PHYSICAL EXAMINATION AND ASSESSMENT NEUROBEHAVIOR SYSTEM

Nursing English






By VI Group
Armen Mulyadi
Iman Siska Satria
Oksi Nanda
Sepnawati
Sri Nengsih Ulfa
Sri Ardilla Putri
Wella Elgi Risda


PROGRAM STUDI ILMU KEPERAWATAN
SEKOLAH TINGGI ILMU KESEHATAN
FORT DE KOCK BUKITTINGGI
TAHUN 2013/2014

PHYSICAL EXAMINATION AND ASSESSMENT NEUROBEHAVIOR SYSTEM

Understanding Physical Examination Neurobehavior
The human body will be in a healthy condition if it is able to respond appropriately to
environmental changes in a coordinated manner. The body requires good coordination. One of
the communication system in the body is the nervous system. Assessment of the neural system is
one aspect that is very important to be done in order to determine the appropriate nursing
diagnoses and perform appropriate maintenance actions. In the end, the nurse can maintain and
improve the health status of the client.
The purpose of the Physical Examination Neurobehavior
On physical examination the client with disorders of the nervous system in general usually uses
assessment techniques persistem same as other surgical medical examination. Physical
examination was done as other physical examination and aims to evaluate the client's general
physical state and also assess whether there are indications of other diseases besides neurological
disorder.

Physical Examination Preparation Tool
Prepare the necessary equipment:
reflex hammer
garputala
Cotton and sticks
Penlight or small flashlight
Opthalmoskop
sterile needles
spatel tongue
2 tubes of warm water and cold water
Objects that can be touched such as pins or coins
Pungent ingredients such as coffee, vanilla or perfume
The ingredients that taste salty, sweet or sour like salt, sugar, or vinegar
clothes check
gloves
To Examiner
Wash hands before and after the action, adjust the order of examination of the general state of the
client, start a physical examination since the beginning of contact with clients and use a general
precaution, the method used cepalo kadral or distal to proximal.



Physical Examination Procedures Persyarafan
Adjust the position of the client, ask the client to sit beside the bed. Observe how dressing the
client, the client's body posture, facial expressions and speech, intonation, hard soft, word choice
and ease of responding to the question. Kesadara benchmark values using the Glasgow Coma
Scale (GCS). Ask the time, date, place and reason for visit, assess the client's ability to count and
start with a simple calculation. Assess the client's ability to think abstractly.


Table. Cranial nerves
Number Name Type Function
I Olfaktorius sensory Receive Olfactory Sensory stimuli from
the nose and mengahantarkannya to the
brain for processing the sensation of
smell.
II Optik Sensory Receive stimuli from the eye and deliver
them to the brain for processing the
visual perception
III Okulomotor Motor Powering some of the eye muscles
IV Troklearis Motor Powering some of the eye muscles
V Trigeminus Combination Sensory: receive stimuli from the face to
be processed in the brain as a touch
Motor: moving jaw
VI Abdusen Motor abduction of eye
VII Fasialis Combination Sensory: receive stimuli from the anterior
part of the tongue to be processed in the
brain as a sensation of
Motor: controls the facial muscles to
create facial expressions
VIII Vestibulokoklearis/
auditorius
sensory Vestibular sensory: controlling balance
Semsori cochlea: receive stimuli to be
processed in the brain as sound / auditory
function
IX Glosofaringeus Combination Sensory: receive stimuli from the
posterior part of the tongue to be
processed in the brain as a sensation
Motor: controls the internal organs
X Vagus Combination Sensory: mensarafi bottom pharing
Motor: mensarafi pharing muscles that
move the vocal cords, as well as the tools
in the body
XI Aksesorius Motor Controlling the movement of the head
XII Hipoglosus Motor Controlling the movement of the tongue





















References
1. Arif muttaqin. 2008. Pengantar Asuhan Keperawatan Klien dengan Gangguan Sistem
Persarafan. Jakarta: Salemba Medika
2. Hendra Utama. 2006. Neurologi Klinik: Pemerisaan Fisik dan Mental. Jakarta : Balai Penerbit
FKUI
3. Priharjo, Robert. 2006. Pengkajian Fisik Keperawatan. Jakarta: EGC.
4. http:/LAPORAN%20POROFESI%20NERS%202012/MEDICAL%20BEDAH/SUMBER%20N
EUROLOGI/Saraf_kranial.htm diakses pada tanggal 25 April 2012