Neuro Question: How would you describe this patient?

[NurseyPoo7]

Pt in her 80s. Found "unresponsive" at home. Aphasic. Left side flaccid.

Dx: Massive CVA of nearly the entire right brain.

Assessment:

R pupil - fixed & dilated

L pupil - sluggish, 4mm

Does not respond to her name being called

Winces to trapezius pinch & sternal rub.

Will not grasp with either hand on command. (Had previously had a weak grasp on the right days earlier)

Will move feet slightly if you touch the soles of her feet.

Requires frequent suctioning for oral secretions - occassionally appears to have a gag reflex, and occassionally seems to "clear" her throat after suctioning.

I was to call her unresponsive but she does respond to pain/procedures somewhat. Would she be considered stuporous instead?

[PICNICRN, BSN, RN]

I would call her responsive to painful stimuli or something along that line. I think a GCS would be more appropriate though. That gives people a better idea.