TBI - Scales/level classifications

Question 1

What is the Rancho Los Amigos Levels of Cognitive Functioning?

Answer 1

It is a scale from 1-8 that provides meaningful scale of response to stimuli for documenting cog/behavior status

Question 2

Level 1:

Answer 2

No response

Question 3

Level 2:

Answer 3

Generalized response. Inconsistent/ nonspecifically to various stimuli. Ie a light brushing stroke at arm may cause a painful reaction and abrupt movement of the ankle.

Question 4

Level 3:

Answer 4

Localized response: Pt continues to respond inconsistently, but is SPECIFIC to the stimuli. Ie pt will respond to painful stimuli at hand with appropriate response to 1/3 attempts

Question 5

Level 4:

Answer 5

Confused/agitated. Heightened state of activity. Behavior is bizarre/nonpurposeful. Recall/attention span is poor.

Question 6

Level 5:

Answer 6

Confused/inappropriate: Pt responds to simple commands. Memory is impaired. Verbalization is inappropriate.

Question 7

Level 6:

Answer 7

Confused/appropriate. Memory has improved. Pt relies on external stimuli

Question 8

Level 7:

Answer 8

Automatic/appropriate. Performs automatically/appropriately in structured environment. Poor judgement.

Question 9

Level 8:

Answer 9

Purposeful/appropriate. no perfectly, but acts appropriately. Responds moderately well in stressful/unusual circumstances.

Question 10

Commonality of levels 4-6

Answer 10

Confused

Question 11

Commonality of levels 7 & 8

Answer 11

Appropriate

Question 12

Difference between 6 & 7

Answer 12

Confused-appropriate & Automatic-appropriate

Question 13

Difference between 2 & 3

Answer 13

Generalized response & Localized response

Question 14

Difference between 4-6

Answer 14

4 - confused/agitated
5 - confused/inappropriate
6 - confused/appropriate

Question 15

GCS Severity Ranges?

Answer 15

13-15 – mild
9-12 – Moderate
3-8 – Sever/coma

Question 16

Rappaport’s Disability Rating Scale

Answer 16

Classifies level of disabilities using a range of functional behaviors

Question 17

Glasgow Outcome Scale

Answer 17

Examines Cognition, behavior regulation, home management, community function/work/leisure

Question 18

Neurological Outcome Scale for TBI

Answer 18

Stratifies for injury severity and progression of TBI interventions

Question 19

Assessment of Life Habits

Answer 19

Examines participation in ADLs, health/wellness, community function, life satisfaction, QoL, work, social activities

Question 20

Intervention Characteristics

Answer 20

Positive, redirect focus, increase self-esteem, memory log of key information, keep instruction to a minimum.