NEUROLOGICAL ASSESSMENT Level of Consciousness The client is alert, aware of self, others, time and coherent with eyes

open and looking at examiner. The client responds appropriately. Client listens and can follow direction without difficulty. Concentration Recent & Remote Memory Posture and Body Movements Dress, Grooming and Hygiene Facial Expression Speech Mood, Feelings and Expressions CN I (Olfactory) CN II (Optic) CN III (Oculomotor), IV (Trochlear), VI (Abducens) CN V (Trigeminal) The client recalls recent events without difficulty. Client correctly recalls past events. The client appears to be weak in her lower extremities. Skin is with tatoos; nails are not neat and trim. Clothes fit and are appropriate for the weather. Client maintains good eye contact, smiles and frowns appropriately. Client is in a moderate tone and observed to have a clear speech. The client is cooperative and friendly, expresses her feelings but with despairing feelings. The client correctly identifies scent presented to each nostril. Client is not having difficulty in reading the snellen chart and with 20/20 vision OD and OS. The pupil size is about 2-3mm PERRLA. The client was able to follow eye movement through the six cardinal fields of gaze. The clients pupil opposite the one illuminated constricts simultaneously. Clients temporal and masseter muscles contract bilaterally. The client correctly identifies sharp and dull stimuli and light touch to the forehead, cheeks and chin. The eyelids blink bilaterally. The client can smile, frown, wrinkle her forehead, puffs out checks, purses lips and closes eyes against resistance. She is using dentures in her upper teeth. She is not having difficulty in tasting. Client is with intact hearing. Vibration was heard equally well in both ears. The client uvula and soft palate rise bilaterally and symmetrically on phonation.Her gag reflex is intact. The client does not have difficulty swallowing. Client can contract voluntarily the sternocleidomastoid and trapezius muscles. The clients tongue movement is symmetric and smooth and bilateral strength is apparent. 2+ biceps and triceps 1+ Patellar and Plantar Client cant stand due to loss of muscle strength in lower extremities Client was able to do supination and pronation. Client was able to identify sharp and dull sensation and was able to identify objects when closed eyes.

CN VII (Facial)

CN VIII (Acoustic/Vestibulocochlear) CN IX (Glossopharyngeal) and X (Vagus) CN XI (Spinal Accessory) CN XII (Hypoglossal) REFLEXES COORDINATION MOTOR SENSORY