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Adult Neuro

Ranchos Los Amigos

Patient appears to be in a deep sleep and is not responsive to any stimuli I: no response
Patient reacts inconsistently and nonpurposefully to stimuli. Responses are limited and often the same regardless on stimulus. Responses could be physiological changes, gross body movements, and/or vocalizations II: generalized response
Patient reacts specifically but inconsistently to stimuli. Responses are directly related to the type of stimulus. May follow simple commands inconsistently III: Localized Response
Patient is in a heightened state of activity. Behavior is bizarre and non purposeful relative to immediate environment. IV: Confused-agitated
Does not discriminate among persons or objects; is unable to cooperate directly with treatment efforts. Verbalizations are frequently incoherent and/or inappropriate IV: Confused-agitated
Gross attention to environment is very brief; selective attention is often nonexistent. Lacks short and long term recall IV: Confused-agitated
Patient is able to respond to simple commands fairly consistently, however with increasing complexity of commands or lack of any external structure, responses are nonpurposeful, random or fragmented V: Confused-inappropriate
Demonstrates gross attention to environment but is highly distractible. Lacks ability to focus attention on a specific task. Verbalizations often inappropriate and confabulatory V: Confused-inappropriate
Memory is severely impaired; often shows inappropriate use of objects. May perform previously learned tasks with structure but is unable to learn new information. V: Confused-inappropriate
Patient shows goal directed behavior but is dependent on external input or direction. Follows simple directions consistently and shows carryover for relearned tasks such as self care VI: Confused- appropriate
Responses may be incorrect due to memory problems, but they are appropriate to the situation. Past memories show more depth and detail than recent memories. VI: Confused- appropriate
Patient appears appropriate and oriented within the hospital and home settings; goes through daily routine automatically, but frequently robot-like. Patient shows minimal to no confusion and has shallow recall of activities. VII: Automatic-appropriate
Shows carryover for new learning but at a decreased rate. With structure is able to initiate social or recreational activities; judgment remains impaired. VII: Automatic-appropriate
Patient is able to recall and integrate past and recent experiences and is aware of and responsive to the environment. Shows carryover for new learning and needs no supervision once activities are learned. VIII: Purposeful-appropriate
May continue to show a decreased ability relative to premorbid status, abstract reasoning, tolerance for stress, and judgment in emergencies or unusual circumstances. VIII: Purposeful-appropriate
Created by: txst sum 2009