- GOOD DAY EVERYONE IM MIKAELA BALBON IM

HERE TO PERFROM MY RETURN DEMONSTRATION

ON GLASGLOW COMA SCALE.
- SO THE PURPOSE OF GLASGLOW COMA SCALE IS
TO MONITOR THE LEVEL OF CONSCIOUSNESS IN
ANY PATIENT WHO HAS ALTERED SENSORIUM
- AND TO MONITOR PATIENT WITH SUSPECTED OR
CONFIRMED BRAIN INJURY.
- SO IN THIS SCALE WE HAVE 3 ASPECT OF PATIENT
BEHAVIOUR WHICH IS THE EYE OPENING, VERVAL
RESPONSES, AND MOTOR RESPONSES.

SPECIAL CONSIDIRATIONS:
1. THERE ARE MULTIPLE LIMITATIONS THAT CAN
ALTER THE SCORE AND NOT PROVIDE AN
ACCURATE PICTURE OF THE PATIENTS BRAIN
INJURY.
2. CONSIDERATION IS MADE FOR THOSE WITH
TRACHEOSTOMY AND ENDOCTRACHEAL
BREATHING TUBES.
ASSESS FOR PRESENCE OF INJURY, EDEMA PRIOR
TO STIMULATION.
PROCEDURE
1. CHECK THE PHYSICIAN ORDER
2. GATHER THE EQUIPMENT
3. IDENTIFY THE CLIENT
 EYE OPENING

• IF THE PATIENTS EYE OPEN

SPONTANEOUSLY THE SCORE IS (4)
• IF THE PATIENTS EYE IS CLOSED TALK TO
THE PATIENT!! ( AND IF THE PATIENT
RESPONDED TO SOUND THIS WILL BE
SCORED AS 3)
• IF THE PATIENT DOESNT RESPOND TO
SOUND, ASSESS PATIENT PAIN STIMULUS (
IF SHE RESPONDED THIS WILL BE SCORES
AS 2) (PWEDE SYA PISILIN ANG KAMAY)
• IF THERE IS NO RESPONSE AT ALL THIS
WILL BE SCORED AS 1
 VERBAL RESPONSE
• ASK THE PATIENT ABOUT HER NAME AND
WHAT DAY TODAY TO KNOW IF HE IS
ORIENTED. (IF THE PATIENT ANSWERED
YOUR QUESTION CORRECTLY IT WILL BE
SCORED AS 5)
• IF THE PATIENT IS CONFUSED SHE WILL
BE SCORE AS (4)
• IF THE PATIENT ANSWERED
INAPPROPRIATE WORDS THE SOCRE
GIVEN WILL BE (3) (LIKE EXAMPLE ICE
CREAM THAT IS INAPROPRIATE WORD)
• IF THE PATIENT ANSWERED IN
INCOMPREHENSIVE SOUND THE SCORE
WILL BE (2)
• IF THERES NO RESPONSE AT ALL THE
SCORE IS (1)
 MOTOR RESPONSE
• COMMAND THE PATIENT TO KNOW HIS
BEST MOTOR RESPOND (PWEDE NIYO PO
BA ILABAS AND DILA NIYO)
• IF THE PATIENT OBEYS, THE SCORE IS (6)
• IF THE PATIENT DOESN’T OBEY COMMAND
BUT LOCALIZES TO PAIN THE SCORE IS (5)
• IF THE PATIENT DOESN’T OBEY COMMAND
DOESN’T LOCALIZE TO PAIN BUT WIDRAW
TO PAIN THE SCORE IS (4)
• IF THE PATIENT RESPONDS WITH
ABNORMAL FLEXION THE SCORE IS (3)
• IF THE PATIENT RESPONDS WITH
ABNORMAL EXTENSION THE SCORE IS (2)
• IF THER IS NO RESPONSE AT ALL THE
SCORE IS (1)