How to Assess Eyes for PERRLA: Nursing Skills

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Күн бұрын

This video is about PERRLA
This video is about how to assess the pupils for PERRLA
PERRLA is an often documented patient finding and is a test that should be conducted per shift in acute care settings. It is often only partially done with a focus on the direct light reflect while overlooking the consensual light reflex.
This test is a measure of nerve, blood and brain functioning / health and a critical element in nursing care.
Pupils
Equal
Round
Reactive to
Light and
Accommodation
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Пікірлер: 100

@heatherrhea7885 3 жыл бұрын

I'm a first year Nursing student, and this helped so much! Your excitment made me excited to attempt this skill!

@NurseMinder 3 жыл бұрын

Yeah!!!!

@anonymous-td2wy 2 жыл бұрын

I love your sweet attitude you seem like a humble and loving instructor

@harrietweathervane 2 жыл бұрын

this is the best PERRLA video out there! straightforward, informative, and your energy makes it fun to watch. thank you!

@NurseMinder 2 жыл бұрын

Glad you enjoyed it!

@mariaalmojuela6 3 жыл бұрын

I like the manner you deliver every lecture. It’s enjoyable and very clear.

@NurseMinder Жыл бұрын

Ah! Thanks 😊

@esperanzagomez 3 жыл бұрын

Reviewing as i'm going to be working on a Neuropsychiatry unit and this was a great refresher! Thank You!

@NurseMinder 11 ай бұрын

Thanks!

@LDD143 Жыл бұрын

Thank you first time watching your video and loved it. one new fan. Thank you. I love how you explain and especially your energy is great. Thank you!

@NurseMinder Жыл бұрын

I appreciate you 💕

@viviankuo1111 Жыл бұрын

Appreciation from foreign layperson. This hepls a lot and was expressed vividly, easy to follow. Thank you!

@NurseMinder Жыл бұрын

Yes!!! High fives!

@jingyun4323 2 жыл бұрын

Thank you. This answered all the questions I had. Especially the documentation of pre and post pupil size.

@bronwest6984 3 жыл бұрын

Thankyou for this video a decent easy to understand and able to see how it works

@NurseMinder 2 жыл бұрын

Glad it was helpful!

@tikabozerabruk6702 3 жыл бұрын

You're awesome!!!

@adilfarooq5582 3 жыл бұрын

Nice leacture......

@MT-lw7kv Жыл бұрын

Thanks for teaching!

@NurseMinder Жыл бұрын

Thanks for watching 💕

@brittaniinsuawitous4823 3 жыл бұрын

You're wonderful!

@NurseMinder 3 жыл бұрын

Wow! Thanks for that-You are too!

@bryanrangel-almanza1435 2 жыл бұрын

Thank you for the vid. I have my eyes and ear assessment for class tomorrow and this helped.

@NurseMinder 2 жыл бұрын

Awesome

@rainbowcolor5464 3 жыл бұрын

Thanks very helpful

@roland.j.ruttledge 2 жыл бұрын

Excellent, many thanks UK

@NurseMinder 2 жыл бұрын

Thanks

@kehindeikuomenisan9539 2 жыл бұрын

thank you

@isimotmuheeb4024 5 ай бұрын

Thanks so much.

@NurseMinder 5 ай бұрын

😊

@user-kn6qj4zp9m 3 жыл бұрын

thx so much

@NurseMinder 3 жыл бұрын

You are welcome

@ReadySetJustLetGo 3 жыл бұрын

thank you! :)

@NurseMinder 3 жыл бұрын

You are welcome

@russelmayo3237 2 жыл бұрын

First Year in Nursing School Here. And I will be your 1k like

@NurseMinder 2 жыл бұрын

Woohoo. How cool is that!!

@essenceaquarius9958 3 жыл бұрын

lol you're funny :) Thank you for this video!!

@delsonpaul6553 Жыл бұрын

Thanks

@NurseMinder Жыл бұрын

You are welcome

@injife6269 Жыл бұрын

Thank you for explanation. Please also record a video how to write outcomes in different PERRlA situations.

@NurseMinder Жыл бұрын

Thanks. What types of outcomes are you wondering about

@injife6269 Жыл бұрын

@@NurseMinder I mean if pupils are not equal and we can see different reaction and accommodations to light in pupils. How is it notes in PERRLA?

@NurseMinder Жыл бұрын

Great question, you chart what you see. For example. Right eye 4/2, left eye 5/2

@njcbar Жыл бұрын

Cool thank you

@NurseMinder Жыл бұрын

Thanks for watching

@njcbar Жыл бұрын

I watch and I'm not even a nurse nor in the medical profession.

@et96alhe 2 жыл бұрын

Well, great informational Movie. One important point thoug, what does this examination tell us?

@NurseMinder 2 жыл бұрын

tells us the cranial nerves 3, 4, and 6 are working,

@lydiaarhin3828 2 жыл бұрын

Thank you so much. I'd like to know if when doing the consensual, the degree of constriction is just the same as that of the direct?

@NurseMinder 2 жыл бұрын

Yes you will see each pupil will respond similarly

@AngryDenver 2 жыл бұрын

One of my pupils isn't perfectly round. Something I just noticed. Also have loss of balance and dizziness/headaches often. Getting my eyes checked in a couple weeks because not sure what to think of it all 🤷‍♀️

@NurseMinder 2 жыл бұрын

The pupil difference may be nothing to worry about. Hope you get answers related to your symptoms

@koolanneghot3747 3 жыл бұрын

Thank you. Can you do intramuscular injection.

