Question | Answer |
Level I - No Response | Complete absence of observable change in behavior when presented visual, auditory, tactile, proprioceptive, vestibular & pain stimuli |
Level II - Generalized Response | - reflex response to painful stimuli
- responds to repeated auditory stimuli w/ increased/decreased activity
- responds to ext. stimuli w/ gross body mvmts and/or not purposeful vocalization
- responses may be significantly delayed |
Level III - Localized Response | - withdrawal or vocalization to painful stimuli
- turns toward/away from auditory stimuli
- blinks when strong light crosses visual field
- responds to discomfort by pulling tubes/restraints
- may respond to family/friends, not to others |
Level IV - Confused/Agitated | - alert, heightened state of activity
- unable to cooperate w/ tx. efforts
- absent ST memory
- purposeful attempts to remove tubes, get out of bed
- may exhibit aggressive or flight behavior
- motor activities (sitting, reaching) w/out apparent purp |
Level V - Confused, Inappropriate Non-Agitated | - alert, non-agitated, may wander randomly
- not oriented to person, place, or time
- unable to learn new info
- frequent, brief periods of non-purposeful sustained attention
- absent goal-directed, problem solving, self-monitored behavior |
Level VI - Confused, Appropriate | - inconsistently oriented to person, time, place
- able to attend to highly familiar tasks in non-distracting environment
- remote memory has more dept and detail than recent memory
- Mod A to problem solve
- supervised for old learning, (self-care) |
Level VII - Automatic, Appropriate | - oriented to person, place in familiar enviro, Mod A for orientation to time
- Attend to highly fam. tasks in 30 min
- overestimates abilities
- doesn't recognize inappropriate social interactions
- Superficially aware of condition, not impairments |
Level VIII - Purposeful, Appropriate | - consistently oriented: person, place, time
- I attends/completes familiar tasks in 1 hr.
- recalls/integrates past & recent events
- overestimates abilities
- irritable, depressed, argumentative, self-centered
- Aware/acknowledges impairments |
Level I | No Response |
Level II | Generalized response |
Level III | Localized response |
Level IV | Confused/Agitated |
Level V | Confused, Inappropriate - Non-Agigtated |
Level VI | Confused, Appropriate |
Level VII | Automatic, Appropriate |
Level VIII | Purposeful, Appropriate |