Table 3. Functional Status Scale.
Normal (Score = 1) |
Mild Dysfunction (Score = 2) |
Moderate Dysfunction (Score = 3) |
Severe Dysfunction (Score = 4) |
Very Severe Dysfunction (Score = 5) |
|
---|---|---|---|---|---|
Mental status | Normal sleep/wake periods; appropriate responsiveness | Sleepy but arousable to noise/touch/movement and/or periods of social non-responsiveness | Lethargic and/or irritable | Minimal arousal to stimuli (stupor) | Unresponsive, coma, and/or vegetative state |
Sensory functioning | Intact hearing and vision and responsive to touch | Suspected hearing or vision loss | Not reactive to auditory stimuli or to visual stimuli | Not reactive to auditory stimuli and to visual stimuli | Abnormal responses to pain or touch |
Communication | Appropriate noncrying vocalizations, interactive facial expressiveness, or gestures | Diminished vocalization, facial expression, and/or social responsiveness | Absence of attention-getting behavior | No demonstration of discomfort | Absence of communication |
Motor functioning | Coordinated body movements, normal muscle control, and awareness of action and reason | 1 limb functionally impaired | ≥2 limbs functionally impaired | Poor head control | Diffuse spasticity, paralysis, or decerebrate/decorticate posturing |
Feeding | All food taken by mouth with age-appropriate help | Nothing by mouth or need for age-inappropriate help with feeding | Oral and tube feedings | Parenteral nutrition with oral or tube feedings | All parenteral nutrition |
Respiratory status | Room air and no artificial support or aids | Oxygen treatment and/or suctioning | Tracheostomy | Continuous positive airway pressure treatment for all or part of the day and/or mechanical ventilatory support for part of the day | Mechanical ventilatory support for all of the day and night |