Glasgow Coma Scale (GCS)

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1. Best eye response Spontaneous (open with blinking at baseline) +4 To verbal stimuli, command, speech +3 To pain only (not applied to face) +2 No eye opening +1 2. Verbal response Oriented +5 Confused conversation, but able to answer questions +4 Inappropriate words +3 Incomprehensible sounds +2 No response +1 3. Motor response Obeys … Read more

Barthel Index (Modified 20 Point Version)

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1. Bowels Incontinent Occasional accident (1x/wk) Continent 2. Bladder Incontinent Occasional accident (1x/wk) Continent 3. Grooming Needs help with personal care Independent (face, hair, teeth, shaving) 4. Toilet Use Dependent Needs some help Independent 5. Feeding Unable Needs help, e.g. cutting Independent 6. Transfer (bed to chair and back) Unable, no sitting balance Major help … Read more

AM-PAC 6 Clicks for ADLs

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1. Putting on and taking off regular lower body clothing? Unable A lot A little No assistance 2. Bathing (including washing, rinsing, drying)? Unable A lot A little No assistance 3. Toileting, which includes using toilet, bedpan, or urinal? Unable A lot A little No assistance 4. Putting on and taking off regular upper body … Read more