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Level II
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Generalized reflex response to pain
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Level III
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Localized response. Blinks to strong light, turns toward/away from sound, responds to physical discomfort, inconsistent response to commands
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Level IV
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Confused/Agitated. Alert, performs motor activities but behavior is non purposeful, extremely short attention span
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Level V
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Confused/Non agitated. Gross attention to environment, highly distractible, inappropriate verbalization
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Level VI
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Confused/Appropriated. Inconsistent orientation to time and place, consistently follows simple directions
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Level VII
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Automatic/Appropriated. Skills noticeably deteriorated
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Level VIII
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Purposeful/Appropriate
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