If concerns are raised, assessment will include observations that indicate the function and status of an individual's nervous system. Generally, this relates to consciousness, which is the earliest and most sensitive indicator of change in neurological status ( Hickey, 2013). That is, issues related to neurological function, which in turn disable the individual in some manner. This is the ‘D’ for ‘disability’ in the ABCDE algorithm taught in professional health settings. Partial anhidrosis involving only the medial aspect of the forehead ipsilateral side of the nose is associated with a lesion distal to the carotid bulb.Nurses completing a structured assessment will consider the neurological status of their patient. Anhidrosis of the entire face is often associated with a lesion at the level of the carotid artery. The pattern of anihidrosis may help identify the lesion.
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