When assessing the eye opening response in the Glasgow Coma Scale, how many points are awarded for eyes that open to verbal command?

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In the Glasgow Coma Scale, the eye opening response is an essential component used to evaluate a patient's level of consciousness. The scoring for eye opening is categorized as follows:

  • Full eye opening in response to verbal command is awarded 4 points.
  • Eye opening in response to pain gives 3 points.

  • Eye opening spontaneously scores 2 points.

  • No eye opening at all results in a score of 1 point.

Thus, for eyes that open specifically in response to a verbal command, the appropriate score is 4 points. This indicates that the patient is responding appropriately to verbal stimuli, reflecting a higher level of awareness and responsiveness. The choice of 3 points denotes eye opening only in reaction to painful stimuli, which signifies a reduced level of consciousness compared to opening to verbal commands.

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