Arousal Levels

Question 1

Alert

Answer 1

Patient is awake, attentive to normal stimulation levels, interactions are normal/appropriate

Question 2

Lethargic

Answer 2

Appears Drowsy
May fall asleep
Interactions get sidetracked
Difficulty focusing/maintaining attention

Question 3

Obtunded

Answer 3

“Obese”
Difficult to arouse
Confused when awake
Need repeated stimulation to maintain consciousness
Interactions with therapists may be largely unproductive

Question 4

Stupor

Answer 4

Semicoma
Patient responds only to strong, noxious stimuli
Returns to unconscious state when stimulation is stopped
When aroused, patient unable to interact with therapist

Question 5

Coma

Answer 5

Cannot be aroused

Reflexes may be seen