If the patient is able to answer your questions appropriately, the assessment of verbal response is complete, with the patient scoring 5 points.
“Do you know where you are at the moment?”. Some common questions you can ask to help assess this might include: You should score the patient based on the highest scoring response they demonstrate during the assessment. Verbal response (V) A maximum possible score of 5 pointsĪssessing a patient’s verbal response initially involves trying to engage the patient in conversation and assess if they are orientated. oedema, trauma, dressings), you should document that eye response could not be assessed ( NT). If the patient cannot open their eyes for some reason (e.g. If the patient does not open their eyes to a painful stimulus, they score 1 point. If the patient’s eyes open in response to a painful stimulus, they score 2 points. Applying pressure to the patient’s supraorbital notch. Squeezing one of the patient’s trapezius muscles (known as a trapezius squeeze). Applying pressure to one of the patient’s fingertips. There are different ways of assessing response to pain, but the most common are: If the patient doesn’t open their eyes in response to sound, you need to move on to assessing eye-opening to pain. If the patient’s eyes open in response to the sound of your voice, they score 3 points. If the patient doesn’t open their eyes spontaneously, you need to speak to the patient “Hey Mrs Smith, are you ok?” If however, the patient is not opening their eyes spontaneously, you need to work through the following steps until a response is obtained. You would then move on to assessing verbal response, as shown in the next section. 
If the patient is opening their eyes spontaneously, your assessment of this behaviour is complete, with the patient scoring 4 points.
To assess eye response, initially observe if the patient is opening their eyes spontaneously. Movements.You might also be interested in our OSCE Flashcard Collection which contains over 2000 flashcards that cover clinical examination, procedures, communication skills and data interpretation.Įye-opening (E) A maximum possible score of 4 points Eyes opening spontaneously (4 points)
This part of the brain is responsible for coordinating voluntary The cerebellum (which is Latin for “little brain”) is a major structure of the hindbrain that is
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