1
Q
Alert
A
Patient is awake, attentive to normal stimulation levels, interactions are normal/appropriate
2
Q
Lethargic
A
Appears Drowsy
May fall asleep
Interactions get sidetracked
Difficulty focusing/maintaining attention
3
Q
Obtunded
A
“Obese”
Difficult to arouse
Confused when awake
Need repeated stimulation to maintain consciousness
Interactions with therapists may be largely unproductive
4
Q
Stupor
A
Semicoma
Patient responds only to strong, noxious stimuli
Returns to unconscious state when stimulation is stopped
When aroused, patient unable to interact with therapist
5
Q
Coma
A
Cannot be aroused
Reflexes may be seen
