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NIH Stroke Scale Booklet

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.

unequivocal attempt is made but not completed due to weakness. If the patient does not respond to command, the task should be demonstrated to him or her (pantomime), and the result scored (i.e., follows none, one, or two commands). Patients with trauma, amputation, or other physical impediments should be given suitable one-step commands.

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