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Terms in this set (10)
The brain-injured person is unconscious. They appear to be sleeping. They do not react to any stimuli. This comatose state can last for minutes, hours, days, weeks or months.
The person will react but inconsistent and without purpose. The reaction is often broad body movement or garbled words and the reaction is usually the same regardless of what the stimulus is. The first reaction is usually to deep pain.
The person is improving. They will react more specifically to different stimuli but the reaction is different each time. For example, they may occasionally turn their head in the direction of a speaker's voice. They may have a vague awareness of their body. They may sometimes follow simple commands such as "close your eyes" or "squeeze my hand".
The person has become very active but they are not yet able to understand what's going on. The behavior might become bizarre. They might cry out or try to remove the feeding tube. They may be hostile and uncooperative but they are not acting out of anger. This is a reaction to their confusion.
The person is no longer agitated. They react to simple commands in a more consistent manner. Still confused and disoriented. May act inappropriately for the situation. At this level, they are in danger of "wandering off."
Things are looking up. The person is motivated but still depends on others to lead the way. Reactions will be more appropriate.
They are beginning to recognize therapy staff and are much more aware of self and family. They can easily follow simple directions.
Memory of the past has improved greatly but memory of recent events is still damaged
The person seems to act appropriately in the hospital and at home. They know who they are, where they are, the date and time. All seems well but things are still not completely right. They go through daily routines automatically like a robot. Although they can dress, wash and feed themselves without help, they need guidance to stay safe. Judgment and problem-solving skills are still damaged and they cannot make realistic plans for the future.
At last! The person remembers how the past fits with the future. They are independent and can function well in society. They may still have some difficulty with reasoning, judgment and learning, especially in high stress, unusual or emergency situations. They may be actively involved in a vocational rehabilitation program or learning a new way to live.
The person can now do more than one task and complete them accurately for at least 2 consecutive hours. They are aware of their deficits and may use assistive aids or strategies to carry out tasks such as devices, "To Do" lists, schedules, etc. They many require assistance to anticipate problems to correct them or make adjustments. They can self- monitor appropriate social interactions with assistance
The person can now multi-task with certain adaptations and strategies on their own. They can independently carry out personal, household, community, leisure and work tasks but may require additional time or compensation to complete them. The person is able to estimate and adjust to task demands. They recognize the feelings of others and are consistently socially appropriate.
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