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NIHSS Clearing Up the Confusion, Scoring and Challenges LeighAnn Morrill Brown, MS, APRNCNS, CCNS Neurology Clinical Nurse Specialist 10th Annual Statewide Stroke Conference February 27, 2016Objectives The.

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The levels of stroke severity as measured by the NIHSS scoring system are: 0 = no stroke. 1–4 = minor stroke. 5–15 = moderate stroke. 15–20 = moderate/severe stroke.

8. Sensory. This item tests the sensory abilities of the patient using a pinprick and a noxious (unpleasant) stimuli.

The patient in a coma (item 1a=3) will automatically score 3 on this item. The examiner must choose a score for the patient with stupor or limited cooperation, but a score of 3 should be used only if the patient is mute and follows no one-step commands.

Scoring can be impacted by a history of prior deficits such as a previous stroke or amputation, therefore it is very important that the medical professional administering the evaluation is trained in the assessment.

It has high reliability for the diagnosis of stroke severity, and can comprehensively evaluate the level of consciousness, vision, movement, sensation and cerebellar functional impairment in ischemic stroke patients.

Outcomes related to NIHSS scores at admission: Scores of <5; 80% of stroke survivors will be discharged to home. Score between 6 and 13 typically require acute inpatient rehabilitation. Scores of >14 frequently require long-term skilled care.

The NIHSS is composed of 11 items, each of which scores a specific ability between a 0 and 4. For each item, a score of 0 typically indicates normal function in that specific ability, while a higher score is indicative of some level of impairment.

1a. Level of Consciousness (LOC): The investigator must choose a response, even if a full evaluation is prevented by such obstacles as an endotracheal tube, language barrier, orotracheal trauma/bandages.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232