TBI/Rancho Levels Flashcards

1
Q

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

A

Total A
No response
PROM, Splinting, sensory stimulation

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2
Q

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

A

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

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3
Q

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

A

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

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4
Q

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

A

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

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5
Q

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

A

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

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6
Q

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

A

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

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7
Q

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

A

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

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8
Q

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

A

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

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9
Q

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

A

SBA upon request

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10
Q

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

A

mod I

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11
Q

Name each level of RLA

A

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

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12
Q

ACL 0 is what RLA score?

A

1/2

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13
Q

ACL 1 is RLA?

A

3

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14
Q

RLA 4 is acl?

A

2

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15
Q

ACL 3 is RLA?

A

5

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16
Q

RLA 6 is ACL?

A

4

17
Q

RLA 7 is ACL?

A

5

18
Q

RLA 8 is ACL??

A

5.4

19
Q

ACL 5.6 is RLA?

A

9

20
Q

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

A

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

21
Q

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

A

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

22
Q

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

A

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