👁️ Z · Brain and senses
7
statements5
actual2
risk2
urgentRecommended assessment — CarePath tool: CP-NEURO Brain & Senses Check (interactive scoring) · Validated scales: GCS, pupils, NIHSS
| Code | Problem statement | Type | Description | First 3 actions |
|---|---|---|---|---|
| Z1 | Difficulty understanding speech | Actual | The person hears but struggles to make sense of spoken language. | Use short sentences · Use gestures and pictures · Repeat |
| Z2 | Ignoring one side of the body | Actual | After brain injury the person may not notice one side of the body or space. | Approach from the affected side · Cue him to scan · Arrange items |
| Z3 | Risk of seizures | Risk ⚠ URGENT | Sudden bursts of abnormal brain activity that may cause injury. | Give anti-seizure medicine on time, and tell the doctor at once if vomiting stops tablets staying down · Keep the bed low, padded, and the area clear · Teach seizure precautions to the patient and family |
| Z4 | Adjusting to vision loss | Actual | The person struggles with safety, independence, or feelings after losing sight. | Orient him to the space · Label items · Teach safe mobility |
| Z5 | Adjusting to hearing loss | Actual | The person struggles with communication, safety, or feelings after losing hearing. | Face the patient · Reduce noise · Speak clearly |
| Z6 | Risk of injury from numbness | Risk | Loss of feeling raises the chance of unnoticed injury. | Check both feet daily for cuts, blisters and color change · Protect from heat and cold; test bath water with the elbow · Teach to wear shoes and socks at all times and check shoes before wearing |
| Z7 | Raised pressure in the brain | Actual ⚠ URGENT | Increasing pressure inside the skull may cause headache, vomiting, confusion, or drowsiness. | Call for help urgently · Raise the head to 30 degrees and keep the neck straight · Do neurological checks (alertness, pupils, limb movement) as ordered |