Rancho Los Amigos Cognitive Function Scale
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14 terms
Terms | Definitions |
|---|---|
 Rancho Level I Definition | No Response |
| Rancho Level II Definition | Generalized Response- same response regardless of stimulus |
| Rancho Level III Definition | Localized Response- response is directly related to type of stimulus |
| Rancho Level IV Definition | Confused & Agitated- alert in heightened state of activity - brief non-purposeful movements -short term memory absent |
| Rancho Level V Definition | Confused, Inappropriate Non-Agitated*- alert, not agitated - not oriented to person, place or time -non-purposeful movement c sustained attention -severely impaired short term memory -need external direction for appropriate task completion |
| Rancho Level VI Definition | Confused & Appropriate*- appropriate response to task -inconsistently oriented to person, place & time -use of assistive memory device c maxA - consistently follows simple directions -max supervision for new learning |
| Rancho Level VII Definition | Automatic & Appropriate- able to perform familiar tasks in non-distracting environment - orientented to person, & place need mod A for time - min supervision for new learning - unrealistic future planning, social interactions & decision making skills -overestimates abilities |
| Rancho Level VIII Definition | Purposeful & Appropriate- normal lacking executive functioning - consistently oriented to person, place & time - recall & integration of long & short term memory - requires no assistance once new tasks are learned - aware of impairments & disabilities - overestimates or underestimates abilities |
| Level I Helpful Hints & Treatment | Helpful- play music, provide pictures, call pt by name Treatment 1. sensory stimulation techniques for arousal through 5 senses (latency, consistency, duration & intensity of response) 2. prevent loss of ROM 3. positioning to prevent ulcers & increase arousal |
| Level II & III Helpful Hints & Treatment | Helpful- simple 1 step directions, allow for additional response time, speak at eye level to pt Treatment 1. remove externation sources of agitation 2. numerous brief tx sessions 3. exercise to improve ROM, tone, kinesthetics 4. gross motor activities & mat activities |
| Level IV & V Helpful Hints & Treatment | Helpful- provide frequent orientation, limit distractions, speak simply & slowly, correct inaccurate information gently, redirection, disregard & discourage inappropriate behaviors 1. increase response to simple commands 2. automatic gross motor activities 3. simple repetitive strength & coordination 4. functional training (transfers, WC mobility, ambulation) |
| Level VI Helpful Hints & Treatment | Helpful- maintain routine (keep calendar/daily log), decrease amount of help, speak normally to pt 1. orientation activities 2. strength & coordination (simple, repetitive, progressive) 3. functional training (transfers, WC mobility, ambulation) |
| Level VII Helpful Hints & Treatment | Helpful- limit sarcasm/jokes Treatment 1. facilitate increase of self-judgement 2. encourage formulation of LTG & STG 3. increase physical endurance 4. family education |
| Level VIII Helpful Hints & Treatment | Helpful- encourage remembering & note-taking, discuss dangerous home situations & precautions Treatment 1. evaluate general work skills, vocational considerations 2. explain & clarify residual deficits to family |
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