The importance of the neurologic assessment for patients in the intensive care unit cannot be overstated. All patients are at risk for neurologic deterioration, whether from a primary neurologic process, or from metabolic complications associated with systemic organ failure. Notable change in the level of consciousness during serial neuro exams is the most sensitive indicator of neurologic decline. Nurses performing a thorough neurologic assessment will examine consciousness and cognition, language and speech, the cranial nerves, and movement and sensation. Although the neurologic assessment can be complicated, using a standardized approach allows the rapid identification of neurologic decline allowing for rapid intervention to prevent further neurologic deterioration.

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