What are the Differences between Coma and Vegetative Life?

Come on

The expression coma is used frequently in daily life, sometimes in a medical sense and sometimes out of its literal meaning. In reality coma rarely lasts longer than a few weeks. People in a coma are completely unresponsive to external stimuli. They do not move, do not react to light and sound, do not feel pain. His eyes are closed.

Coma and brain death are two different things. In addition to being unconscious, the person who has brain death has lost the ability to breathe on his own. They cannot breathe without the aid of a mechanical respirator. The comatose person can breathe on their own.

The brain can react to severe trauma by shutting itself down. Coma is somewhat similar to general anesthesia. In fact, sometimes patients who have severe brain damage but do not go into a coma on their own are put into a medically triggered coma with drugs used in anesthesia, that is, they are put to sleep. The purpose of this is to give the brain time to heal.

If the comatose person does not die within a few days or weeks, they usually wake up, that is, open their eyes. After a few days of coma, it may be possible for the person to wake up in full consciousness with relatively little damage. However, if there is severe brain damage, there may be a transition to a vegetative or minimally conscious state after the coma.

Herbal Life

In vegetative life, the person is still unconscious. They are not aware of themselves or their surroundings. The main difference between a coma and a vegetative state is that during certain periods in vegetative life, the person’s eyes are open and appear awake. Certain parts of the body can move, but this movement is involuntary (unconscious). Movements such as teeth grinding, hitting, grimacing, yawning, laughing can be seen. They may startle reflexively at loud noises and pull their arm or leg to avoid pain. They can make grunting and groaning sounds and sometimes even say words.

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After four weeks, the person is said to be in a “prolonged” vegetative state. If the vegetative life continues for several months in brain damage due to lack of oxygen (for example, as a result of cardiac arrest) or for more than one year after traumatic brain damage (for example, traffic accident, fall), it is considered that the chance of returning to consciousness is very low. The term “permanent” vegetative life is used for patients in this condition.

How is Consciousness Evaluated?

Today, examination methods are used to evaluate whether the person is conscious, that is, aware of himself and his surroundings. There is no electrophysiology or imaging study that measures consciousness. Behaviors and movements of the person are observed. The state of consciousness is judged according to whether these movements require awareness or not, whether they are the result of reflexes. For example, pulling the limb against a painful stimulus may be a reflex action. However, trying to find the source of the painful stimulus by using one’s hand and trying to prevent it can be interpreted as a conscious action. In this example, the person made a non-reflex action by drawing conclusions from the painful stimulus. In order to say that the person is in a vegetative state, he does not take any action that suggests that he is aware of his surroundings,

Do Patients in Herbal Life Feel Pain?

Some patients in vegetative life do not react to the feeling of pain. Some people may react to painful stimuli such as grimacing. Pulling the arm or leg reflexively in the face of pain is a reaction at the level of the spinal cord. This behavior does not mean that the person feels the pain consciously.

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Physiotheraphy

For patients in coma and vegetative state, physical therapy should be performed to prevent joint stiffness (contractures). For this, joint range of motion and stretching exercises are applied. Sensory stimuli can help increase one’s awareness. Respiratory physiotherapy techniques can be applied to remove respiratory secretions (phlegm). After the person’s consciousness is opened, more intensive rehabilitation that requires active participation can be applied.

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