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Strengths and weaknesses of methods of assessment
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Cranial Nerves The cranial nerves are consists of 12 intricate nerves and their functions control the entire body. The cranial nerves are divided into many important nerves such as; the olfactory, optic, oculomotor, trochlear, trigeminal, abducal, facial vestibulochlear, glossopharyngeal, and hypoglossal nerves, and each one are vital to the response of our entire body. Physical assessments are divided by areas in which each evaluation have an important significance in an accurate evaluation of the patients. The neurological examination consists in the estimation of mental status, capability of reflexes, smells etc. Although, in the medical practice laboratory testing and …show more content…
The Olfactory nerve: supplies the inside of the nose and transmits signals from olfactory Cells, the optic nerve supplies the retina and also transmit signals from the photoreceptors, those perceived as vision, the oculomotor controls the movements of the eyelid and the eyes. Regulation of the closing of the pupils and the focus of the lens. Trochlear nerve is in charge of the movement of the eyeballs. Trigeminal nerves transits sensory information of the eye , teeth and skin of the face. Controls the muscles of the cheeks and jaw, (mastication). Abducens nerves regulates the eye gaze directions. Facial nerves controls de facial expressions and stimulates the salivary and lacrimal glands. Vestibulochlear nerve transmit signals to the inner ear which are perceived as sounds and maintain the balance. Glossopharyngeal nerve controls the salivary glands and transmits sensory signals from the tongue and pharynx. The hypoglossal nerve is responsible for the movement of the tongue. Vagus nerve is the only nerve that regulates the circulatory and digestive system. Accessory nerve controls the …show more content…
Moreover, the effectiveness of the physical assessment contain five steps; mental status, assessment of the cranial nerves, reflex test ,motor and sensory assessment. First, gather all the past and present medical history of the patient to obtain the alertness and orientation of the patient. History of stroke, seizures, phobias, mental disorders or other neurological problems may affect the efficacy of the test. If family members are present, information can be obtain from them. Assessing the olfactory nerve the patients may close their eyes obstructing one of the nares and use different but common types of substances so the patient can identify, use a different substance for each side. If the patient loss the sense of smell on each side it may be an indication of a lesion on a frontal lobe, but sense of smell can decreases with age. To check visual perception the optic nerve, a patient can read a magazine or a newspaper to determined unilateral blindness. Follow the oculomotor nerve assessment were the pupil size dilate and light reflexes can be obtain. Placing a light close to the eyes and observed the pupils
Then, I tested Cooley’s trigeminal nerve, I told her to close her eyes, and I touched her gently with a cotton swab. I touch her on the side of her forehead and then the other side, each of her cheeks, and one side of her jaw and then the other side of her jaw. Afterward, I tested Jazmine’s facial nerve by asking her to show her teeth when she smiles, grimace, and while she frowns. After that, I told her to close her eyes tightly and I tried to open one of her eyes by pulling it up to the eyebrow region and pulling it down to the cheek region.
A patient suspected of having a disorder of the nervous system will be subjected to a general neurological examination which includes testing of eye movement and pupil reaction, hearing, reflexes, balance and coordination, sense of touch, sense of smell, facial muscle functioning, gag reflex, head movement, mental status, abstract thinking, and memory (Malhi, 2000). A full neurological examination is generally administered, despite any preconceived opinions of a patient’s potential ailment, in order to illustrate the condition as clearly as possible and rule out any alternative diagnosis. An examination takes 90 minutes or more in most cases and consists of a battery of tests. A neurological exam tests for a client’s level of function of the area of the nervous system involved in a given
Introduction: This report is to discuss an experiment to assess the sensory and motor functions of the facial nerve in humans. The facial nerve is one of twelve cranial nerves that innervates the head and neck. These nerves serve a variety of functions, both sensory and motor, and are responsible for moving the muscles in the face, head and neck, and receiving information the brain can interpret into all five sense. Appendix A outlines each cranial nerve, it’s sensory and/or motor function, and the foramen in the bones of the skull it passes through.
