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Patient’s neurological status assessment from a nursing point of view – a literary review

Malmgren, Maria (2024)

 
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Malmgren, Maria
2024
All rights reserved. This publication is copyrighted. You may download, display and print it for Your own personal use. Commercial use is prohibited.
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2024060822300
Tiivistelmä
Neurological and neurosurgical patients show their symptoms in a variety of ways. Describing the conditions there are a few assessment methods nurses use. The most common of those is the Glasgow Coma Scale, also known as GCS. Another method used for intubated patients is the Full Outline of Unresponsiveness, also known as FOUR.

Purpose of this thesis is to provide information for nurses and nursing students interested in the neurological status assessment and the current research behind it. The aim is to describe the current literature about assessing the neurological status of a patient from the nursing point of view. And the research question is how the neurological status assessment is described from the nursing point of view in literature.

Method used descriptive narrative literature review. Data was obtained from reliable databases such as EBSCOhost (CINAHL), PubMed, ProQuest, ScienceDirect (Elsevier) and Medic. Total of selected articles was thirteen. Selection was guided by the inclusion and exclusion criteria.

Key findings are that there is only a few research done to support the nursing point of view in the neurological assessment. Commonly used assessment methods could use the help of other assessment methods, both neurological and other. Assessing a patient comprehensively needs the support of other assessment methods.

The author found that there is a gap in research about neurological status assessment from the nursing point of view. Continuous training and practicing nursing skills is highly appreciated across the spectrum. The author recommends continuous education for nursing profession and the use of new assessment methods when they are introduced.
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