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0. NBCOT > Ranchos Los Amigos Scale > Flashcards

Ranchos Los Amigos Scale Flashcards

1
Q

Ranchos Level I

A

no response
-does not respond to voices, sounds, light, or touch; appears in a deep sleep

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2
Q

Rancho Level II

A

Generalized response
-limited, inconsistent, non-purposeful responses
-first reaction may be to deep pain
-may open eyes but will not seem to focus on anything in particular

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3
Q

Rancho Level III

A

Localized responses
-inconsistent responses but purposeful in that reacts in a more specific manner to stimulus
-may focus on a presented object
-may follow simple commands

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4
Q

Rancho Level IV

A

Confused/agitated
-Heightened state of activity, confusion
-unable to do self-care
-unaware of present events
-reacts to own inner confusion, fear, disorientation
-excitable behavior amy be abusive or aggressive

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5
Q

Rancho Level V

A

confused, inappropriate, not agitated
-appears alert, responds to commands
-follows task for 2-3 minutes but easily distracted by environment
-frustrated and verbally inappropriate
-does not learn new information

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6
Q

Rancho Level VI

A

Confused, appropriate
-follows simple directions consistently, needs cueing
-can relearn old skills
-serious memory problems but improving
-attention improving
-self-care tasks performed w/o help
-some awareness of self and others

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7
Q

Rancho Level VII

A

Automatic, Appropriate
-If physically able, can carry out routine activities but may have robot-like behavior
-minimal confusion shallow recall
-poor insight into condition
-initiates tasks but needs structure
-poor judgement, problem-solving and planning skills
-overall appear normal

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8
Q

Rancho Level VIII

A

Purposefully appropriate
-alert, oriented
-recalls and integrates past events
-learns new activities and can continue w/o supervision
-independent in home and living skills
-capable of driving
-defects in stress tolerance, judgement, abstract reasoning persist
-may function at reduce levels in society

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9
Q

Rancho Level IX

A

Purposefully appropriate
-[stand-by on request]
(l)’ly shifts back/forth btwn tasks w/good accuracy for at least 2 hours
-have deficit awareness and takes appropriate action when impacted
-requires SBA to anticipate problems before they occur and take action to avoid them
-depression may continue
-pt may be easily irritable and have a low frustration tolerance

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10
Q

Rancho Level X

A

Purposefully appropriate:
[modified independent]; handles multiple tasks simultaneously in all environments
-may require breaks
-is able to take action to avoid problems before they occur
-(l)’ly thinks about actions and their consequences
-occasional depression, irritability and low frustration tolerance may be present when feeling ill, fatigued and/or emotionally distressed

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11
Q

what are the Rancho levels designed to indicate/

A

-the behavior and progression of the survivor as they go through treatment
-they are applicable the 1st few months or weeks following the injury
-are not intended to predict improvement over the long term
-progress is rapid at first
-as months go by, progress will slow and at some point the pt may seem to plateau around level VI or VII
-may have characteristics of more than 1 level at a time

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12
Q

what do rancho stages I-III deal with?

A

-deals with emergence from coma, persistent vegetative state or minimally conscious state

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13
Q

what do rancho levels IV-VI deal with?

A

individuals who are in the process of regaining orientation and memory skills necessary for full consciousness

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14
Q

what do rancho levels VII-X deal with?

A

persistent cognitive, social and emotional changes

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15
Q

which rancho level tends to be dangerous?

A

IV

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16
Q

Generalized response

  • (blank)
    -may open eyes but will not seem to focus on anything in particular
A

Rancho II

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17
Q

-limited, inconsistent, non-purposeful responses

A

RANCHO II

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18
Q

first reaction may be to deep pain

A

RANCHO II

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19
Q

may open eyes but will not seem to focus on anything in particular

A

RANCHO II

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20
Q

Localized responses:

  1. (blank)
  2. (blank)
  3. (blank)
A

RANCHO III

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21
Q

inconsistent responses but purposeful in that reacts in a more specific manner to stimulus

A

RANCHO III

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22
Q

may focus on a presented object

A

RANCHO III

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23
Q

may follow simple commands

A

RANCHO III

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24
Q

Confused/agitated

  1. (blank)
  2. (blank)
  3. (blank)
  4. (blank)
A

RANCHO IV

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25
Q

Heightened state of activity, confusion

A

RANCHO IV

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26
Q

-unable to do self-care

A

RANCHO IV

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27
Q

unaware of present events

A

RANCHO IV

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28
Q

reacts to own inner confusion, fear, disorientation

29
Q

excitable behavior amy be abusive or aggressive

30
Q

Confused, inappropriate, not agitated

  1. (blank)
  2. (blank)
  3. (blank)
31
Q

appears alert, responds to commands

32
Q

follows task for 2-3 minutes but easily distracted by environment

33
Q

frustrated and verbally inappropriate

34
Q

-does not learn new information

35
Q

Confused, appropriate

6 items

36
Q

follows simple directions consistently, needs cueing

37
Q

can relearn old skills

38
Q

serious memory problems but improving

39
Q

attention improving

40
Q

self-care tasks performed w/o help

41
Q

some awareness of self and others

42
Q

Automatic, Appropriate

5items-

A

RANCHO VII

43
Q

If physically able, can carry out routine activities but may have robot-like behavior

A

RANCHO VII

44
Q

minimal confusion shallow recall

A

RANCHO VII

45
Q

poor insight into condition

A

RANCHO VII

46
Q

initiates tasks but needs structure

A

RANCHO VII

47
Q

-poor judgement, problem-solving and planning skills

A

RANCHO VII

48
Q

overall appear normal

A

RANCHO VII

49
Q

Purposely, appropriate

-

A

RANCHO VIII

50
Q

-alert, oriented

A

RANCHO VIII

51
Q

recalls and integrates past events

A

RANCHO VIII

52
Q

earns new activities and can continue w/o supervision

A

RANCHO VIII

53
Q

independent in home and living skills

A

RANCHO VIII

54
Q

capable of driving

A

RANCHO VIII

55
Q

defects in stress tolerance, judgement, abstract reasoning persist

A

RANCHO VIII

56
Q

may function at reduce levels in society

A

RANCHO VIII

57
Q

Purposefully appropriate

58
Q

-stand-by on request‘ly shifts back/forth btwn tasks w/good accuracy for at least 2 hours

59
Q

have deficit awareness and takes appropriate action when impacted

60
Q

Requires SBA to anticipate problems before they occur and take action to avoid them

61
Q

-depression may continue

62
Q

-pt may be easily irritable and have a low frustration tolerance

63
Q

Purposefully appropriate:

64
Q

[modified independent]; handles multiple tasks simultaneously in all environments

65
Q

may require breaks

66
Q

Is able to take action to avoid problems before they occur

67
Q

-(l)’ly thinks about actions and their consequences

68
Q

-occasional depression, irritability and low frustration tolerance may be present when feeling ill, fatigued and/or emotionally distressed

0. NBCOT (12 decks)

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