|
1
Level I |
1
No Response |
1
The patient is in a deep coma and appears soundly asleep; absence of any response to stimuli. |
|
1
Level II |
1
General Response |
1
The patient responds to pain or repeated stimuli with non-purposeful movements or increased activity. |
|
1
Level III |
1
Local Response |
1
The patient's response is more specific, such as turning the head toward a sound or following a simple command. Responses are delayed and inconsistent. |
|
1
Level IV |
1
Confused - Agitated |
1
The patient is in a heightened state of response, confused, agitated, attempts to pull out tubes, bites, hits, or kicks caregivers. Behavior is inappropriate and speech is often incoherent. |
|
1
Level V |
1
Confused - Inappropriate - Not agitate |
1
The patient appears alert and can follow simple commands. Responses are confused and non-purposeful. Memory is impaired and speech is often inappropriate. |
|
1
Level VI |
1
Confused - Appropriate |
1
The patient shows purposeful behaviors but requires direction and supervision for activities such as dressing and eating; becoming more aware of the environment; memory improving. |
|
1
Level VII |
1
Automatic - Appropriate |
1
The patient goes about activities appropriately with minimal confusion, but often appears "robot-like." Judgment, thinking, and problem solving remain impaired. |
|
1
Level VIII |
1
Purposeful - Appropriate |
1
The patient is oriented with improving memory and skills. May still require supervision due to impaired cognitive ability. |