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NIH Stroke Scale

NIH Stroke Scale Instructions Administer Stroke Scale items in the 1a Instructions Level of Consciousness Scale Definition order listed. Record performance in each category after each subscale exam. Do not go back and change scores. Level of Consciousness: The investigator must choose a response if a full evaluation is prevented by such 0 Alert; keenly responsive. Follow directions provided for each Not alert; but arousable by minor exam technique. Scores should reflect what the patient does, not what the obstacles as an endotracheal tube, language barrier, orotracheal trauma/bandages. A 3 is scored only if the patient makes no movement 1 stimulation to obey, answer, or respond. clinician thinks the patient can do. (other than reflexive posturing) in response to The clinician should record answers while noxious stimulation. Not alert; requires repeated stimulation to attend, or is 2.

Follow directions provided for each exam technique. Scores should reflect what the patient does, not what the clinician thinks the patient can do. The clinician should record answers while administering the exam and work quickly. Except where indicated, the patient should not be coached (i.e., repeated requests to patient to make a special ...

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