Tina Jones Neurological shadow health assessment Objective Data

May 30, | nursing, med, NURS, Paper

Tina Jones Neurological shadow health assessment Objective Data
Tina Jones Neurological shadow health assessment Objective Data
Objective Data Collection: 36.75 of 37 (99.32%)

 Correct
 Partially correct

 Incorrect
 Missed

 Confirmed orientation
1 of 1 point

To Person (1/3 point)

 Oriented to person
 Not oriented to person

To Place (1/3 point)

 Oriented to place
 Not oriented to place

To Time (1/3 point)

 Oriented to time
 Not oriented to time

 Evaluated abstract thinking
1 of 1 point

Abstractness (1/2 point)

 Abstract
 Concrete

Relevance (1/2 point)

 Relevant
 Not relevant

 Evaluated attention span
1 of 1 point

Serial 7s Test (1/1 point)

 Accurate
 Not accurate

 Evaluated comprehension
1 of 1 point

Observations (1/1 point)

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 Able to follow instructions
 Unable to follow instructions

 Evaluated general knowledge
1 of 1 point

Accuracy (1/1 point)

 Accurate
 Not accurate

 Evaluated judgment
1 of 1 point

Observations (1/1 point)

 Intact
 Not intact

 Evaluated memory
1 of 1 point

Remote Memory (1/3 point)

 Intact
 Not intact

Immediate Memory (1/3 point)

 Intact
 Not intact

New Learning Ability (1/3 point)

 Accurate
 Not accurate

 Observed vocabulary
1 of 1 point

Complexity (1/1 point)

 Expected complex for patient’s age, education level, and general ability
 Not expected complexity
Tina Jones Neurological shadow health assessment Objective Data

 Observed articulation
1 of 1 point

Observations (1/1 point)

 No observed problems with pronunciation or expression
 Imprecise pronunciation of consonants
 Slurring
 Hesitation
 Stutter

 Tested olfactory nerve
1 of 1 point

Sense Of Smell (1/2 point)

 Able to discriminate
 Not able to discriminate

Symmetric (1/2 point)

 Symmetric bilaterally
 Asymmetric

 Tested visual acuity (optic nerve)
1 of 1 point

Right (1/2 point)

 20/100
 20/70
 20/50
 20/40
 20/30
 20/25
 20/20
 20/15
 20/13
 20/10

Left (1/2 point)

 20/100
 20/70
 20/50
 20/40
 20/30
 20/25
 20/20
 20/15
 20/13
 20/10

 Examined retina with ophthalmoscope (optic nerve)
0.75 of 1 point

Right: Fundus (No point)

 No visible abnormal findings
 Myelinated nerve fibers
 Papilledema
 Glaucomatous cupping
 Drusen bodies
 Cotton wool bodies
 Hemorrhage

Right: Disc Margin (1/4 point)

 Sharp
 Blurred

Left: Fundus (1/4 point)

 No visible abnormal findings
 Myelinated nerve fibers
 Papilledema
 Glaucomatous cupping
 Drusen bodies
 Cotton wool bodies
 Hemorrhage

Left: Disc Margin (1/4 point)

 Sharp
 Blurred

 Inspected pupils (optic and oculomotor nerves)
1 of 1 point

Observations With Penlight (1/1 point)

 No visible abnormal findings (PERRL)
 Unequal
 Irregular
 Miosis
 Mydriasis
 Non-reactive to light

 Tested extraocular eye movements (extraocular movements: oculomotor, trochlear, abducens nerves)
1 of 1 point

Cardinal Fields (1/2 point)

 No visible abnormal findings
 Nystagmus
 Fixed pupil

Convergence (1/2 point)

 No visible abnormal findings
 Unequal bilaterally
 Fixed pupil

 Tested facial sensation (trigeminal nerve)
1 of 1 point

Observations (1/1 point)

 Intact
 Unable to feel dull stimulus
 Unable to feel sharp stimulus
 Unable to feel soft stimulus

 Inspected head and face (facial nerve)
1 of 1 point

Skull Symmetry (1/2 point)

 Symmetric
 Asymmetric

Facial Feature Symmetry (1/2 point)

 Symmetric
 Asymmetric

 Performed Weber test (auditory nerve)
1 of 1 point

Results (1/1 point)

 Normal
 Conductive or sensorineural loss

 Performed Rinne test (auditory nerve)
1 of 1 point

Right (1/2 point)

 Normal
 Conductive loss

Left (1/2 point)

 Normal
 Conductive loss

 Tested gag reflex (glossopharyngeal, vagus nerves)
1 of 1 point

Observations (1/1 point)

 Intact
 Absent
 Hypersensitive

 Tested shoulder shrugging (accessory nerve)
1 of 1 point

Observations (1/2 point)

 Symmetric
 Asymmetric

Strength (1/2 point)

