I'm a fresh grad and I just got posted to a neurosurg ward. Since I have learnt how to perform CLC on patients, I am expected to know how to do it. Indeed, I do know how to do this but for many of my stroke patients, they are impossible to arouse from their sleep. Even if I do apply pressure/pain, the patients only react in terms of facial expression. How do I even classify that reaction? Naturally, if they are not aroused, I cannot continue with my assessment. Does anyone face the same problem? If so how do you perform hourly CLC? (Our CLC consists of GCS, vital signs, pupil reaction and arm and leg motor strength). Is hourly monitoring something feasible?