Firstly, there is various of sensing activities as in seeing and hearing as in a sense of understanding of what is seen and heard. Secondly the sense of feeling in numerous parts of the body from the head to the toes. The ability to recall past events, the sophisticated emotions and the thinking process. The cerebellum acts as a physiological microcomputer which intercepts various sensory and motor nerves to smooth out what would otherwise be jerky muscle motions. The medulla controls the elementary functions responsible for life, such as breathing, cardiac rate and kidney functions. The medulla contains numerous of timing mechanisms as well as other interconnections that control swallowing and salivations.
The human nervous system is divided into two parts, the central nervous system and the peripheral nervous system. The central nervous system, CNS, is just the brain and spinal cord. The peripheral nervous system, PNS, includes the nerves and neurons that extend outwards from CNS, to transmit information to your limbs and organs for example. Communication between your cells is extremely important, neurons are the messengers that relay information to and from your brain.
Let’s say that there is a mechanical sense. If someone touched your hand, your somatosensory system will detect various stimuli by your skin’s sensory receptors. The sensory information is then conveyed to the central nervous system by afferent neurons. The neuron’s dendrites will pass that information to the cell body, and on to its axon. From there it is passed onto the spinal cord or the brainstem. The neuron's ascending axons will cross to the opposite side either in the spinal cord or in the brainstem. The axons then terminates in the thalamus, and on into the Brodmann Area of the parietal lobe of the brain to process.
The retina contains rods and cones which detect the intensity and frequency of incoming light and, in turn, send nerve impulses to the brain.
The facial muscles and voluntary body movements are controlled by the pyramidal system. The pyramidal system is comprised of two pathways: the corticobulbar tract and the corticospinal tract (Jones, 2015). McCaffrey (2014) states that the corticobulbar tract innervates muscular movement of the face and neck, while the corticospinal tract is responsible for transporting movement related signals to the spinal cord.
parts to it; the choroids, ciliary body, and the iris. The choroids is what provides
When a message comes to the brain from body parts such as the hand, the brain dictates the body on how to respond such as instructing muscles in the hand to pull away from a hot stove. The nerves in one’s skin send a message of pain to the brain. In response, the brain sends a message back dictating the muscles in one’s hand to pull away from the source of pain. Sensory neurons are nerve cells that carry signals from outside of the body to the central nervous system. Neurons form nerve fibers that transmit impulses throughout the body. Neurons consists of three basic parts: the cell body, axon, and dendrites. The axon carries the nerve impulse along the cell. Sensory and motor neurons are insulated by a layer of myelin sheath, the myelin helps
The functions of the Trigeminal nerve are different for the three divisions of the nerve. Those three divisions include:
This arc belongs to the autonomic nervous system (ANS). The ANS is the part of the peripheral nervous system that is responsible for controlling involuntary body functions. This system helps us maintain a steady heartbeat while we are sleeping, and anything else that is necessary to keep us alive during low levels of consciousness. This system affects the body functions that are not consciously managed, such as breathing, digestion, heart rate, pupillary dilation, and urination. However, there are some ANS actions that we are able to control with our mind to a certain extent, such as swallowing.
One sub-system under the sensory system is the visual system; the main sense organs of this are the eyes. The eye is the sensory organ that allows us to detect light from external stimuli. When a light ray is detected, the eye converts these rays into electrical signals that can be sent to the brain in order to process the information and giv...
This reflected light passes through the lens and falls on to the retina of the eye. Here, the light induces nerve impulses that travel through the optic nerve to the brain, where it makes an image of the object, and then that image is passed on to muscles and glands.The eye is well protected. It lies within a bony socket of the skull. The eyelids guard it in front. They blink an average of once every six seconds. This washes the eye with the salty secretion from the tear, or lachrymal, glands.