TBI Flashcards
1
Q
Rancho Level: Automatic, Appropriate, Minimal Assistance for Daily Living Skills
A
Level 7
2
Q
Behavioral Interventions Post-TBI (4)
A
- Antecedents [what really upsets/irritates them]
- Behaviors [screaming, lashing out, fighting]
- Consequences
- Recognize and response to precursors
3
Q
Rancho Level: Purposeful, Appropriate, Stand-By Assistance on Request
A
Level 9
4
Q
Rancho Level: Purposeful, Appropriate, Stand-By Assistance
A
Level 8
5
Q
Rancho Level: No Response, Total Assistance
A
Level 1
6
Q
Rancho Level:
- Consistently oriented to person and place
- Attend to highly familiar tasks
- Initiates and carries out steps to complete familiar personal and household routine
- Able to monitor accuracy and completeness of each step in routine personal and household ADLs and modify plan with minimal assistance
A
Level 7
7
Q
Rancho Level:
- Inconsistently oriented to person, time and place
- Attend to highly familiar tasks no distractors x 30 minutes (moderate redirection)
- Vague recognition of some staff
- Uses assistive memory aide with maximum assistance
- Emerging awareness of appropriate response to self, family and basic need
- Carry over for relearned familiar tasks, limited new learning
- Unaware of disability, impairments and safety
A
Level 6
8
Q
Rancho Level:
- Handles multiple tasks simultaneously in all environments
- Independently initiates and carries out steps for completion of:
- May require more than usual amount of time and/or compensatory strategies to complete tasks
- Anticipates impact of impairments and disabilities
- Thinks independently about decisions/consequences
- Estimates abilities for tasks
- Recognizes other’s feelings and thoughts
A
Level 10
9
Q
Behavioral Interventions
- De-Escalation Strategies
- Verbal Intervention Tips
A
- Rational detachment; integrated experience
- Remain calm, avoid power struggles, isolate situation
10
Q
Rancho Level:
- Minimal supervision for safety in routine home and community activities
- Unrealistic planning for the future
- Unable to think about consequences of a decision or action
- Overestimates abilities
- Unaware of others’ needs and feelings
- Oppositional/uncooperative
- Unable to recognize inappropriate social interaction behavior
A
Level 7
11
Q
Rancho Level:
- Alert and in heightened state of activity
- Purposeful attempts to remove restraints/tubes or crawl out of bed
- May perform motor activities such as sitting, reaching and walking but without any apparent purpose or upon another’s request
- Very brief and usually non-purposeful moments of sustained alternatives and divided attention
- Absent short-term memory [they usually remember rewards]
A
Level 4
12
Q
Rancho Level:
- Demonstrates generalized reflex response to painful stimuli
- Responds to repeated auditory stimuli
- Responds to external stimuli with physiological changes generalized, gross body movement and/or not purposeful vocalization [make a sound when…]
- Responses inconsistent and delayed
- Responses may be significantly delayed [give them TIME to respond]
A
Level 2
13
Q
Rancho Level: Generalized Response, Total Assistance
A
Level 2
14
Q
Rancho Level:
- Alert, not agitated (unless external stimulus or lack of structure)
- Brief periods, non-purposeful sustained attention
- Severely impaired recent memory, confusion of past/present
- Absent goal directed, problem solving, self-monitoring behavior.
- Performs previously learned tasks: structured and cues
- Unable to learn new information–simple commands
- Social behavior
- Confabulation
A
Level 5
15
Q
Rancho Level:
- Consistently oriented to person, place and time
- Attends to and completes familiar tasks with distractions
- Recall and integrate past and recent events
- Independent with assistive memory devices for recall, “to do” lists and record critical information SBA
- Complete household, community, work and leisure routines with SBA
- Can modify the plan when needed with minimal assistance.
- Over/underestimates abilities
- Depressed or irritable
A
Level 8
