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What we might miss with this assessment are those that are already cognitively disabled, non English speaking will not score low, those with visual disabilities are unable to complete a MAJOR portion of the exam. With diabetes we have peripheral neuropathy that damages sensory perception. Someone that’s had bells palsy will have some asymmetric facial features that are not really indicative for a stoke but would score high on this test. NIH is a good test, but we need to use clinical judgment to determine if our patients would benefit from our standard neurological, cognitive, neuromuscular, etc better. Also there are better videos if you really want to get NIH certified, they are just old and long!

@@jljordan1 Exactly. I asked my educator about prior deficits and she said that in order to keep everything consistent, they will just have to have a higher stroke score and we are to rely on the trends, not so much the score itself. So basically, like you said, assess the patients and monitor progress.

Preexisting deficits from previous stroke or Bell’s palsy might make a patient score high, but a new stroke in the same area as a previous stroke might be masked by patient’s preexisting deficits from the old stroke, hence the need to score what we observe regardless of old deficits. Assuming that what we’re observing is from a preexisting deficits and not new symptoms superimposed on old deficits could be detrimental.

This video is literally just try a teach the nihss. It doesnt claim for it to be superior. Thanks for your comment.

2 years and no reply. Savage.