GCS & RLA

Question 1

Glasgow Coma Scale

Answer 1

■Measure the severity of injury and the level of consciousness
■Easy enough that it could be universally
used in a reliable manner - count on uniformity
■Quick measure that could be repeated often to spot changes
■Could be used to guide treatment decisions

Question 2

GCS recommended administration time

Answer 2

immediately post injury and at 30 minutes.

Question 3

GCS severity ratings

Answer 3

Score of 3 to 8- Severe
Score of 9 to 12- Moderate
Score of 13 to 15- Mild

Question 4

GCS eye opening response

Answer 4

1= no response
2= eye opening to pain
3= eye opening to speech
4= spontaneous eye opening

Question 5

GCS best motor response

Answer 5

1=no response
2=extension of limbs
3=flexion of limbs
4=withdraws from stimulus (can’t localize the pain)
5= localizes sensory stimulus (tries to push hand away on stimulus)
6= obeys commands

Question 6

GCS best verbal response

Answer 6

1= no response
2= incomprehensible
3= confused
4= oriented x3

Question 7

Rancho Los Amigos- Revised

Answer 7

•A measure used to track recovery and help determine readiness for different types of treatment approaches
•Focus is on cognition and behavior
•Ten levels of cognitive functioning

Question 8

RLA level 1

Answer 8

No response to ALL stimulus

Total assist

Question 9

RLA level 2

Answer 9

No response to pain through gross bodily movement
Vocalizations inconsistent

Total assist

Question 10

RLA level 3

Answer 10

Response to discomfort stimuli inconsistently when located w/ commands

Total assist

Question 11

RLA level 4

Answer 11

Confused/agitated/inappropriate
Short attention span

Max assist

Question 12

RLA level 5

Answer 12

Confused/non-agitated/inappropriate
May respond to simple commands and habitual tasks

Max assist

Question 13

RLA level 6

Answer 13

Confused/appropriate response
Problem solving issues

Mod assist-max assist

Question 14

RLA level 7

Answer 14

Automatic-robot like/appropriate
Better w/habitual tasks
Unsafe and impulsive
Decreased social awareness
Can carry intelligent conversation with minimal confusion

Mod assist

Question 15

RLA level 8

Answer 15

Purposeful appropriate response
Decreased tolerance to stress
Some reasoning skills
Retains new tasks learned with SBA

Min assist-SBA

Question 16

RLA level 9

Answer 16

Purposeful appropriate response
Attention span 2 hours
Good w/ familiar tasing from memory

SBA

Question 17

RLA level 10

Answer 17

Purposeful appropriate
Problem solves
Anticipates