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4 Cards in this Set
- Front
- Back
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Eye opening |
4 points - spontaneous if eyes open at time of assessment with no other stimulaiton 3 points - to vocie if eyes not open at time of assessment and pt opens eyes to voice 2 points - to pain if verbal stimulation unsuccessful and pt opens eyes in response to pain 1 point - none no eye response to any of the above |
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Verbal response |
5 points - oriented pt is a/ox4 4 points - confused pt confused can not answer questions to name, place, time, event but is still capable of producing pharses, sentences or conversation exchange 3 points - Inappropriate pt can not produce pharses, sentences or conversation exchange but can produce an intact word or two. 2 points - Incomprehensible pt produces groans, moans, unintelligible mumbling 1 point - None pt does not respond to any stimulation no matter how prolonged or repeated |
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Motor Response |
6 points - Obedient Can follow instructions or directions, comprehend them and physically execute them 5 points - Purposeful during painful stimulus, pt may move limb or body away in a purposeful manner or attempt to push stimulus away 4 points - Withdrawal during painful stimulus, 1. elbow flexes 2. movement is rapid 3. there is muscle stiffness present 4. arm is drawn away from trunk 3 points - Flexion if elbow flexes, the movement is slow, muscle stiffness is present, the forearm and limbs are flexing toward the trunk of body 2 points - Extension legs and arms extend, muscle stiffness is present 1 point - None painful stimulus does not produce a motor response |
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Infant scale |
Eye opening 4 - spontaneous 3- to speech 2- pain only 1- no response Verbal 5- Coos and babbles 4- irritable cries 3- cries to pain 2- moans to pain 1- no response Motor 6- moves spontaneously and purposefully 5- withdraws to touch 4- withdraws to response to pain 3- abnormal flexion posture to pain 2- abnormal extension posture to pain 1- No response |
