Neurological Assessment Aids
Level of Orientation
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AVPU (LOC)
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Person, Place, and Time: Example: if Pt knows his or her name, but not the time or place, you would document that the Pt is oriented to name only. If Pt knows all three, then you would document that Ptis oriented x 3.
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A
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Alert.
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V
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Responds only to
Verbal stimulus.
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P
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Responds only to
Painful stimulus.
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U
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Unresponsive.
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Possible Causes of a Change in Mental Status
A ------ Alcohol and ingested drugs and toxins
E ------ Endocrine and electrolyte disorders; epilepsy
I ------ Insulin; intoxication
O ------ Oxygen deficiency; opioid
U ------ Uremia
T ------ Trauma; tumor
I ------ Infection
P ------ Psychiatric
S ------ Stroke; shock; subarachnoid bleed
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