TBI/Rancho Levels

Question 1

Describe assist level, function, and OT tx for patient at level 1 RLA

Answer 1

Total A
No response
PROM, Splinting, sensory stimulation

Question 2

Describe assist level, function, and OT tx for patient at level 2 RLA

Answer 2

Total A
respond to sensory but inconsistent
PROM, splint, sensory

Question 3

Describe assist level, function, and OT tx for patient at level 3 RLA

Answer 3

Total A
awake on/off, react more to stimuli, respond to family
PROM, splint, sensory, visual activities

Question 4

Describe assist level, function, and OT tx for patient at level 4 RLA

Answer 4

Max A
confusion, may yell/hit, extreme behaviors
AROM, object identification, simple ADL

Question 5

Describe assist level, function, and OT tx for patient at level 5 RLA

Answer 5

Max A
attention for few minutes, confused, disoriented, step by step instruction
basic hygiene with step by step cues

Question 6

Describe assist level, function, and OT tx for patient at level 6 RLA

Answer 6

Mod A
attend to task for 30min, no insight to problem
labels on household items, cold food prep

Question 7

Describe assist level, function, and OT tx for patient at level 7 RLA

Answer 7

Min A for ADL
superficial awareness, impaired safety
may use microwave or toaster but supervision required, set up ADL

Question 8

Describe assist level, function, and OT tx for patient at level 8 RLA

Answer 8

SBA
to-do lists for events, aware of impairments, poor judgement
HEP, cues to problem solve, memory aids

Question 9

Describe assist level, function, and OT tx for patient at level 9 RLA

Answer 9

SBA upon request

Question 10

Describe assist level, function, and OT tx for patient at level 10 RLA

Answer 10

mod I

Question 11

Name each level of RLA

Answer 11

1: No response
2: general response
3: localized response
4: confused/agitated
5: confused/ inappropriate/ non-ag
6:confused appropriate
7: automatic appropriate
8: purposeful appropriate
9:same thing

Question 12

ACL 0 is what RLA score?

Answer 12

1/2

Question 13

ACL 1 is RLA?

Answer 13

3

Question 14

RLA 4 is acl?

Answer 14

2

Question 15

ACL 3 is RLA?

Answer 15

5

Question 16

RLA 6 is ACL?

Answer 16

4

Question 17

RLA 7 is ACL?

Answer 17

5

Question 18

RLA 8 is ACL??

Answer 18

5.4

Question 19

ACL 5.6 is RLA?

Answer 19

9

Question 20

According to the GCS what is a severe, moderate, and mild TBI?

Answer 20

severe 3-8
mod: 9-12
milld 13-15

Question 21

How do you classify mild/mod/severe based upon LOC

Answer 21

less than 30-mild
30min-6hr- mod
more than 6hr- severe

Question 22

What is typically our focus in the acute stage of recovery for a TBI?

Answer 22

increase awareness through sensory. ROM to maintain joint mobility, positioning, splinting