Definitiom indication Explain the value of the Glasgow Coma Scale for patient care. Outline the three areas the Glascow Coma Scales assesses. Summarize the severity findings for each range of the Glascow Coma Scale. Review how the interprofessional team can use the Glasgow Coma Scale to communicate regarding a patients condition. case scenerio

1. GLASGOW COMA
SCALE - PUPIL
KRISHNA V GANDHI
LECTURER
GCSN

2. DEFINITION
A NEUROLOGICAL SCALE THAT AIMS TO
GIVE A RELIABLE, OBJECTIVE WAY OF
RECORDING THE CONSCIOUS STATE OF
A PERSON FOR INITIAL AS WELL AS
SUBSEQUENT ASSESSMENT.

3. AREA OF ASSESSMENT
Eye opening
response
Verbal
response
Best
motor
response

4. EYE OPENING RESPONSE
Spontaneous -4
To loud voice - 3
To pain - 2
None - 1

5. EYE OPENING

6. VERBAL RESPONSE
Oriented - 5
Confused, disoriented - 4
Inappropriate words - 3
Incomprehensive sounds -2
None - 1

7. BEST MOTOR RESPONSE
Obeys command - 6
localizes pain - 5
Withdraws from pain (flexion) - 4
Abnormal flexion posturing - 3
Extension posturing-2
None - 1

8. SCORE
A- ALERT
V- RESPOND TO VERBAL
STIMULUS
P- RESPOND TO STIMULI
U- UN RESPONSIVE
15
13
05
03

9. LEVEL OF NEUROLOGICAL INJURY
•GCS ≤ 8
SEVERE
•GCS 9–12
MODERATE
•GCS ≥ 13
MILD

10. PUPIL REACTIVITY
SR
NO
PUPIL SCORE
1 BOTH UNRESPONSIVE 02
2 ONE UNRESPONSIVE 01
3 BOTH RESPONSIVE 00

11. ADVANTAGE
A simple and standardized system
It is designed to reduce observer variability
Help to take management decisions
Help to predict the prognosis

12. CASE SCENERIO
 Mr. Rameshbhai Gamit aged 32 years admitted
to critical care unit with head injury, on the
initial assessment patient was opening eye to
voice and produced incomprehensive sound with
no motor response either by voice or pain. What
GCS score will staff nurse note in the assessment
sheet?
 EYE: -----
 VERBAL : ------
 MOTOR : ------
 TOTAL : -----/-----

13. BIBLIOGRAPHY
Chintamani Lewis”MEDICAL SURGICAL NURSING ”South
Asia edition 2nd volume 2015,Elseiver Publication.
Clinical Nursing Procedures: The Art of Nursing Practice, 3rd
Edition, Published by Annamma Jacob, Rekha R and
Jadhav Sonali Tarachand,

14. THANK YOU