Glasgow Coma Scale: Difference between revisions

Line 79:

* For patients whose ability to communicate are reduced due to '''pre-existing conditions''', score as fully functioning if they are able to function at the level that is '''normal for this patient'''. (e.g. Down's syndrome)

* Patients who are '''aphasic''' or '''intubated''' but clearly ~~'''responsive''' or~~ can communicate in '''writing''' should be coded as functioning normally.

* Patients who are '''aphasic''' or '''intubated''' but clearly can communicate in '''writing''' should be coded as functioning normally for Verbal assessment.

* (there is a case of patients LOC reduced due to meds and how that should be coded normal as well - details anyone?)

**For non neuro and post operative patient who are sedated or paralyzed, record a NORMAL GSC score unless there are concerns in regards brain injury ~~of some sort~~. Sedation does not allow us to accurately assess neuological status therefore we use alternative information that was documented prior to OR or sedation or we use our "best guess" based on chart notes.

**For non neuro and post operative patient who are sedated or paralyzed, record a NORMAL GSC score unless there are concerns in regards brain injury. Sedation does not allow us to accurately assess neuological status therefore we use alternative information that was documented prior to OR or sedation or we use our "best guess" based on chart notes.

*** I think that one might weave back and forth too much and be a bit hard to read. How about this:

Being sedated or paralyzed may not allow us to accurately assess neurological status. For '''sedated''' or '''paralyzed''' patients consider their likely neurological status once prior to sedation or ~~paralyzis~~ or status when sedation wears off.

Being sedated or paralyzed may not allow us to accurately assess neurological status. For '''sedated''' or '''paralyzed''' patients consider their likely neurological status once prior to sedation or paralysis or status when sedation wears off.

* when using information that was '''documented prior to sedation/paralysis''' or POST OP use "best guess" based on chart notes

* if there is any sign of '''brain injury''', score '''<how>'''

Even if my version is not adopted, we do need to state how to score in case of brain injury. [[User:Ttenbergen|Ttenbergen]] 17:15, 18 June 2008 (CDT)

Even if my version is not adopted, we do need to state how to score in case of brain injury. [[User:Ttenbergen|Ttenbergen]] 17:15, 18 June 2008 (CDT)Use GSC to assess brain injury.

@@ Line 79: / Line 79: @@
 * For patients whose ability to communicate are reduced due to '''pre-existing conditions''', score as fully functioning if they are able to function at the level that is '''normal for this patient'''. (e.g. Down's syndrome)
-* Patients who are '''aphasic''' or '''intubated''' but clearly '''responsive''' or can communicate in '''writing''' should be coded as functioning normally.
+* Patients who are '''aphasic''' or '''intubated''' but clearly can communicate in '''writing''' should be coded as functioning normally for Verbal assessment.
 * (there is a case of patients LOC reduced due to meds and how that should be coded normal as well - details anyone?)
-**For non neuro and post operative patient who are sedated or paralyzed, record a NORMAL GSC score unless there are concerns in regards brain injury of some sort.  Sedation does not allow us to accurately assess neuological status therefore we use alternative information that was documented prior to OR or sedation or we use our "best guess" based on chart notes.
+**For non neuro and post operative patient who are sedated or paralyzed, record a NORMAL GSC score unless there are concerns in regards brain injury.  Sedation does not allow us to accurately assess neuological status therefore we use alternative information that was documented prior to OR or sedation or we use our "best guess" based on chart notes.
 *** I think that one might weave back and forth too much and be a bit hard to read. How about this:
-Being sedated or paralyzed may not allow us to accurately assess neurological status. For '''sedated''' or '''paralyzed''' patients consider their likely neurological status once  prior to sedation or paralyzis or status when sedation wears off.
+Being sedated or paralyzed may not allow us to accurately assess neurological status. For '''sedated''' or '''paralyzed''' patients consider their likely neurological status once  prior to sedation or paralysis or status when sedation wears off.
 * when using information that was '''documented prior to sedation/paralysis''' or POST OP use "best guess" based on chart notes
-* if there is any sign of '''brain injury''', score '''<how>'''
-Even if my version is not adopted, we do need to state how to score in case of brain injury. [[User:Ttenbergen|Ttenbergen]] 17:15, 18 June 2008 (CDT)
+Even if my version is not adopted, we do need to state how to score in case of brain injury. [[User:Ttenbergen|Ttenbergen]] 17:15, 18 June 2008 (CDT)Use GSC to assess brain injury.
 {{Discussion}}