TBI: GCS & Rancho

Question 1

GCS: purposes and pros

Answer 1

-Measure the severity of injury and the level of consciousness
-Easy enough that it could be universally used in a reliable manner
-Quick measure that would be repeated often to spot changes
-Could be used to guide treatment decisions

Question 2

GCS: recommended administration

Answer 2

Immediately post injury and at 30 minutes

Question 3

GCS: scoring and corresponding severities

Answer 3

3-8 = severe TBI
9-12 = moderate TBI
13-15 = mild TBI

Question 4

GCS: eye opening response scores

Answer 4

1= no response
2 = eye opening to pain
3 = eye opening to speech
4 = spontaneous eye opening

Question 5

GCS: best motor response scores

Answer 5

1 = no response
2 = extension of limbs
3 = flexion of limbs
4 = withdraws from stimulus
5 = localizes sensory stimulus
6 = obeys commands

Question 6

GCS: best verbal response scores

Answer 6

1 = no response
2 = incomprehensible
3 = inappropriate
4 = confused
5 = oriented x3

Question 7

Rancho Los Amigos purpose

Answer 7

-Measure used to track recovery and help determine readiness for different types of treatment approaches
-Focus is on cognition and behavior
-10 levels of cognitive functioning

Question 8

1 RLA

Answer 8

no response - total assistance

Question 9

2 RLA

Answer 9

generalized response - total assistance

Question 10

3 RLA

Answer 10

localized response - total assistance

Question 11

4 RLA

Answer 11

confused/agitated - maximal assistance

Question 12

5 RLA

Answer 12

confused, inappropriate non-agitated - maximal assistance

Question 13

6 RLA

Answer 13

confused, appropriate - moderate assistance

Question 14

7 RLA

Answer 14

automatic, appropriate - minimal assistance for daily living skills

Question 15

8 RLA

Answer 15

purposeful, appropriate - stand -by assistance

Question 16

9 RLA

Answer 16

purposeful, appropriate - stand-by assistance on request

Question 17

10 RLA

Answer 17

purposeful, appropriate - modified independent