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Click ‘Get Form’ to open the Catherine Bergego Scale PDF in our platform's editor.
Begin by entering the date and the name of the examinee at the top of the form. This information is crucial for record-keeping.
Fill in the time of assessment and examiner(s) names. Ensure accuracy as this will be referenced in future evaluations.
In the 'Category' section, assess each item such as 'Gaze orientation' and 'Limb awareness'. Select a score from 0 (no neglect) to 3 (severe neglect) based on your observations.
For each category, provide reasons for your scoring in the designated area. This adds context to your assessments.
Circle the neglected side (left or right) and calculate the sum of assigned scores. Multiply this total by 10 for your final score.
Indicate neglect severity by circling one option: Absent, Mild, Moderate, or Severe based on your total score.
Finally, use the notes section for any additional comments or observations that may assist in understanding the assessment better.

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