R40.20: Unspecified Coma (Unconsciousness NOS) So, I would suggest R40.20 would be appropriate one. What causes a coma is an area of great interest. • Altered level of consciousness is a condition of being less responsive to and aware of external stimuli ... (indicating deep unconsciousness) and 15. Level of consciousness should also be assessed upon initial contact with your patient and continuously monitored for changes throughout your contact with the patient. Freud likened the three levels of mind to an iceberg. (1) A: Alert and oriented. If low blood sugar level is the cause, they may need something sweet to eat or a glucose injection. The inability to waken makes coma different from sleep. The top of the iceberg that you can see above the water represents the conscious mind. • A score of 15/15 with no LOC – Mild head injury • 14/15 or15/15 with LOC – Minor head injury • 9 -13/15 – Moderate head Injury • 3-8/15 – Severe head injury 11. a. AVPU. The mind operates most efficiently by relegating a significant degree of high level, sophisticated processing to the unconscious. Some levels are more continuous or complex than others. The part of the iceberg that is submerged below the water, but is still visible, is the preconscious. P.S.- An altered level of consciousness is any measure of arousal other than normal. Whereas Freud (1915) viewed the unconscious as a single entity, psychology now understands the mind to comprise a collection of modules that has evolved over time and operate outside of consciousness. The AVPU scale is a rapid method of assessing LOC. Freud likened this theory to an iceberg with a visible tip, the conscious mind; an obscured but visible middle, the preconscious; and a bulk hidden beneath the water, the unconscious. The bulk of the iceberg that lies unseen beneath the waterline represents the unconscious. The patient’s LOC is reported as A, V, P, or U. If unconsciousness is due to low blood pressure, a doctor will administer medication by injection to increase blood pressure. Movement between levels or stages is often bidirectional depending on internal and external conditions, with each mental ascension precipitating a change in reactivity. Medical staff should treat any injuries that caused the person to become unconscious. Among them, what is most useful to us is the theory of continuously evolving consciousness. In psychoanalytic theory, the three levels of consciousness as outlined by Sigmund Freud are the conscious, preconscious and unconscious minds. This is made up of thoughts, memories, and primitive/instinctual desires that … But the psychological study of consciousness has moved forward a lot and many advanced viewpoints have emerged. Levels of Consciousness can be presented in a map. We all know the three levels of consciousness that Freudian psychology has taught us — the conscious, subconscious and unconscious. It is the length of time that a person remains in coma that has commonly been used to label the severity of a person’s brain injury. Im studying radiology and working on my homework, the questions is what are the 4 levels of unconsciousness and why is it important to interact effectively with patients that may be in an altered state of consciousness, well i know the answer to the second part but i still cant seem to find the 4 levels of unconsciousness and i have read the whole chapter Level of consciousness (LOC) is a measurement of a person's arousability and responsiveness to stimuli from the environment. Complications of Unconsciousness The final level of consciousness is known as the unconscious. A coma is a state of unconsciousness when a person cannot be wakened with touch or noise. The unconscious is the vast sum of operations of the mind that take place below the level of conscious awareness. 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