Just discovered I've been lethargic all work days. Alarm is going crazy, turn on the brightest light, shake me plus the bed or even put my head in water and I'll be alert after 2hrs #Monday morning when I have to go to work 🙁
Epic uses somnolent in the charting. Would you classify that above or below obtunded? I don't think we have stuporous as an option. Thanks this was really helpful!
Thank you for asking! I would like to know too. It's my understanding that lethargic is more or less "super drowsy" and somnolent goes beyond that: "super drowsy and sleeping unless awakened but falls back asleep when left alone"
Great question! Some texts will consider lethargy and somnolence essentially the same. I've seen other texts that have the LOCs as: awake, somnolent, lethargic, obtunded, stupor, unresponsive. Lethargic = drowsy, somnolent = very drowsy. Either way, it would be more awake than obtunded. Clear as mud, right!? ;-)
I have a patient that has TBI. His eyes are open but he’s not aware of his environment. No tracking. Is this alert? Or just awake? There’s a difference between the 2 I thought.
Fantastic explanation! Thank you so much for sharing your knowledge and experience.
Wonderful!
Thank you for breaking this down!!!
This really helped. Thanks so much.
THANKS!
Is the Nipple twist/Nipple Pinch still used to determine unresponsiveness? If not when was it stopped?
studying for my 2nd year placement on a neuro/stroke ward. thank you XOXO
Love this! i used to listen to your podcast and now to see your videos its so cool! Thanks
Thank you!!
Thank you, I have a question, can stupor patient talk or verbally response?
The patient are talk but no meaning
Love this. Thank you Kati!
This was super informative!
Just discovered I've been lethargic all work days. Alarm is going crazy, turn on the brightest light, shake me plus the bed or even put my head in water and I'll be alert after 2hrs #Monday morning when I have to go to work 🙁
Thank you for this!
I work on a trauma tele floor ... a couple of my patients have severe chronic TBI where they are only responsive to pain... how could I chart that
Great explanation, thanks a lot!
was really helpful
Epic uses somnolent in the charting. Would you classify that above or below obtunded? I don't think we have stuporous as an option. Thanks this was really helpful!
Thank you for asking! I would like to know too. It's my understanding that lethargic is more or less "super drowsy" and somnolent goes beyond that: "super drowsy and sleeping unless awakened but falls back asleep when left alone"
Great question! Some texts will consider lethargy and somnolence essentially the same. I've seen other texts that have the LOCs as: awake, somnolent, lethargic, obtunded, stupor, unresponsive. Lethargic = drowsy, somnolent = very drowsy. Either way, it would be more awake than obtunded. Clear as mud, right!? ;-)
@@freshrn 😆😂
I have a patient that has TBI. His eyes are open but he’s not aware of his environment. No tracking. Is this alert? Or just awake? There’s a difference between the 2 I thought.
My brother is in this state.
Thanks sis
Thank you 🙏 you rock 👏❤️
thankyou
You're Awsome! Thanks!
Thank you, that was useful. If you look in the dictionary, those terms all sound about the same.
they really do!
Am I the only teen watching this
you took a lot
Lol