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Level of consciousness
Long-Term Care Nursing Advisor, March 10, 2006
The level of consciousness is always the most important indicator of a cerebral injury or other neurological problem.
Apply the following definitions consistently when describing the resident:
- Alert: The resident is awake and responds appropriately
- Lethargic: The resident is very sleepy, but arouses to stimulation
- Obtunded: The resident is difficult to arouse, but responds appropriately
- Stuporous: The resident is not completely alert, but responds to pain
- Semicomatose: The resident has reflex movements and responds to pain
- Comatose: The resident is completely unresponsive to stimuli
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