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School of Health Sciences

Assessment of a Patient's Level of Consciousness

Assessment of a Patient's Level of Consciousness

Glasgow Coma Scale (1)

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. The GCS has been in use in clinical practice for approximately forty years and is used universally around the world.

Using a universal assessment tool allows us as clinicians to quantify LOC of people in our care and produces a shared understanding of patients' conditions.

BehaviourResponseScore
Eye OpeningSpontaneous4
To sound3
To pressure2
None1
Verbal ResponseOrientated5
Confused4
Words3
Sounds2
None1
Motor ResponseObeys commands6
Localise to pain5
Normal flexion4
Abnormal flexion3
Extension2
None1
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