How do you assess Glasgow Coma Scale?
To assess eye response, initially observe if the patient is opening their eyes spontaneously. If the patient is opening their eyes spontaneously, your assessment of this behaviour is complete, with the patient scoring 4 points. You would then move on to assessing verbal response, as shown in the next section.
Which clinical finding would the nurse score a 3 for motor response on the Glasgow Coma Scale?
The highest score is a 15 (fully awake and aware) and the lowest is 3 (deep coma or brain death).
What is the normal range of Glasgow Coma Scale?
The GCS-P score can range from 1 and 15 and extends the range over which early severity can be shown to relate to outcomes of either mortality or independent recovery. The relationship between the GCS Score and outcome l is the basis for a common classification of acute traumatic brain injury: Severe, GCS 3 to 8.
What does GCS 9 mean?
Severe Head Injury—-GCS score of 8 or less Moderate Head Injury—-GCS score of 9 to 12 Mild Head Injury—-GCS score of 13 to 15 (Adapted from: Advanced Trauma Life Support: Course for Physicians, American College of Surgeons, 1993).
What does a low Glasgow Coma Scale mean?
A GCS of 8 or less indicates severe injury, one of 9-12 moderate injury, and a GCS score of 13-15 is obtained when the injury is minor.
Is a GCS of 14 good?
Every brain injury is different, but generally, brain injury is classified as: Severe: GCS 8 or less. Moderate: GCS 9-12. Mild: GCS 13-15.
What can affect a GCS score?
Interfering Factors
- Pre-existing factors. Language or cultural differences. Intellectual or neurological deficit.
- Effects of current treatment. Physical e.g. intubation or tracheostomy. Pharmacological e.g. sedation or paralysis.
- Effects of other injuries or lesions. Orbital/Cranial fracture. Dysphasia or Hemiplegia.
Is the Glasgow Coma Scale reliable?
Reliability. The inter-rater reliability of the total Glasgow Coma Scale is p = 0.86. Some research has subdivided the inter-rater reliability for each subscale. For the eye score the inter-rater reliability is p = 0.76, the verbal score is p = 0.67, and the motor score is p=0.81.
Which of the components of the Glasgow coma scale is most predictive of patient outcome in traumatic brain injury?
GCS scores are most accurate at predicting outcome in head-injured patients when they are combined with patient age and pupillary response and when broad outcome categories are used.
What is a good GCS score?
A normal GCS score is equal to 15, which indicates a person is fully conscious.
How do you properly assess for patients level of consciousness?
The tool we use to assess the level of consciousness is the Glasgow Coma Scale (GCS). This tool is used at the bedside in conjunction with other clinical observations and it allows us to have a baseline and ongoing measurement of the level of consciousness (LOC) for our patients.
What are the 5 levels of consciousness?
- Level 1: Survival consciousness.
- Level 2: Relationship consciousness.
- Level 3: Self-esteem consciousness.
- Level 4: Transformation consciousness.
- Level 5: Internal cohesion consciousness.
- Level 6: Making a difference consciousness.
- Level 7: Service consciousness.
- Full-Spectrum consciousness.