Rancho 4 and up Flashcards

1
Q

briefly describe RLAS IV

A

Confused/Agitated: Max Assist

  1. aggressive or flight behavior
  2. mood swings
  3. inappropriate words or social pragmatics
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2
Q

T/F: Ranco IV can cooperate with treatments if you try hard enough

A

FALSE

unable to cooperate with treatment efforts

do the best you can and you may occasionally get something out of them

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3
Q

how do you distinguish between a Rancho IV and V?

A

when the pt is not longer agitated, they have moved out of Rancho IV

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4
Q

briefly describe RLAS V

A

Confused/Inapproriate Non-agitated: Max Assist

  1. still severely disoriented
  2. not agitated but may have infrequent outbursts
  3. complete inability to learn new tasks
  4. communication is difficult due to cog breakdown
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5
Q

how would you structure a treatment session with a Rancho V?

A
  1. perform all treatment in a closed environment with no distractions if possible
  2. pt may recognize familiar task but are easily distracted and need max assist
  3. keep things simple and functional based
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6
Q

how do you distinguish between a Rancho V and VI?

A

when the pt can orient some, they have moved from a V to a VI

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7
Q

briefly describe RLAS VI

A

Confused, Appropriate: Mod Assist

  1. orientation improves slighty
  2. small improvements in endurance
  3. a lot less tangential and word substituations in speaking
    • can have a simple conversation now
  4. consistently follows simple directions
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8
Q

how would you structure a treatment session with a Rancho VI?

A
  1. stay in closed environment
  2. keep tasks simple and familiar, push duration some
  3. introduce memory assistive device but they will need max assist
  4. they are unaware of impairments so careful guarding
  5. push learning skills
    • supervise w/old learning
    • utilize memory aids for carry over
    • max assist for learning new tasks
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9
Q

how do you distinguish between a Rancho VI and VII?

A

when the pt can consistently orient, they have transitioned out of Rancho VI and to VII

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10
Q

briefly describe RLAS VII

A

Automatic, Appropriate: Min Assist

  1. consistent orientation (mod assist for time)
  2. more endurance with familiar tasks and less help needed
  3. problem solving emerges for familiar tasks
  4. very robotic
  5. demos carryover of new learning
  6. superficial awareness of their condition
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11
Q

how would you structure a treatment session for a RLAS VII?

A
  1. can introduce more fun/variety in activities
  2. may attempt a very low-level group therapy with time for short time
    • their social skills are rough
    • they cannot demo empathy yet
  3. be aware that they cannot consider consequences of a decision or action
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12
Q

how do you distinguish between a RLAS VII and VIII?

A

complete orientation to person, place and time indicates a change from VII to VIII

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13
Q

briefly describe RLAS VIII

A

Purposeful, Appropriate: SBA

  1. Consistent orientation x3
  2. more of personality comes back
  3. memory, recall, and carryover improves
    • able to recall and integrate past and recent events
  4. growing awareness of impairments may result in depression
  5. overestimation/underestimation of abilities
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14
Q

how would you structure a treatment session with a RLAS VIII?

A
  1. can perform familiar tasks in open environment independently for 1 hour
  2. take first and last 5 minutes of every session to challenge memory by talking through previous session
    • they need SBA using an assistive memory device to complete
  3. no longer need assistance once new task/activity is learned
  4. need SBA to correct task when impairments interfere
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15
Q

T/F: a RLAS IX no longer needs SBA or any support

A

FALSE
still need a lot of social support (SBA upon request) and supervision meaning they will need a familiy member or a caregiver 24/7 to give cues

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16
Q

briefly describe RLAS XI

A

Purposeful, Approprate: SBA upon request

  1. can go back and forth betweent tasks and complete them for 2 hours
  2. uses assistive memory device to recall schedule independentely
  3. guages their own ability well but needs SBA to adjust to task
17
Q

briefly describe RLAS X

A

Purposeful, Appropriate: Modified Independence

  1. needs periodic breaks to complete tasks but not help
  2. can actually create their own assistive memory device
  3. can handle multiple tasks simultaneously in all environments but may need periodic breaks