Rancho Los Amigos Scale

Question 1

Level I

Answer 1

No response

★ patient shows no reaction and appears to be in a deep sleep

Question 2

Level II

Answer 2

Generalized response

★ inconsistent & non-purposeful reaction (e.g. gross body movements, physiological changes)

Question 3

Levell III

Answer 3

Localized response

★ Inconsistent response to stimulus
★ may be biased to certain stimuli & familiar voices
★ withdraws limb in response to painful stimulus

Question 4

Level IV

Answer 4

Confused-agitated

★ heightened level of response (may be agitated)
★ behavior is mostly bizarre & non-purposeful
★ unable to cooperate with Tx

Question 5

Level V

Answer 5

Confused-inappropriate

★ able to respond to simple commands
★ shows inappropriate behavior given complex instructions or when in an unstructured activity
★ easily distracted & can still be agitated by certain stimuli in the environment

Question 6

Level VI

Answer 6

Confused-appropriate

★ shows goal-directed behavior, but still requires structure
★ able to tolerate unpleasant stimuli with assistance
★ difficulty learning new information, but can perform familiar activities with supervision
★ selective attention to tasks can be observed, but can perform common daily activities

Question 7

Level VII

Answer 7

Automatic-appropriate

★ able to perform daily routine
★ has superficial insight, but lacks realistic problem-solving & ability to plan
★ impaired judgment, which may make it unsafe for the person to participate in social activities & driving

Question 8

Level VIII

Answer 8

Purposeful-appropriate

★ social, emotional, & intellectual capacities enable the person to participate in society
★ capable of home & community independence