Chapter 10. Minimally Responsive Stroke Patients

  1. Dr Jane Williams Consultant Nurse chair member3,
  2. Professor Lin Perry Professor of Nursing Research member4 and
  3. Professor Caroline Watkins President member5
  1. Elaine Pierce Principal Lecturer1 and
  2. Aeron Ginnelly Senior Speech Pathologist2

Published Online: 3 FEB 2010

DOI: 10.1002/9781444318838.ch10

Acute Stroke Nursing

Acute Stroke Nursing

How to Cite

Pierce, E. and Ginnelly, A. (2010) Minimally Responsive Stroke Patients, in Acute Stroke Nursing (eds J. Williams, L. Perry and C. Watkins), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444318838.ch10

Editor Information

  1. 3

    Portsmouth Hospitals NHS Trust, Portsmouth, Hampshire, UK

  2. 4

    University of Technology Sydney and the Northern Network Hospitals, South Eastern Sydney and Illawarra Health, Australia

  3. 5

    Clinical Practice Research Unit, School of Nursing and Caring Sciences, University of Central Lancashire, Preston, UK

Author Information

  1. 1

    Institute for Strategic Leadership and Further Improvement, London South Bank University, London UK

  2. 2

    Neurosciences, Royal Prince Alfred Hospital, Sydney, Australia

Publication History

  1. Published Online: 3 FEB 2010
  2. Published Print: 19 MAR 2010

ISBN Information

Print ISBN: 9781405161046

Online ISBN: 9781444318838



  • minimally responsive stroke patients;
  • post-coma unresponsiveness (PCU) or minimally conscious or minimally responsive state (MRS);
  • ‘locked-in’ state - cognition and ability to communicate being retained;
  • tailoring of care to individual's needs - combined efforts of multidisciplinary team (MDT);
  • UK national stroke guidelines;
  • Functional Independence Measure;
  • Disability Rating Scale;
  • Rancho Los Amigos Levels of Cognitive Function Scale;
  • Putney Auditory Comprehension Screening Test – PACST;
  • Good communication - sense of trust between carers and MDT


This chapter contains sections titled:

  • Introduction

  • Definitions and identification

  • Minimally responsive state

  • ‘Locked-in’ syndrome

  • Conclusion

  • References