Notable Scales Flashcards
Describe and list out the levels of Ranchos Los Amigos Scale?
-Lists the level of cognitive function
I: No response: (does not respond to any stimuli)
II:Generalized response:(inconsistent response)
III:Localized Response:(consistent and inconsistent responses)
IV: Confused, Agitated- (bizarre behavior)
V:Confused Inappropriate(simple commands; issues with complex commands)
VI:Confused Appropriate(appropriate, goal oriented responses, carry over for relearned, but not new tasks)
VII:Automatic appropriate: social interactions, but judgement is still impaired
VIII:Purposeful appropriate: Oriented and responds to the environment
Describe the Glasgow scale?
-Tool used to measure level of consciousness
List out the grades for Eye Response?
-4 Spontaneous(eye opening)
-3 To sound
-2 To pressure
-1 None
List out the grades for Verbal Responses?
-5 Oriented
-4 Confused
-3 With Words
-2 incomprehensible. Sounds
-1 None
List out the grades for Motor Responses?
6 Obey Commands
5 Localized response
4 Withdrawal Response
3 Flexion(decorticate)
2 Abnormal extension(decerebate)
1 No response
What score classifies Mild injury on GCS
13-15
What score indicates moderate injury
9-12
What score indicates Severe injury?
3-8
What does APGAR stand for?
-Appearance
-Pulse
-Grimace
-Activity
-Respiration
What scored is considered good
7-10
What is the Appearance grades?
0- Blue or pale all over
1-Extremities are blue
2-Pink
What is the Pulse grades?
0- Absent
1-Less than 100
2-greater than 100
Scores for Grimace
0- No response
1-Grimaces
2-Vigorous cry, sneeze
Activity(Muscle tone) score?
0-Absent
1-Arms and legs flexed
2- Active
Respiration scores
0-Absent
1- Slow and irregular
2: Vigorous Cry
What scale is used for Cerebral Palsy?
Gross Motor Function Classifcation(GMFCS)
List off the levels of GMFCS?
Level 1: Speed, balance and coordination is limited but everything else is normal
Level 2: Need use of handrails(crowded areas need to use handheld device)
Level 3: Handheld devices or wheelchair
Level 4:Need some assistance with handheld devices or powered mobility
Level 5: Patient is transported in manual wheelchair in all settings(inability to maintain trunk postures
What scale is used for Parkinson’s Disease?
The Hoehn and Yahr Scale
List off the stages of Hoehn and Yahr?
I: Unilateral involvement only
II: Bilateral involvement without impairment of balance
III: Mild to moderate bilateral disease; physically independent
IV: Severe disability, still able to walk or stand unassisted
V: Wheelchair bound or bedridden