 0 – No evidence of movement
 1 – Trace of movement
 2 – Full range of motion with passive movement only
 3 – Full range of motion against gravity, with no resistance
 4 – Full but weak range of motion against gravity, with some resistance
 5 – Full range of motion against gravity, with resistance
Tina Jones Neurological shadow health assessment Objective Data

 Tested neck strength (accessory nerve)
1 of 1 point

Strength (1/1 point)

 0 – No evidence of movement
 1 – Trace of movement
 2 – Full range of motion with passive movement only
 3 – Full range of motion against gravity, with no resistance
 4 – Full but weak range of motion against gravity, with some resistance
 5 – Full range of motion against gravity, with resistance

 Inspected tongue (hypoglossal nerve)
1 of 1 point

Symmetry (1/2 point)

 Symmetric
 Asymmetric

Observations (1/2 point)

 No visible abnormal findings
 Fasciculations
 Deviation from midline
 Atrophy

 Tested deep tendon reflexes in triceps
1 of 1 point

Right (1/2 point)

 0 – No response
 1 – Diminished
 2 – Expected (active)
 3 – Hyperactive
 4 – Hyperactive, with clonus

Left (1/2 point)

 0 – No response
 1 – Diminished
 2 – Expected (active)
 3 – Hyperactive
 4 – Hyperactive, with clonus

 Tested deep tendon reflexes in biceps
1 of 1 point

Right (1/2 point)

 0 – No response
 1 – Diminished
 2 – Expected (active)
 3 – Hyperactive
 4 – Hyperactive, with clonus

Left (1/2 point)

 0 – No response
 1 – Diminished
 2 – Expected (active)
 3 – Hyperactive
 4 – Hyperactive, with clonus

 Tested deep tendon reflexes in brachioradialis
1 of 1 point

Right (1/2 point)

 0 – No response
 1 – Diminished
 2 – Expected (active)
 3 – Hyperactive
 4 – Hyperactive, with clonus

Left (1/2 point)

 0 – No response
 1 – Diminished
 2 – Expected (active)
 3 – Hyperactive
 4 – Hyperactive, with clonus

 Tested deep tendon reflexes in patellar tendon
1 of 1 point

Right (1/2 point)

 0 – No response
 1 – Diminished
 2 – Expected (active)
 3 – Hyperactive
 4 – Hyperactive, with clonus

Left (1/2 point)

 0 – No response
 1 – Diminished
 2 – Expected (active)
 3 – Hyperactive
 4 – Hyperactive, with clonus

 Tested deep tendon reflexes in Achilles tendon
1 of 1 point

Right (1/2 point)

 0 – No response
 1 – Diminished
 2 – Expected (active)
 3 – Hyperactive
 4 – Hyperactive, with clonus

Left (1/2 point)

 0 – No response
 1 – Diminished
 2 – Expected (active)
 3 – Hyperactive
 4 – Hyperactive, with clonus

 Tested point-to-point movements: Finger to nose
1 of 1 point

Right (1/2 point)

 Smooth and accurate
 Jerky
 Inaccurate

Left (1/2 point)

 Smooth and accurate
 Jerky
 Inaccurate

 Tested point-to-point movements: Heel to shin
1 of 1 point

Right (1/2 point)

 Smooth and accurate
 Jerky
 Inaccurate

Left (1/2 point)

 Smooth and accurate
 Jerky
 Inaccurate

 Tested coordination with rapid alternating hand movements
1 of 1 point

Observations (1/1 point)

 Able to perform without difficulty
 Performs but with difficulty
 Unable to perform

 Observed gait
1 of 1 point

Balance (1/2 point)

 Steady
 Unsteady

Gait (1/2 point)

 Continuous, symmetric steps
 Discontinuous steps
 Asymmetric steps
 Stagger
 Swaying
 Hesitancy due to injury
 Use of arms

 Tested graphesthesia
1 of 1 point

Right (1/2 point)

 Able to identify
 Unable to identify

Left (1/2 point)

 Able to identify
 Unable to identify

 Tested sensation in arms
1 of 1 point

Right: Dull Touch (1/6 point)

 Expected sensation in proximal and distal
 Decreased proximal sensation
 Decreased distal sensation

Left: Dull Touch (1/6 point)

 Expected sensation in proximal and distal
 Decreased proximal sensation
 Decreased distal sensation
Tina Jones Neurological shadow health assessment Objective Data

Right: Soft Touch (1/6 point)

 Expected sensation in proximal and distal
 Decreased proximal sensation
 Decreased distal sensation

Left: Soft Touch (1/6 point)

 Expected sensation in proximal and distal
 Decreased proximal sensation
 Decreased distal sensation

Right: Sharp Touch (1/6 point)

 Expected sensation in proximal and distal
 Decreased proximal sensation
 Decreased distal sensation

Left: Sharp Touch (1/6 point)

 Expected sensation in proximal and distal
 Decreased proximal sensation
 Decreased distal sensation

