NURSES’ AWARENESS AND PERCEPTION OF FOUR SCORE SCALE VERSUS GLASGOW COMA SCALE TOOL USED AMONG INTUBATED PATIENTS
DOI:
https://doi.org/10.31674/mjn.2020.v12i01.008Abstract
Level of consciousness has always been part of the endorsement and/or data in the nurses notes. Commonly used in the practice is still the GCS. It has also been an observation that in different cases, even though the patients are awake, since they are intubated, verbal response is immediately scored as 1 which contributes to a low GCS score that is relative to a bad prognosis. Also, assessment for complex reflexes are left out which can entail a better assessment on LOC. Hence, this study aims to compare the assessment, awareness, and perception of nurses in different levels of expertise assigned in the emergency department on the level of consciousness of intubated patients using the FSS and GCS tools to hasten triage categorization. It utilized a quantitative, descriptive-comparative type of research conducted in a government hospital in Cebu City. Specifically on the areas of Emergency Department and Non- Trauma, where the researcher has easier access to registered nurses who are taking care of intubated patients. The researcher utilized awareness and perception tools and the FSS and GCS where researcher used complete enumeration involving 32 nurses. In light with the findings of this study, this can be utilized through thorough introduction of the FSS by an expert and on how to utilize the tool.
Keywords:
Level of consciousness, Glasgow Coma Scale, Full Outline of Unresponsiveness Score, Intubated PatientsDownloads
References
Ahrens T. (2008). The most important vital signs are not being measured. Australian critical care: official journal of the Confederation of Australian Critical Care Nurses, 21(1), pp 3–5.
Alligood, M.R. & Tomey, A.M. (2013). Nursing Theorists and their Work. Elsevier, USA.
American Healthcare Education Services (2016). Tips to treasure: the four score for neuro assessments.Retrieved from: https://www.rn.com/Pages/ResourceDetails.aspx?id=3024
Chalfin, D. B., Trzeciak, S., Likourezos, A., Baumann, B. M., Dellinger, R. P. & DELAY-ED study group. (2007). Impact of Delayed Transfer of Critically Ill Patients from the Emergency Department to the Intensive Care Unit. Critical Care Medicine, 35(6), pp 1477–1483.
Christensen, B. (2014). Adult glasgow coma scale. Retrieved from: https://emedicine.medscape.com/article/2172603-overview
Coventry, A. & Elliot, M. (2012). Critical care: the eight vital signs of patient monitoring. British Journal of Nursing, 21(10), pp 621–625.
Csikszentmihalyi, M. (1990). Flow: the psychology of optimal experience. Cambridge University Press, UK. Retrieved from https://www.goodreads.com/quotes/tag/consciousness
Danielson, R.D., Elmer, J.L., Iyer, V.N., Mandrekar, J.N., Wijdicks, E.F. & Zubkov, A.Y. (2009). Validity of the Four Score Coma Scale in the Medical Intensive Care Unit. Mayo Clinic proceedings, 84(8), pp 694-701.
Faruq, M.O. (2014). Looking for an ideal coma scale: It is time to replace GCS. Bangladesh Critical Care Journal, 2(1), pp 1-3.
Fischer, J. & Mathieson, C. (2001). The History of Glasgow Coma Scale: Implications for Practice. Critical Care Nursing, 23(4), pp 52-8.
GCS Eyes Verbal Motor (2019). Who we are. The glasgow structured approach to assessment of the
glasgow coma scale. Retrieved from https://www.glasgowcomascale.org/who-we-are/
Hardy, L. (2017). The Advantages & Disadvantages of Functional Nursing. pocketsense.com. Retrieved from: https://pocketsense.com/the-advantages-disadvantages-of-functional-nursing-12582245.html
James, J., Butler-Williams, C., Hunt, J. & Cox, H. (2010). Vital signs for vital people: an exploratory study into the role of the healthcare assistant in recognizing, recording, and responding to the acutely ill patient in the general ward setting. Journal of nursing management, 18(5), pp 548-55.
Laureys, S., Ledoux, D. & Piret, S. (2005). Quantifying consciousness. Lancet Neurology, 4, pp 789-90.
Nair, S.S., Surendran, A., Prabhakar, R.B. & Chisti, M.M., (2017). Comparison Between Four Score and GCS In Assessing Patients with Traumatic Head Injury: A Tertiary Centre Study, International Surgery Journal, 4(2), pp 656-662.
Oktarina, Y. & Simajuntak, C. (2018). Comparison of Glasgow Coma Scale with Full Outline of Unresponsiveness Score in Measuring Consciousness Level of Endotracheal Tube Intubated Patient in the Intensive Care Unit. International Journal of Research in Medical Sciences, 6(6), pp 1882- 1885.
Ramazani, J. & Hosseini, M. (2019). Comparison of full outline of unresponsiveness score and Glasgow Coma Scale in Medical Intensive Care Unit. Annals of Cardiac Anaesthesia, 22(2), pp 143–148.
Richardson, H. (2018). Characteristics of a comparative research design. Retrieved from: https://classroom.synonym.com/characteristics-comparative-research design-8274567.html
Shuttleworth, M. (2009). Hawthorne effect. Retrieved from: https://explorable.com/hawthorne-effect
Thornlow, D. (2009). Increased risk for patient safety incidents in hospitalized older adults. Medsurg Nursing, 18(5) pp 287–91.
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