How to Assess Eyes for PERRLA: Nursing Skills

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
    @heatherrhea78853 жыл бұрын

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

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Yeah!!!!

  • @anonymous-td2wy
    @anonymous-td2wy2 жыл бұрын

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

  • @harrietweathervane
    @harrietweathervane2 жыл бұрын

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

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Glad you enjoyed it!

  • @mariaalmojuela6
    @mariaalmojuela63 жыл бұрын

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

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Ah! Thanks 😊

  • @esperanzagomez
    @esperanzagomez3 жыл бұрын

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

  • @NurseMinder

    @NurseMinder

    11 ай бұрын

    Thanks!

  • @tikabozerabruk6702
    @tikabozerabruk67023 жыл бұрын

    You're awesome!!!

  • @LDD143
    @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

    @NurseMinder

    Жыл бұрын

    I appreciate you 💕

  • @rainbowcolor5464
    @rainbowcolor54643 жыл бұрын

    Thanks very helpful

  • @adilfarooq5582
    @adilfarooq55823 жыл бұрын

    Nice leacture......

  • @viviankuo1111
    @viviankuo1111 Жыл бұрын

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

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Yes!!! High fives!

  • @russelmayo3237
    @russelmayo32372 жыл бұрын

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

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Woohoo. How cool is that!!

  • @kehindeikuomenisan9539
    @kehindeikuomenisan95392 жыл бұрын

    thank you

  • @bronwest6984
    @bronwest69843 жыл бұрын

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

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Glad it was helpful!

  • @bryanrangel-almanza1435
    @bryanrangel-almanza14352 жыл бұрын

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

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Awesome

  • @jingyun4323
    @jingyun43232 жыл бұрын

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

  • @brittaniinsuawitous4823
    @brittaniinsuawitous48233 жыл бұрын

    You're wonderful!

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Wow! Thanks for that-You are too!

  • @roland.j.ruttledge
    @roland.j.ruttledge2 жыл бұрын

    Excellent, many thanks UK

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Thanks

  • @MT-lw7kv
    @MT-lw7kv Жыл бұрын

    Thanks for teaching!

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Thanks for watching 💕

  • @ReadySetJustLetGo
    @ReadySetJustLetGo3 жыл бұрын

    thank you! :)

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    You are welcome

  • @essenceaquarius9958
    @essenceaquarius99583 жыл бұрын

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

  • @isimotmuheeb4024
    @isimotmuheeb40244 ай бұрын

    Thanks so much.

  • @NurseMinder

    @NurseMinder

    4 ай бұрын

    😊

  • @user-kn6qj4zp9m
    @user-kn6qj4zp9m3 жыл бұрын

    thx so much

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    You are welcome

  • @delsonpaul6553
    @delsonpaul6553 Жыл бұрын

    Thanks

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    You are welcome

  • @injife6269
    @injife6269 Жыл бұрын

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

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Thanks. What types of outcomes are you wondering about

  • @injife6269

    @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

    @NurseMinder

    Жыл бұрын

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

  • @maimoonkhan3612
    @maimoonkhan3612 Жыл бұрын

    Great

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Thanks 😊

  • @njcbar
    @njcbar Жыл бұрын

    Cool thank you

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Thanks for watching

  • @njcbar

    @njcbar

    Жыл бұрын

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

  • @et96alhe
    @et96alhe2 жыл бұрын

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

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

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

  • @koolanneghot3747
    @koolanneghot37473 жыл бұрын

    Thank you. Can you do intramuscular injection.

  • @lydiaarhin3828
    @lydiaarhin38282 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

    @NurseMinder

    2 жыл бұрын

    Yes you will see each pupil will respond similarly

  • @smiledriven26
    @smiledriven262 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

    @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

  • @joelmsambwa5504
    @joelmsambwa5504 Жыл бұрын

    Nice

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Thanks

  • @AngryDenver
    @AngryDenver2 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

    @NurseMinder

    2 жыл бұрын

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

  • @lakshmilachu9937
    @lakshmilachu993711 ай бұрын

    Love you

  • @NurseMinder

    @NurseMinder

    11 ай бұрын

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

  • @lakshmilachu9937

    @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

  • @graceakeeley
    @graceakeeley Жыл бұрын

    Love ya tam

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    💕

  • @priyankachakraborty6496
    @priyankachakraborty64963 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

    @NurseMinder

    3 жыл бұрын

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

  • @LandonStrauss-hc1sc
    @LandonStrauss-hc1sc9 ай бұрын

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

  • @NurseMinder

    @NurseMinder

    8 ай бұрын

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

  • @Honestly_take_the_hint
    @Honestly_take_the_hint5 ай бұрын

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

  • @NurseMinder

    @NurseMinder

    5 ай бұрын

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

  • @Honestly_take_the_hint

    @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.

  • @jingyun4323
    @jingyun43232 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

    @NurseMinder

    2 жыл бұрын

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

  • @jingyun4323

    @jingyun4323

    2 жыл бұрын

    @@NurseMinder thank you, much appreciated

  • @smiledriven26

    @smiledriven26

    2 жыл бұрын

    Thank for answering this!!!! ❤️🙌🏼

  • @violeta8723

    @violeta8723

    2 жыл бұрын

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

  • @naherasefa2355
    @naherasefa23553 жыл бұрын

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

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    anisocoria :)

  • @Pinkblinx5644
    @Pinkblinx56445 ай бұрын

    Can you assess for accommodation on intubated/confused patient?

  • @NurseMinder

    @NurseMinder

    5 ай бұрын

    Yes, take into account any medication that may affect response

  • @haybyw11
    @haybyw112 жыл бұрын

    Can you do a video on angels check

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    I am not sure I understand this request

  • @ChicagoChicago27

    @ChicagoChicago27

    Жыл бұрын

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

  • @haybyw11

    @haybyw11

    Жыл бұрын

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

  • @MzShonuff123
    @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

    @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

  • @foramasodiya8958
    @foramasodiya89582 жыл бұрын

    Suggest the eye pen please

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    I bought it at a hardware store :)

  • @SamSam-ke9zy
    @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

    @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

  • @AZURE_ONE
    @AZURE_ONE3 жыл бұрын

    abducens nerve

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    I must have said something wrong?

  • @mirahalim4279
    @mirahalim42792 жыл бұрын

    Perla my name

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Beautiful name :)

  • @ccsnd77
    @ccsnd772 жыл бұрын

    It's Anisocoria not anAsocoria

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Yes

  • @RobynMcMullen
    @RobynMcMullen3 жыл бұрын

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

  • @turkessaanderson
    @turkessaanderson3 жыл бұрын

    Accomadation forgot about this

  • @alhaah777
    @alhaah7772 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

    @NurseMinder

    2 жыл бұрын

    Awesome - shows how important pronunciation is