Glasgow Coma Scale (Behavior Score)
Eye Opening (E)4 Spontaneous 3 To verbal stimuli 2 To pain 1 None
Motor Response (M)6 Obeys commands 5 Localizes pain 4 Withdraws to pain 3 Abnormal flexion 2 Extensor response 1 None
Verbal Response (V)5 Oriented 4 Confused 3 Inappropriate words 2 Incomprehensible sounds 1 None
Edema Rating ScaleFollowing the application and removal of firm digital pressure against thetissue, the edema is evaluated for one of the following responses:• 0 No depression in tissue• 1 Small depression in tissue, disappearing in 1 second• 2 Depression in tissue disappears in 1-2 second• 3 Depression in tissue disappears in 2-3 second• 4 Depression in tissue disappears in 4 second
Peripheral Pulse Rating Scale• 0 Absent pulse• 1 Palpable but thready; easily obliterated with light pressure• 2 Normal; cannot obliterate with light pressure• 3 Full• 4 Full and bounding
Cranial Nerve Function
I. Olfactory Sense of smell
II. Optic Visual fields, visual acuity
III. Oculomotor Most extraocular eye movements, ability to elevate eyelid, muscular contraction
of the iris in response to light
IV. Trochlear Eye movement down and toward the nose
V. Trigeminal Facial sensation, including cornea, nasal mucosa, and oral mucosa; muscles
of chewing and mastication
VI. Abducens Lateral eye movement
VII. Facial Facial muscles, including eyelid closure; taste in anterior two thirds of the tongue; secretion
of saliva and tears
VIII. Acoustic Hearing and equilibrium
IX. Glossopharyngeal Gag reflex, muscles that control swallowing and phonation; taste in posterior third of tongue
X. Vagus (overlapping Salivary gland secretion; vagal control of heart,
innervation) lungs, and gastrointestinal tract
XI. Spinal accessory Sternocleidomastoid and trapezius muscle strength
XII. Hypoglossal Tongue movement
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Nurse Z
Non-FictionZee rarely talk or smile to anyone. She prefers staying at home than going out. You will never see her speaking in public. Can she survive in College of Nursing and School of Midwifery? Wherein the students must establish rapport to patients/communi...
