NVS Glasgow Coma Scale NCM 118 For SY 2024#
NVS Glasgow Coma Scale NCM 118 For SY 2024#
Scale
GCS 3: lowest score possible and very high death rate…deep coma,
severe brain injury
The GCS assigns points to each response category that are
then combined together to determine the overall GCS. The
sum of all the answers yields a final GCS score. Currently,
both the total score and the subscores are significant. The
three responses' individual scores make up the subscores.
3 Points: eyes open to sound, speak in a tone that is loud and clear to
be heard (note if the patient has hearing difficulties before attempting or
injuries that can prevent hearing clearly)
2 Points: eyes open to pressure applied to nail bed (use an object like
a pen light or pen to gradually increase pressure on the nail bed for up
to 10 seconds….note eye-opening response)
5 Points: oriented (ask a series of questions: can you state your name, month and
year, where you are at?)
3 Points: inappropriate words (says random words that don’t make sense to the
questions)
1 Point: no response
When stimuli is applied (example: trapezius squeeze) the patient will extend the
arm at the elbow with internal rotation of the arm. This is the worst type of
posturing and is not a good sign. It indicates the brainstem is affected.
1 Point: no response