II. Grading

  1. Score 1: Difficult or unable to arouse
  2. Score 2: Asleep but responds normally to verbal or physical contact
  3. Score 3: Drowsy, appears sedated
  4. Score 4: Quiet and awake (normal level of activity)
  5. Score 5: Signs of over activity (physical or verbal); calms down with instructions
  6. Score 6: Extremely or continuously active; does not require restraint
  7. Score 7: Violent Behavior requiring restraint

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