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Table 4 Glasgow Coma Scale modified by Cook and Palma

From: Instruments for monitoring intensive care unit sedation

Characteristic Score
Eyes open  
   Spontaneously 4
   In response to speech 3
   In response to pain 2
   None 1
Response to nursing procedures  
   Obeys commands 5
   Purposeful movements 4
   Nonpurposeful flexion 3
   Nonpurposeful extension 2
   None 1
Cough  
   Spontaneous strong 4
   Spontaneous weak 3
   On suction only 2
   None 1
Respiration  
   Obeys commands 5
   Spontaneous intubated 4
   Spontaneous intermittent mandatory ventilator triggering 3
   Respiration against ventilator 2
   No respiratory efforts 1