Outcome measure
Chapter 25: Trunk stability
What is trunk stability?
Why do I need to assess trunk stability?
How do I assess trunk stability?
Recording
Analysis
Outcome measure
Chapter 26: Coordination
What is coordination?
Why do I need to assess coordination?
How do I assess coordination?
Recording
Analysis
Chapter 27: Vision
What aspects of vision do I need to assess?
Why do I need to assess these aspects of vision?
How do I assess these aspects of vision?
Recording
Chapter 28: Range of movement
What is range of movement (ROM)?
Why do I need to assess range of movement?
How do I assess range of movement?
Recording
Analysis
Outcome measures
Chapter 29: Pain
What is pain?
Why do I need to assess pain?
How do I assess pain?
Recording
Analysis
Outcome measures
Chapter 30: Strength
What is muscle strength?
Why do I need to assess muscle strength?
How do I assess muscle strength?
Recording
Analysis
Outcome measure
Chapter 31: Myotomes
What is a myotome?
Why do I need to assess myotomes?
How do I assess a myotome?
Recording
Analysis
Outcome measure
Chapter 32: Balance
What is balance?
Why do we need to assess balance?
How do I assess balance?
Recording
Analysis
Outcome measures
Chapter 33: Cognition and Perception
What are cognition and perception?
Why do I need to consider cognition and perception?
How do I screen for cognitive and perceptual deficit?
Outcome measures
Chapter 34: Falls
What are falls?
Why do I need to assess falls?
How do I assess falls?
Recording
Analysis
Outcome measures
Index
Copyright

© 2011 Elsevier Ltd. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher's permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions .
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
ISBN 978-0-7020-4052-8
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress

Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.



Printed in China 
Acknowledgements
Primarily, I wish to acknowledge the valuable guidance and support from Mrs Hilary Lipscombe who reviewed my work and acted as a consultant throughout the process. I would also like to thank Cardiff University Physiotherapy Department for supporting this project as a scholarly activity.
Special thanks to Trevor Baker for his much needed assistance in producing photographic evidence for the book and to Len Vanstone and Tim Sharp, who consented to be involved as subjects.
Lastly, I would like to take this opportunity to recognize the patience and support that is offered without question by my family and friends when life becomes a challenge.
Introduction
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