False localizing signs, although rare, indicate significant increased intracranial pressure with tissue shift, has occurred. A review of the historical perspective highlights the discovery of these false localizing signs, and exploration of the anatomic and physiologic causes provides important insight for neuroscience nurses. Critical thinking skills, and a worldview paradigm for clinical practice are developed upon an indepth understanding of neurologic dysfunction. Collaborative relationships are enhanced by an interdisciplinary approach to assessment of the critically ill neuroscience patient.
Questions or comments about this article may be directed to Marlo Davis, RN, CNRN, at: D-467 McKnight Circle, Pittsburgh. Pennsylvania 15237. She is a staff nurse in the neuroscience intensive care unit at Shadyside Hospital.
Michelle Lucatorto, RN, MSN, CNRN is a neuroscience clinical nurse specialist at Shadyside Hospital in Pittsburgh.
© 1992 American Association of Neuroscience Nurses