@maimoonkhan3612 Жыл бұрын

Great

@NurseMinder Жыл бұрын

Thanks 😊

@priyankachakraborty6496 3 жыл бұрын

When do we measure the size of pupil when it dilates after constriction?? Do we place that strip of measurement in front of pupil??

@NurseMinder 3 жыл бұрын

Yes you can do that. Over time you will get comfortable just looking at them and sizing them

@smiledriven26 2 жыл бұрын

Thank you for posting this!!! Surprisingly a lot of nurses assess the eyes differently and there is some discrepancy on how to properly do this neuro exam! If there is only one option for pupil size, is it more appropriate to record and report pupil size with room light or direct light with pen light? Thanks!

@NurseMinder 2 жыл бұрын

Typically we report the size pre light, and then you will note they were reactive and equal to light in your notes

@lakshmilachu9937 11 ай бұрын

Love you

@NurseMinder 11 ай бұрын

Haha. Now that is not something I see everyday on here. Thanks!

@lakshmilachu9937 11 ай бұрын

Good morning mam,I am completed my PG course , yesterday i want to teach the neurological examination to the nursing students,so i search and saw many videos,but i got a good and clear explanation with your video only,😍😍😍thank you mam,god bless you

@joelmsambwa5504 Жыл бұрын

Nice

@NurseMinder Жыл бұрын

Thanks

@jingyun4323 2 жыл бұрын

Although I do have a question, on the neuro chart, there's only space for 1 pupil size. So do I chart the before or after size?

@NurseMinder 2 жыл бұрын

It is usually the before, and then there might be a place where you note they are reactive

@jingyun4323 2 жыл бұрын

@@NurseMinder thank you, much appreciated

@smiledriven26 2 жыл бұрын

Thank for answering this!!!! ❤️🙌🏼

@violeta8723 2 жыл бұрын

I am so glad you asked this I was wondering the same 🙂

@Pinkblinx5644 5 ай бұрын

Can you assess for accommodation on intubated/confused patient?

@NurseMinder 5 ай бұрын

Yes, take into account any medication that may affect response

@Honestly_take_the_hint 5 ай бұрын

Where I’m from we use PEARL “pupils equal and reactive to light”

@NurseMinder 5 ай бұрын

So you miss the “round” and reactive - how do you define shape of pupils?

@Honestly_take_the_hint 5 ай бұрын

@@NurseMinder we denote deformities and damage of the pupil separately. The PEARL is the basic assessment, but the roundness and and pupil damage is addressed depending if ocular damage has occurred or if it’s a genetic defect we review and assess it independently as the prime purpose of pearl is a base line.

@naherasefa2355 3 жыл бұрын

What is the correct spelling for unequal pupil size Anasocoria or Anisocoria ?

@NurseMinder 2 жыл бұрын

anisocoria :)

@LandonStrauss-hc1sc 9 ай бұрын

Is it really pupils "is" or "are"? Great video, thanks!

@NurseMinder 9 ай бұрын

Hmmm - looks like you may have caught me switching up the grammar rules? 🧐

@foramasodiya8958 2 жыл бұрын

Suggest the eye pen please

@NurseMinder 2 жыл бұрын

I bought it at a hardware store :)

@graceakeeley Жыл бұрын

Love ya tam

@NurseMinder Жыл бұрын

💕

@SamSam-ke9zy Жыл бұрын

I'm so frustrated with accommodation in charting. For 1 it's locked in with all the others as an all or none and 2 I can say it's charted more than 99% of the tjme without ever being checked. And worst of ALL is 90%+ of the nurses don't know what it really is.

@NurseMinder Жыл бұрын

I would tend to agree that many don’t know what they are measuring and how to chart it, it was something I noticed as well

@haybyw11 2 жыл бұрын

Can you do a video on angels check

@NurseMinder 2 жыл бұрын

I am not sure I understand this request

@ChicagoChicago27 Жыл бұрын

That’s something more specific that Eyecare professionals on KZfaq should have videos on

@haybyw11 Жыл бұрын

Can you do a video on how to check for narrow angles?

@MzShonuff123 Жыл бұрын

I work on an L&D floor and none of the nurses know how to do this on patients. It’s second nature to me because I used to work medsurg-tele so lots of CVA and TIA patients

@NurseMinder Жыл бұрын

Yes. I see it a lot too - such an important part of any head to toe in my mind, and I have worked in a variety of settings

@AZURE_ONE 3 жыл бұрын

abducens nerve

@NurseMinder 2 жыл бұрын

I must have said something wrong?

@mirahalim4279 2 жыл бұрын

Perla my name

@NurseMinder 2 жыл бұрын

Beautiful name :)

@RobynMcMullen 3 жыл бұрын

Awesome content! Keep up the great work. If you have a second you could swing by my videos 😁🤘❤️

@ccsnd77 2 жыл бұрын

It's Anisocoria not anAsocoria

@NurseMinder 2 жыл бұрын

Yes

@alhaah777 2 жыл бұрын

You are funny. I like your lecture. Maybe someone already mentioned it. but It's not Anasocoria, but anisocoria, and your pronunciation also need to be changed. aniso- means "not equal"

@NurseMinder 2 жыл бұрын

Awesome - shows how important pronunciation is