Must Know Info Part 3 Flashcards
Rancho Level I
NO RESPONSE
Total A
no response to pain
Rancho Level II
GENERALIZED RESPONSE
Total A general response to pain gross body movements vocalizations response may be delayed
Rancho Level III
LOCALIZED RESPONSE
Total A withdrawal to painful stimuli turns toward sound blinks to light eyes follow object response to family members
Rancho Level IV
AGITATED CONFUSED
MAX A alert try to remove restraints can sit, stand, walk aggression mood swings uncooperative incoherent
Rancho Level V
CONFUSED, APPROPRIATE, NON-AGITATED
MAX A wander around not oriented to person/time/place brief periods of attention poor memory/learning responds to simple commands converses for brief periods of time
Rancho Level VI
CONFUSED APPROPRIATE
MOD A
occasionally oriented to person/place/time
can do task for 30 min in structured environment
slight remote memory
carryover of easy tasks
unaware of impairments
appropriate verbal responses
RANCHO LEVEL VII
AUTOMATIC APPROPRIATE
MIN A for ADLs oriented to person/place/time can attend to task for 30+ min in familiar environment carryover of new learning awareness of condition cant estimate consequences of actions
Rancho LEVEL VIII
PURPOSEFUL APPROPRIATE SBA
memory of past events household and community work leisure depressed irritable argumentative recognize appropriate social behavior
Rancho Level IX
PURPOSEFUL APPROPRIATE SBA UPON REQUEST
2+ hours on task can do work and leisure aware of impairments able to think about consequences depression + irritability self-monitor appropriately
Rancho Level X
PURPOSEFUL APPROPRIATE MOD I
multitask independently maintains memory anticipates consequences brief depression periods socially appropriate low frustration tolerance
Required supervision of Entry Level OT
None required, but recommended
Required supervision of intermediate OT (1 year experience)
Not required, however, routine supervision recommended by advanced OT recommended
Required supervision of advanced OT
not required, but minimal supervision by advanced OT recommended
Required supervision of entry level OTA
Close supervision by all level OT or intermediate-advanced OTA
Required supervision of intermediate OTA
Routine/general supervision by all level OTs or advanced OTA
Required supervision of Advanced OTA
General supervision by all levels OT, advanced OTA (who is under supervision of OT)
Entry Level OT able to supervise
Aides, techs, all level OTAs, Level 1 students
Intermediate OT (1 year) able to supervise
aides, techs, all level OTAs, level 1 and 2 students
Advanced OTA able to supervise
Aides, techs, all level OTAs, level 1 and 2 students, entry level and intermediate level OTs
Entry level OTAs able to supervise
Aides, techs, volunteers
Intermediate level OTAs able to supervise
Aides, techs, volunteers, level 1 OTS, level 1 and 2 OTAS
Advanced level OTA able to supervise
aides, techs, volunteers, entry level and intermediate OTAs, level 1 OT students, level 1 and 2 OTAS
Cognitive stage of motor learning
“what to do”
develop undcerstanding of task, assess abilities and task demands, select response, perform approximation of task, structured motor program
associated stage of motor learning
“how to do it”
learned practiced movement, refine motor program, spatial and temporal organization, decrease errors, decrease exraneous movement
