| Question |
Answer |
|
| Level II |
Generalized Response |
Generalized reflex response to stimuli (e.g. gross body movement, groaning). Responses may not vary with type and location of stimulation. Responses are often delayed. |
| Level III |
Localized Response |
Responses directly related to type of stimulus. Turns toward or away from soundTracks objectsPulls on tubes or restraints. Responds inconsistently to simple commands. |
| Level IV |
Confused/Agitated |
Remove restraints/tubes, crawls out of bed. May sit, reach or walk w/o purpose No short-term memory. May have aggressive or flight behavior. Mood swings Unable to cooperate with treatment Verbalizations are incoherent and/or inappropriate |
| Level V |
Confused, Inappropriate Non-Agitated |
Alert, not agitated.May wander randomly or w/ vague plans to go home. May become agitated with stim or structure. Usually oriented X 0. Sustains non-purposeful actions. Able to respond appropriately to simple commandsConfabulation |
| Level VI |
Confused, Appropriate |
Inconsistently orientedAttends to very familiar tasks in low stim environment with redirectionLong term memory is better than recent memoryVague recognition of some staffUses memory aides with maximum assistanceUnaware of impairments or safety |
| Level VII |
Automatic, Appropriate |
Usually oriented X2Attends to very familiar tasks in low stim environ. w/ min assist Some carry over of learningAware of TBI but not specific impairmentsUnrealistic future plansOverestimates abilitiesUnaware of others' needs/feelings |
| Level VIII |
Automatic, Appropriate |
Oriented X 3Completes familiar tasks in distracting environsRecalls past & recent eventsUses memory devices with min assistNotes disabilities when they affect tasksOver or underestimates abilitiesDepressed/Irritable Self-centered |
| Level IX |
Purposeful, Appropriate |
Uses assistive memory devices w/ occ. assist. Initiates & carries out familiar tasks Depressed/Irrit.Acknowledges others' needs/feelings & responds with assistRequires stand-by assist to anticipate problemsConsiders consequences w/ assist |
| Level X |
Purposeful, Appropriate |
Handles multiple tasks in all environs.Indep. uses & maintains memory devicesIndep. initiates & completes familiar and unfamiliar tasksAnticipates problems/estimates abilitiesConsiders needs of othersSocially appropriate |
| Level I |
No Response |
•Complete absence of observable change in behavior when presented visual, auditory, tactile, proprioceptive, vestibular or painful stimuli. |
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