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Stages of Recovery

1. Coma: unresponsive; eyes closed

2. Vegetative state: no cognitive responses; gross wakefulness; sleep-wake cycles

3. Minimally conscious state: purposeful wakefulness; responds to some commands

4. Confusional state: recovered speech; amnesic (PTA); severe attentional deficits; agitated; hypoaroused; possible labile behavior

5. Postconfusional, evolving independence: resolution of PTA; cognitive improvement; achieving independence in daily self-care; improving social interaction; developing independence at home

6. Social competence, community re-entry: recovering cognitive abilities; goal-directed behaviors; social skills; personality; developing independence in the community; returning to academic or vocational pursuits

Reprinted with permission from: Sohlberg, M. M., & Mateer, C. A. (2001). Cognitive rehabilitation: An integrative neuropsychological approach. NY: Guilford Press.


 


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