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RLA- LOCF
NDT 3
| Question | Answer |
|---|---|
| Patient appears to be in a deep sleep | 1. No Response |
| Completely unresponsive to any stimuli | 1. No Response |
| Reacts inconsistently and nonpurposefully to stimuli in a nonspecific manner | 2. Generalized Response |
| Responses are limited & often the same regardless of stimulus presented | 2. Generalized Response |
| Responses may be physiological changes, gross body movements, and/or vocalization | 2. Generalized Response |
| Reacts specifically but inconsistently to stimuli | 3. Localized Response |
| Responses are directly related to the type of stimulus presented | 3. Localized Response |
| May follow simple commands such as closing eyes or squeezing hand in an inconsistent, delayed manner | 3. Localized Response |
| Heightened state of activity | 4. Confused- Agitated |
| Behavior is bizarre and nonpurposeful relative to immediate environment | 4. Confused- Agitated |
| Does not discriminated among persons or objects | 4. Confused- Agitated |
| Unable to cooperate directly with treatment efforts | 4. Confused- Agitated |
| Verbalizations frequently are incoherent and/or inappropriate to the environment | 4. Confused- Agitated |
| Confabulation may be present | 4. Confused- Agitated |
| Gross attention to environment is very brief | 4. Confused- Agitated |
| Selective attention is often nonexistent | 4. Confused- Agitated |
| Lacks short and long term recall | 4. Confused- Agitated |
| Able to respond to simple commands fairly consistently | 5. Confused- Inappropriate |
| Increased complexity of commands or lack of any external structure, responses are nonpurposeful, random, or fragmented | 5. Confused- Inappropriate |
| Demonstrates gross attention to the environment but is highly distractible and lacks ability to focus attention on a specific task. | 5. Confused- Inappropriate |
| With structure may be able to converse on a social automatic level for short periods of time | 5. Confused- Inappropriate |
| Verbalization is often inappropriate and confabulatory | 5. Confused- Inappropriate |
| Memory is severely impaired | 5. Confused- Inappropriate |
| Often shows inappropriate use of objects | 5. Confused- Inappropriate |
| May perform previously learned tasks with structure but is unable to learn new information | 5. Confused- Inappropriate |
| Shows goal-directed behavior but is dependent on external input or direction | 6. Confused- Appropriate |
| Follows simple directions consistently and shows carryover for relearned tasks such as self-care | 6. Confused- Appropriate |
| Responses may be incorrect due to memory problems, but they are appropriate to the situation | 6. Confused- Appropriate |
| Past memories show more depth and detail than recent memory | 6. Confused- Appropriate |
| Appears appropriate and oriented within the hospital and home settings | 7. Automatic- Appropriate |
| Goes through daily routine automatically, but frequently robotlike | 7. Automatic- Appropriate |
| Shows minimal to no confusion and has shallow recall of activities | 7. Automatic- Appropriate |
| Shows carryover for new learning but at a decreased rate | 7. Automatic- Appropriate |
| With structure is able to initiate social or recreational activities | 7. Automatic- Appropriate |
| Judgement remains impaired | 7. Automatic- Appropriate |
| Able to recall and integrate past and recent events and is aware of and responsive to environment | 8. Purposeful- Appropriate |
| Shows carryover for new learning and needs no supervision once activities are learned | 8. Purposeful- Appropriate |
| May continue to show a decreased ability relative to premorbid abilities, abstract reasoning, tolerance for stress, and judgement in emergencies or unusual circumstances | 8. Purposeful- Appropriate |
Created by:
PT2014
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