 Tested sensation in legs
1 of 1 point

Right: Dull Touch (1/6 point)

 Expected sensation in proximal and distal
 Decreased proximal sensation
 Decreased distal sensation
Tina Jones Neurological shadow health assessment Objective Data

Left: Dull Touch (1/6 point)

 Expected sensation in proximal and distal
 Decreased proximal sensation
 Decreased distal sensation

Right: Soft Touch (1/6 point)

 Expected sensation in proximal and distal
 Decreased proximal sensation
 Decreased distal sensation

Left: Soft Touch (1/6 point)

 Expected sensation in proximal and distal
 Decreased proximal sensation
 Decreased distal sensation

Right: Sharp Touch (1/6 point)

 Expected sensation in proximal and distal
 Decreased proximal sensation
 Decreased distal sensation

Left: Sharp Touch (1/6 point)

 Expected sensation in proximal and distal
 Decreased proximal sensation
 Decreased distal sensation

 Tested sensation in feet
1 of 1 point

Right (1/2 point)

 Expected sensation
 Decreased sensation

Left (1/2 point)

 Expected sensation
 Decreased sensation

 Tested position sense
1 of 1 point

Fingers (1/2 point)

 Intact
 Not intact

Toes (1/2 point)

 Intact
 Not intact

 Tested stereognosis
1 of 1 point

Right (1/2 point)

 Able to identify
 Unable to identify

Left (1/2 point)

 Able to identify
 Unable to identify
Tina Jones Neurological shadow health assessment Objective Data

PSYC 6717 Discussion: Baer, Wolf, and Risley (1968)

May 30, | nursing, med, NURS, Paper

PSYC 6717 Discussion: Baer, Wolf, and Risley (1968)
PSYC 6717 Discussion: Baer, Wolf, and Risley (1968)
Discussion: Baer, Wolf, and Risley (1968)

Photo Credit: utah51 / Adobe Stock

Applied behavior analysis is a movement that began in the late 1950s within the field of experimental analysis of behavior (EAB) and was based on B. F. Skinner’s operant conditioning principles. As the applied orientation began to develop, it focused on practical interventions and applied topics relevant to socially significant behavior. This focus represented an incongruity with the criteria and research questions representing basic theoretical research and analysis in the field of contemporary applied psychology. This incongruity grew enough to demonstrate a need for a journal focused on the increasingly popular applied orientation PSYC 6717 Discussion: Baer, Wolf, and Risley (1968).

In 1967, the Journal of Applied Behavior Analysis (JABA) was launched to address the need. The editors of the journal included Donald Baer, Montrose M. Wolf, and Todd Risley, who in the first issue of the JABA journal contributed an article that proposed criteria that would come to inform the application of concepts of applied behavior analysis. It also served to provide guidance to researchers seeking to be published in the journal. As indicated by the title of their seminal 1968 article, “Some Current Dimensions of Applied Behavior Analysis,” Baer, Wolf, and Risley proposed seven criteria, or dimensions, of applied behavior analysis (Baer et al., 1968).
For this Discussion, you will reflect on the seminal article by Baer et al. (1968), located in this week’s Learning Resources, and evaluate the relevance of the seven dimensions of behavior analysis in the article to the practice of behavior analysis today. You will also identify your most important takeaway from the article.
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Reference:

Baer, D. M., Wolf, M. M., & Risley, T. R. (1968). Some current dimensions of applied behavior analysis. Journal of Applied Behavior Analysis, 1(1), 91–97 PSYC 6717 Discussion: Baer, Wolf, and Risley (1968).

To Prepare

From the Learning Resources for this week, review the seminal Baer, Wolf, and Risley article and consider how the information applies to applied behavior analysis today.

By Day 4 of Week 5

Post what makes the information in the Baer, Wolf, and Risley article relevant to the practice of Applied Behavior Analysis today, more than 50 years later as well as what is the most important thing you learned from this article and how might this information impact your future professional work as a behavior analyst.
Read your colleagues’ postings.

Note: For this discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the To Participate in this Discussion link, then select Create Thread to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and cannot post anonymously. Please check your post carefully before clicking on Submit!

By Day 6 of Week 5

Respond to at least two colleagues’ posts in one of the following ways:

Expand on their explanation of what makes the information in the Baer, Wolf, and Risley article relevant to the practice of Applied Behavior Analysis today, more than 50 years later.
Offer additional insights regarding the most important thing they learned from the article and its potential impact on their future professional work as a behavior analyst.

Be sure to support your posts and responses with specific references to behavior-analytic theory and research. In addition to the Learning Resources, search the Walden Library and/or the internet for peer-reviewed articles to support your posts and responses. Use proper APA format and citations, including those in the Learning Resources.
Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights that you have gained because of your colleagues’ comments PSYC 6717 Discussion: Baer, Wolf, and Risley (1968).