{"text":"Neurological Observations \nDate: . ) - i \nzu | Glasgow \nT \nTo speech g o Coma \\ \nTo pain v \nNone f%% Scale \nOrientated \n=T \ninappropriate Pupil size (mm) \nEndotracheal tube \nor tracheostomy \nIncomprehensible \nCOMA SCALE \nBest motor zz|Best Verbal| | Eyes | \nFlexion - \nFlexion - abnormal \nE:gtensiori to pain \naln|lwla|lnian = (N|(w b= (N|wls \nUsually record the best \narm response \nTOTAL \nPUPILS \n+ reacts \n- no reaction \nc, eyes closed \nNormal \nMild \nSevere \n_Spastic \nNo \nNormal \nMild \nSevere \nSpastic \ndifference between the twao sides \nLIMB MOVEM \nNo \nRecordright (R) andleft (L) separatelyif there s \n~ \nPain Score | . \nAsk the patient to rate his\/her pain by choosing a number between | Nausea and Vomiting \n0 and 10. Use the diagram below to assist the patient. If patient\u2019s . 'v\u2122 \"\\ e , \npain is chronic, use generic tool. If patient is unable to communicate, - - . \n. 1 = Mild (Not.distressing \u2014 \nuse observational tool. ; - \n: : no retching\/vomiting) \n\u2014 , . - 2 = Moderate (Troublesome \u2014 \n\u2018 0 |1 2131456781911 occasional retching\/vomiting) ) \nNo Mild: Pain .. | ;Moderate Pain Severe Pain 3 = Severe (Dlstrgs\u00a7 ing \u2014 frequent - J \nPain el retching\/vomiting) . \nDate and Time | Notes ) Signed \nDedsianed by Medical lllystration Services \u00ab 231261 \u2122~ ' . 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