Nursing Process: The Patient With an Altered Level of Consciousness Assessment. Planning and Goals. Diagnosis. Explain the procedure to the patient. 1.5 Assessing Level of Consciousness (1) The first set of vital signs establishes an important initial measurement of the patient’s condition and serves as a... (2) Monitor vital signs for any changes from initial findings throughout care. So remember when we assess level of consciousness, we are first assessing whether they’re alert and awake, then we assess their orientation to person, place, time, and situation. So we’d report they’re Alert and Oriented times 1, 2, 3, or 4 or 0 if they’re completely disoriented.
Assess the level of consciousness using the AVPU scale; if fully awake and talking to you, they are A (alert).
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