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Rancho Levels
from NBCOT Review & Study Guide, 6th ed. pg. 167-168
Question | Answer |
---|---|
Level I - No Response | Complete absence of observable change in behavior when presented visual, auditory, tactile, proprioceptive, vestibular & pain stimuli |
Level II - Generalized Response | - reflex response to painful stimuli - responds to repeated auditory stimuli w/ increased/decreased activity - responds to ext. stimuli w/ gross body mvmts and/or not purposeful vocalization - responses may be significantly delayed |
Level III - Localized Response | - withdrawal or vocalization to painful stimuli - turns toward/away from auditory stimuli - blinks when strong light crosses visual field - responds to discomfort by pulling tubes/restraints - may respond to family/friends, not to others |
Level IV - Confused/Agitated | - alert, heightened state of activity - unable to cooperate w/ tx. efforts - absent ST memory - purposeful attempts to remove tubes, get out of bed - may exhibit aggressive or flight behavior - motor activities (sitting, reaching) w/out apparent purp |
Level V - Confused, Inappropriate Non-Agitated | - alert, non-agitated, may wander randomly - not oriented to person, place, or time - unable to learn new info - frequent, brief periods of non-purposeful sustained attention - absent goal-directed, problem solving, self-monitored behavior |
Level VI - Confused, Appropriate | - inconsistently oriented to person, time, place - able to attend to highly familiar tasks in non-distracting environment - remote memory has more dept and detail than recent memory - Mod A to problem solve - supervised for old learning, (self-care) |
Level VII - Automatic, Appropriate | - oriented to person, place in familiar enviro, Mod A for orientation to time - Attend to highly fam. tasks in 30 min - overestimates abilities - doesn't recognize inappropriate social interactions - Superficially aware of condition, not impairments |
Level VIII - Purposeful, Appropriate | - consistently oriented: person, place, time - I attends/completes familiar tasks in 1 hr. - recalls/integrates past & recent events - overestimates abilities - irritable, depressed, argumentative, self-centered - Aware/acknowledges impairments |
Level I | No Response |
Level II | Generalized response |
Level III | Localized response |
Level IV | Confused/Agitated |
Level V | Confused, Inappropriate - Non-Agigtated |
Level VI | Confused, Appropriate |
Level VII | Automatic, Appropriate |
Level VIII | Purposeful, Appropriate |