Rusinski P S
Nurse Pract. 1979 May-Jun;4(3):26-7, 30-2.
There are more and more situations where nursing is responsible for ongoing assessment of the functioning of the hemiplegic patient who has been discharged from an acute care setting. The goal of the neurological assessment in the primary care setting is to determine the ability of the hemiplegic patient to perform activities of daily living. The objectives of this paper are to: 1) suggest a guideline for neurological examination of the hemiplegic patient in seven functional areas. The purpose is not to describe the total neurological examination, but rather to focus on the examination of pertinent neurological areas that provide data about the functioning of the patient; 2) outline potential problems derived from pertinent neurological findings in these seven areas; 3) discuss general implications these problems have for the nurse to assist the hemiplegic patient and his family, optimizing his potential. No attempt will be made to discuss details of nursing intervention.
在越来越多的情况下，护理人员需要负责对已从急症护理机构出院的偏瘫患者的功能进行持续评估。基层医疗环境中神经学评估的目标是确定偏瘫患者进行日常生活活动的能力。本文的目的是：1）提出针对偏瘫患者七个功能领域进行神经学检查的指南。目的不是描述完整的神经学检查，而是专注于检查能提供患者功能数据的相关神经学领域；2）概述这七个领域中相关神经学发现所引发的潜在问题；3）讨论这些问题对护士协助偏瘫患者及其家人、优化其潜能的一般意义。本文不会尝试讨论护理干预的细节。
