Standardized Outcome Measures Flashcards
Glasgow Coma Scale measures
level of consciousness
it measures 3 response scores
motor response
verbal response
eye opening response
Motor Response 6 pts
obey commands for movement
Motor Response 5
purposeful movement to painful stimulus
Motor Response 4
withdraws in response to pain
Motor Response 3
Flexion in response to pain
decorticate posturing
Motor Response 2
extension in response to pain
decerebrate posturing
Motor Response 1
no response
Verbal Response 5
oriented
Verbal Response 4
confused conversation but able to answer questions
Verbal Response 3
inappropriate words
Verbal Response 2
in-comprehensive speech
Verbal Response 1
no response
Eye Opening Response 4
spontaneous
Eye Opening Response 3
to verbal stimuli, command, speech
Eye Opening Response 2
to pain only
Eye Opening Response 1
no response
the GCS number helps medical practitioners categorize
the four possible levels for survival
13-15
mild
9-12
moderate disability
3-8
severe disability
less than 3
vegetative state
persistent vegetative state
lasting longer than one month
Racho Los Amigos Scale measures
Level of Cognitive Functioning Scale
LCFS
LCFS Level 1
No Response
LCFS Level 2
Generalized Response
LCFS Level 3
Localized Response
LCFS Level 4
Confused, Agitated
LCFS Level 5
Confused, Inappropriate, Nonagitated
LCFS Level 6
Confused Appropriate
LCFS Level 7
Automatic Appropriate
LCFS Level 8
Purposeful Appropriate
MMSE provides
quantitative assessment of cognitive impairment and to record cognitive changes over time
how many items and cognitive domains
11 items and 7 domains
7 cognitive domains
Orientation to time orientation to place registration of 3 words attention and calculation recall of 3 words language visual construction
max score on MMSE
30
indicative of an impairment
less than 24
24-30
normal range
20-23
mild cog impairment
10-19
middle stage cog impairment
0-9
advanced/late stage cog impair
limitations of MMSE
relies very heavily on cognitive and verbal communication
does not account for variability in education level
covers less cog spectrum
bias: age, education cultural and socioeconomic background
NOT GENDER
MoCA
Montreal Cognitive Assessment
MoCA is
rapid screen of cog abilities designed to detect mild cog dysfunction
geriatric population or stroke or parkinson
max score of MoCA is
30
scores of less than ____ is indicative of cog impairments
less than 26
MoCA is _____ items and _____ domains
16 items
11 domains
11 Domains are
alternating trail making visuoconstructive skills naming memory attention sentence repetition verbal fluency abstraction delayed recall orientation
MoCA is better for evaluating
Impaired patients
MMSE is better for evaluating
Normal Patients
