Outcome Measures

Question 1

GCS

Answer 1

Higher = better, level of consciousness and injury severity Motor, verbal, eye opening 8 or less= coma/severe 9-12= moderate 13-15 = mild

Question 2

GOS

Answer 2

OM after TBI 1. Dead 2. Veg state: alive but unresponsive 3. Severely Disabled: conscious but needs others for daily support. 4. Moderately disability: patient is ind, but disabled 5. Good recovery: resumed most normal activities, minor residual problems

Question 3

DRS

Answer 3

Lower the better Classifies levels of disability Document progress Parameters - arousability awareness and responsiviity (mod GCS) Cognitive ability forself care Dependence on others/level of function Psychosocial adaptability/employability.

Question 4

1. No Response

Answer 4

Deep sleep, completely unresponsive to stimuli

Question 5

2. Generalized Response

Answer 5

Reacts inconsistently, nonpurposefully to stimuli, responses are limited and the same regardless of stimuli

Question 6

3. Localized response

Answer 6

Reacts specifically but inconsistently; responses are related to type of stimuli

can follow simple commands

Question 7

4. Confused Agitated

Answer 7

Heightened state of activity, bizarre behavior, nonpurposeful relative to enviro.

Doesn’t discriminate among persons or objects, verbalizations incoherent/inappropriate to environment

Question 8

5. Confused Inappropriate

Answer 8

Can respond to simple command consistently; but when they get too complex responses are nonpurposeful;

Gross attention to enviro but highly distractible

Verbalizations are inappropriate and confabulatory

Cannot learn new info

Question 9

6. Confused Appropriate

Answer 9

• Goal directed behavior but is dependenton external input/direction; can follow simple directions and show carry-over for relearned tasks.
• Responses are incorrect due to memory problems, but are appropriate to situation

Question 10

7. Auto-Appropriate

Answer 10

• Patient is appropriate and oriented in hospital and home setting; routine is robot like;
• patient shows minimal to no confusion and has shallow recall of activities

Question 11

8. Purposeful-appropriate

Answer 11

• Can recall and integrate past and recent events.
• Shows carry-over for new learning and needs no supervision;
• may show decreased ability relative to premorbid activities, stress, judgment, etc.