Glasgow Coma Scale: Difference between revisions
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* 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) | * 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 '''responsive''' or can communicate in '''writing''' should be coded as functioning normally. | ||
* (there is a case of patients LOC reduced due to meds and how that should be coded normal as well - details anyone?) | * (there is a case of patients LOC reduced due to meds and how that should be coded normal as well - details anyone?) | ||
Revision as of 14:15, 2008 June 18
The Glasgow Coma Scale is a ... [1]
The Glasgow Coma Scale is used to calculate the APACHE II score and the MOST score.
The possible values stored as dropdown lists on your PDA and in Access are as follows:
| Score | 6 | 5 | 4 | 3 | 2 | 1 |
| Eyes | Spontaneous | To
Speech |
To
Pain |
None | ||
| Motor | Obeys
Command |
Localizes
Pain |
Withdraws
to Pain |
Abnormal
Flexion |
Abnormal
Extension |
None |
| Verbal | Oriented | Confused | Inappropriate
words |
Incomprehensible
sounds |
None | |
| Verbal vented | Appears Oriented | ? Oriented | No response |
Special Cases
- 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.
- (there is a case of patients LOC reduced due to meds and how that should be coded normal as well - details anyone?)
Discussion
- proper entry required in "special cases" for (there is a case of patients LOC reduced due to meds and how that should be coded normal as well - details anyone?) Ttenbergen 14:14, 18 June 2008 (CDT)