3. • Suatu cara untuk mengukur tingkat
kesadaran seseorang.
• Scala ini diperkenalkan tahun 1970 di
Glasgow oleh Jennet dan Teasdale
• Awalnya banyak digunakan untuk menilai
derajat kesadaran pasien trauma, tetapi
belakangan GCS diterapkan untuk menilai
fungsi kesadaran pasien sebab lain seperti
Infeksi, tumor, keracunan maupun
gangguan metabolic
Pengertian
4. GCS digunakan untuk menentukan tingkat
kesadaran pada pt dengan kasus :
Brain injury
Hypoxemia
Shock
Drug use
Alcohol intoxication
Metabolic disturbances
Manfaat
6. Parameter
EYE
OPENING
4 Spontaneous eye opening
3 Eye opening in response to speech
2 Eye opening in response to pain
1 No eye opening
VERBAL
RESPONSE
5 Normal conversation
4 Disoriented conversation
3 Words, but not coherent
2 No words, only sounds
1 No verbal response
MOTOR RESPONSE
6 Carrying out request (obeying command)
5 Localizes to pain
4 Flexion to pain
3 Abnormal Flexion /decortication
2 Extension to pain/ desebration
1 No response
7.
8.
9.
10.
11. Tn. S MRS dengan diagnosa Stroke
hemorrhage. Pasien dapat membuka mata
spontan, dia tampak gelisah dan berbicara
ngelantur. Extremitas kiri normal,
extremitas kanan tidak bisa digerakkan.
Saat diminta mengangkat tangan kiri
pasien bisa mengikuti.
12. Mr. A has been taken to the hospital
through ER because of a traffic accident.
When the accident happened, his head was
hit on the street. He tends to be sleepy,
close eyes, keep silent. The nurse has been
trying to touch, pat his shoulder but he
doesn’t give response. When he is given
painfull stimulus, he is able to open his eyes
in a short time and withdraws his right
hand and fingers ( pointed finger) being
given painfull stimulus.