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ICD-10 code: R40.2363

Disease category: R40.236: Coma scale, best motor response, obeys commands

Understanding the Coma Scale: Assessing Motor Response and Command Obedience at Hospital Admission

When a patient is admitted to the hospital, healthcare professionals employ various assessment tools to gather crucial information about their condition. One such tool is the Coma Scale, which helps evaluate the patient's neurological status. Among the different components of the Coma Scale, the assessment of motor response and command obedience plays a vital role in determining the severity of the patient's condition.

The Coma Scale assesses motor response by evaluating the patient's reactions to specific stimuli. It measures the patient's ability to move their limbs voluntarily or in response to pain. This assessment helps healthcare providers understand the extent of neurological damage and gauge the patient's level of consciousness.

At hospital admission, one of the essential aspects of the Coma Scale is assessing whether the patient obeys commands. This evaluates the patient's ability to comprehend and follow instructions given by medical personnel. It involves tasks such as asking the patient to squeeze their hand, move a specific body part, or perform simple actions like sticking out their tongue.

By using a standardized scoring system, healthcare providers can assign a score to the patient's motor response and command obedience on the Coma Scale. The scores range from 1 to 6, with 1 indicating no response and 6 representing normal motor function and full command obedience.

  1. Score of 1: No response - The patient does not exhibit any motor response or obey commands.
  2. Score of 2: Extension to pain - The patient displays abnormal extension movements but still does not obey commands.
  3. Score of 3: Flexion to pain - The patient shows abnormal flexion movements in response to pain but still does not obey commands.
  4. Score of 4: Withdrawal from pain - The patient withdraws from painful stimuli but does not obey commands.
  5. Score of 5: Localizes pain - The patient exhibits purposeful movements towards the source of pain, yet may not fully obey commands.
  6. Score of 6: Obeys commands - The patient follows instructions given by healthcare providers.

Understanding the motor response and command obedience score on the Coma Scale helps healthcare professionals communicate the patient's condition accurately. It enables effective information exchange between medical teams, allowing for appropriate treatment planning and ensuring optimal care.

While the Coma Scale is a valuable tool for assessing the patient's neurological status at hospital admission, it is important to note that it does not provide information about treatment options. The scale solely focuses on evaluating the patient's motor response and command obedience, aiding in determining the

Treatment of Coma scale, best motor response, obeys commands, at hospital admission:

Treatment Options for Coma Scale: Best Motor Response, Obeys Commands at Hospital Admission

When a patient is admitted to the hospital with a coma, it is crucial to assess their condition using the Coma Scale, specifically focusing on the best motor response and whether they obey commands. Once the severity of the coma is determined, appropriate treatment options can be considered ...

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