An advanced practice nurse (APN) often encounters patients with alterations in neurologic functioning, regardless of the practice setting. In many situations, the APN will be asked to perform the initial evaluation and determine if additional testing and consultation are indicated. For the APN who does not routinely encounter these patients, the experience may be challenging. This article presents an organized approach to the examination of patients with alterations in mentation and level of consciousness and considerations for differential diagnosis.
Advanced Assessment| October 01 2004
A Neuron in a Haystack: Advanced Neurologic Assessment
Joseph Haymore, MS, RN, CNRN, CCRN, ACNP
From Montgomery Neurosurgery-PA and Georgetown University School of Nursing & Health Studies, Silver Spring, Md.
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AACN Adv Crit Care (2004) 15 (4): 568–581.
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Joseph Haymore; A Neuron in a Haystack: Advanced Neurologic Assessment. AACN Adv Crit Care 1 October 2004; 15 (4): 568–581. doi:
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