Coma

Progression

• When did disease process start
  
• Initial versus subsequent visit
  

Location

• N/A
  

Acuity

• N/A
  

Name

• Based on Glasgow Coma Scale

  Eyes

  • Spontaneous (4)
  • To sound (3)
  • To pressure (2)
  • None (1)

  Verbal

  • Orientated (5)
  • Confused (4)
  • Words (3)
  • Sounds (2)
  • None (1)

  Motor

  • Obey commands (6)
  • Localising (5)
  • Normal flexion (4)
  • Abnormal flexion (3)
  • Extension (2)
  • None (1)

Necessary Procedures

• N/A
  

Other

• List scores for each element of the Glasgow Coma Scale separately-motor, opening of eyes and verbal
• Specify if patient is in a persistent vegetative state or has an associated concussion, including specified time frame for loss of consciousness
  

Why

• Underlying cause including trauma with specific sites and laterality, when appropriate