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Level I No Response
Level II Generalized Response
Level III Localized Response
Level IV Confused-Agitated
Level V Confused Inappropriate
Level VI Confused-Appropriate
Level VII Automatic Appropriate
Level VIII Purposeful Appropriate
GCS-8 or less coma
GCS-9 to 12 moderate brain injuries
GCS-13 to 15 mild brain injuries
No Response deep sleep, unresponsive to stimuli
Generalized response inconsistent and non-purposeful to stimuli in a nonspecific manner, limited responses, same reponse regardless of the stimuli
Localized response reacts specifically but inconsistently to stimuli, responses directly related to the type of stimulus, may follow simple commands (eye closing, hand squeezing) in a delayed and inconsistent manner
Confused-Agitated heightened state of activity, bizarre and non-puposeful behavior, does not discriminate among persons or objects, unable to cooperate directly with treatment efforts, gross attention to environment very brief, lacks short and long term recall
Confused-Inappropriate Able to respond to simple commands, complex commands yield non-purposeful, random or fragmented responses, gross attention to environment, but highly distractable and lacks abiltiy to focus on a specific task, memory severely impaired
Confused-Appropriate goal-directed behavior, follows simple directions, shows carryover for relearned tasks, memory problems, responses appropriate for situation
Automatic-Appropriate Goes through daily routine automatically, but robot-like, minimal to no confusion, shallow recall of activities, carryover for new learned, but at a decreased rate, judgement remains impaired
Purposeful-Appropriate Aware and reponsive to the environment, shows carryover for new learning, decreased abstract reasoning, tolerance for stress, and judgement
Created by: kaglad