The Art and Science of Distinguishing Disorders of Consciousness

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COMA RECOVERY SCALE-R Auditory Function Sub-scale 0 None 1 Auditory startle 2 Localization to sound 3 Reproducible movement to sound 4 Consistent movement to sound
COMA RECOVERY SCALE-R Visual Function Sub-scale 0 None 1 Visual startle 2 Fixation 3 Pursuit eye movement 4 Object localization: Reaching 5 Object recognition: (choice <strong>of</strong> 2)
Page 1 and 2: The Art and Science of Distinguishi
Page 3 and 4: OBJECTIVES 1. Defining disorders of
Page 5 and 6: INACCURATE DIAGNOSIS MAY LEAD TO:
Page 7 and 8: DEFINITION OF COMA Coma represents
Page 9 and 10: DEFINITION OF VEGETATIVE STATE ‣N
Page 11 and 12: DEFINITION OF PERSISTENT VEGETATIVE
Page 13 and 14: MINIMALLY CONSCIOUS STATE: AT LEAST
Page 15 and 16: GOAL OF CLINICAL TEAM Intact Skin
Page 17 and 18: OUTCOME OF PATIENTS AT 3, 6, AND 12
Page 19 and 20: RANCHOS LOS AMIGOS SCALE (REVISED)
Page 21: JFK COMA RECOVERY SCALE-R Auditory
Page 25 and 26: COMA RECOVERY SCALE-R Oromotor/Verb
Page 27 and 28: COMA RECOVERY SCALE-R Arousal Sub-s
Page 29 and 30: ARE YOU GETTING THE BEST ASSESSMENT
Page 31 and 32: MEDICAL ISSUES
Page 33 and 34: DYSAUTONOMIA Alterations in autonom
Page 35 and 36: STORMING MANAGEMENT 1. Overstimulat
Page 37 and 38: FIRST “DO NO HARM” Eliminate m
Page 39 and 40: NEUROTRANSMITTER ROLES DOPAMINE: i
Page 41 and 42: SLEEP MEDICATIONS Often alertness
Page 43 and 44: AGITATION Avoid sedatives, benzodi
Page 45 and 46: WHAT’S THE RECIPE? INDIVIDUALIST
Page 47 and 48: MAXIMIZE THERAPEUTIC BENEFIT OF REH
Page 49: REFERENCES: Fins. J., Master, G.,

The Art and Science of Distinguishing Disorders of Consciousness

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