Rancho Los Amigos scale Flashcards
Level I- No Response
Total Assist
No response to stimuli
Intervention: PROM-splinting-sensory stimulation
Level II- Generalized Response
Total Assist
Generalized Reflex TO Pain
Generalized activity to sound/external stimuli
*begins to respond to sensory stimuli (visual, auditory/tactile/movement)- responses are inconsistent/not purposeful
Intervention: PROM, Splinting, sensory stimulation
Level III- Localized Response
Total Assist
Reacts to pain by with drawing/moaning
Blinks
Turns to sounds
Intervention: PROM, sensory stimulation, VISUAL/ADUITORY TRACKING/ ADAPTATIONS FOR SAFETY
Level IV Confused Agitated
Max Assist
Level V Confused Inappropriate (Non-agitated)
Max Assist
Pays attention for a few mins at a time
confused, difficulty making sense of anything
Needs step by step instructions
Patients at this level of function have most success during simplified and highly structured tasks. Providing one-step instructions and hand-over-hand assistance supports the patient’s participation with the grooming task.
