Rancho scale Flashcards
Level 1-3
Total assistance
Level 1
No response; appear asleep
Total assistance
Level 2
Generalised response; gross motor response to pain
- Total assistance
Level 3
Localised response; turn to/away from painful stimulus or auditory stimulation; blink when light pass through their eyes
- Total assistance
Level 4-6
Confused
- x new learning x
Level 4
Confused + Agitated
trying to crawl out of bed; try to remove their constraint
- MAX assistance; unable to cooperate with treatment plan
Level 5
Confused + Non-Agitated + inappropriate; wandering around not knowing where she is going; inappropriate use of objects
- MAX assistance; able to perform highly familiar task with enough structure and cues provided
Level 6
Confused + Appropriate
longer attention(30 mins) + vague recognition and emerging awareness of self and others
- Mod assistance
Level 7-8
Automatic + Purposeful
- new learning/ correct/modify action or behaviour with assistance
Level 7
Automatic + Appropriate
longer attention (30mins); maybe unrealistic when planning future; not aware of how others feel; not aware of appropriate social behaviours
- Min assistance
Level 8
Purposeful + appropriate
longer attention (1 hr) even in distracting environment
- stand by assistance; can use assistance devices
Level 9
Purposeful + appropriate
- stand by assistance on request
Level 10
Purposeful + appropriate
- Modified independent
