Subject: Nursing Education & Management

Paper-I: Nursing Education (B 432)

Topic: Glasgow Coma Scale

SUBMITTED TO SUBMITTED BY
Respected teacher, NILOY BAIDYA
th
SHAMPA DEY 4 Year
RN, Session: 2020-2021
Nursing Instructor B.SC. In Nursing
South Asain Applied Nursing South Asain Applied Nursing
College College
Serial Contents Time(Min) Teacher’s Teacher’s Student’s Assessment
No. Aids Activities Activities

1. Introduction 5 Microphone Teacher will Students will By answering

introduce be listening
herself with the
students
2. 2 Microphone Teacher will Students will By answering
Students listen introduce
introduction themselves
with teachers
3. Topic 3 Multimedia Teacher will Students will By answering
introduction introduce the be listening
topic
4. Roll call 2 Microphone Teacher will Students will By answering
call the be listening
students by roll
5. Presentation 2 Multimedia Teacher will Students will By answering
of learning explain the be listening
objectives objectives
6. Sharing 2 Microphone Teacher will Students will By answering
existing assessing raise their
knowledge students by hands by
about asking question answering
Glasgow
Coma Scale
7. Definition of 2 Multimedia Explain the Students will By answering
Glasgow Definition of be listening
Coma Scale Glasgow Coma
Scale
8. Types of 2 Multimedia Explain the Listening and By answering
Glasgow types of note down the
Coma Scale Glasgow Coma important
Scale point.
9. Causes of 2 Multimedia Explain the Listening and By answering
Glasgow causes of note down the
Coma Scale Glasgow Coma important
Scale point.
10. Sign & 2 Multimedia Explain the Listening and By answering
symptoms of sign & note down the
Glasgow symptoms of important
Coma Scale Glasgow Coma point.
Scale
11. Diagnostic 2 Multimedia Explain the Listening and By answering
test of Diagnostic test note down the
Glasgow of Glasgow important
Coma Scale Coma Scale point.
12. Management 3 Multimedia Explain the Listening and By answering
:first aid of first aid of note down the
Glasgow Glasgow Coma important
Coma Scale Scale point.
13. Medical 3 Multimedia Explain the Listening and By answering
Management Medical note down the
of Glasgow Management of important
Coma Scale Glasgow Coma point.
Scale
14. Nursing 3 Multimedia Explain the Listening and By answering
management Nursing note down the
of Glasgow management of important
Coma Scale Glasgow Coma point.
Scale
15. Nursing 5 Multimedia Explain the Listening and By answering
Care plan of Nursing Care note down the
Glasgow plan of important
Coma Scale Glasgow Coma point.
Scale
16. Complication 2 Multimedia Explain the Listening and By answering
of Glasgow Complication note down the
Coma Scale of Glasgow important
Coma Scale point.
17. Conclusion 3 Multimedia Discuss the Listening and By answering
Conclusion note down the
important
point.
Format of Lesson Plan

1. Title of Course : B.Sc in nursing

2. Name of Subject : Nursing Education & Management,
P-1: Nursing Education.
3. Subject Code : (B-432)
4. Name of the Topic : Glasgow Coma Scale
5. Venue : Class Room , Academic Building, South
Asian Applied Nursing College, Chattogram. .
6. Date : 15-03-2025
7. Name of the Student Teacher's: Niloy Baidya
8. Duration : 45 minutes
9. Level of Student's : B.Sc. In Nursing (1st Year)
10. Number of Students : 90
11. Method of teaching : Lecture method
12. Teaching aid's : Multimedia .
13. Assessment Method : Asking Questions.
14. Room layout : Line arrangement of the chair
15. Evaluation : To be complete after lesson taught
16. Roll call : Pen, roll call khata, microphone.
Contents of Glasgow Coma
Scale
 Introduction
 Definition
 Types
 Causes
 Sign & symptoms
 Diagnostic tests
 Management: First Aid
 Medical Management
 Nursing Management
 Nursing care plan
 Complication
 Conclusion
Slide 1: Title Slide

Title: Understanding the Glasgow Coma Scale (GCS)

Subtitle: A crucial tool for assessing consciousness
Presented by: [NILOY BAIDYA]
Slide 2: Introduction to GCS
 What is GCS?
o The Glasgow Coma Scale (GCS) is a clinical

scale used to assess a patient’s level of

consciousness after a brain injury.
o It is used by healthcare professionals to

measure the severity of a brain injury and

predict patient outcomes.

Purpose of GCS:
o To provide a numerical value that reflects a

patient’s neurological status.

o Helps determine the necessity of urgent

medical intervention.
o Helps to assess the trauma ,stroke and other

neurological conditions.
Slide 3: Components of GCS
The GCS is based on three parameters:
1. Eye Opening (E)
2. Verbal Response (V)
3. Motor Response (M)

Each component is scored, and the total score ranges from

3 to 15:
 3 = Deep coma or death

 15 = Fully awake and aware

Slide 4: Scoring for Eye Opening (E)
 4: Spontaneous (Eyes open without any external
stimulus)
 3: To speech (Eyes open when spoken to)
 2: To pain (Eyes open in response to pain)
 1: No eye opening
Slide 5: Scoring for Verbal Response (V)
 5: Oriented (Patient knows their name, place, and
time)
 4: Confused (Patient can speak but is disoriented)
 3: Inappropriate words (Patient speaks but makes
no sense)
 2: Incomprehensible sounds (Muttering or
moaning)
 1: No verbal response
Slide 6: Scoring for Motor Response (M)
 6: Obeys commands (Patient can perform simple
tasks like squeezing a hand)
 5: Localizes pain (Moves part of the body to
remove painful stimulus)
 4: Withdraws from pain (Pulls away from painful
stimulus)
 3: Abnormal flexion (Decorticate posturing)
 2: Abnormal extension (Decerebrate posturing)
 1: No motor response
Slide 7: Total GCS Score
 The GCS score is the sum of the scores from the
three categories:
o GCS = Eye (E) + Verbal (V) + Motor (M)

o Example of GCS Scoring:

 Eye Opening: 4

 Verbal Response: 5

 Motor Response: 6

 Total GCS = 15
Slide 8: Interpreting the GCS Score
 Score 15: Fully alert
 Score 13-14: Mild impairment
 Score 9-12: Moderate impairment
 Score 3-8: Severe impairment, coma
 Score 3: No response, brain death
Slide 9: Clinical Use of GCS
 When is GCS used?
o Emergency care: Quickly assess patients who

may have suffered traumatic brain injuries.

o Monitoring: Used regularly to track changes

in a patient’s consciousness level.

o Prognosis: GCS helps predict the outcome of

brain injury.
Slide 10: Limitations of GCS
 Factors Affecting Accuracy:
o Language barriers (Verbal response)

o Intubation or tracheostomy (Verbal response)

o Sedation or paralytics (Motor response)

 GCS may not be suitable for all patients,

especially those with certain disabilities or drug
effects.
Slide 11: Conclusion
 Summary:
o GCS is a valuable tool in assessing a patient’s

level of consciousness.
o It helps healthcare providers make quick

decisions about the severity of brain injury.

o While useful, it has limitations that should be

considered during interpretation.

Slide 12: Questions and Discussion
 Open the floor for questions and discussion on the
Glasgow Coma Scale.