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Ranchos Los Amigos Levels of Cognitive Functioning

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mozart93304's version from 2017-09-17 20:32

Section

Question Answer
Patient appears to be in a deep sleep and is completely unresponsive to any stimuliNo Response
Patient reacts inconsistently and non-purposefully to stimuli in a nonspecific manner. Responses are limited and often the same regardless of stimulus presented. Generalized Response
Responses may be physiological changes, gross body movements, and/or vocalizationGeneralized Response
Patient reacts specifically, but inconsistently to stimulated. Localized Response
Responses are directly related to to the type of stimulus presented.Localized Response
May follow simply commands such as closing the eyes or squeezing the and in an inconsistent, delayed mannerLocalized Response
Patient is in a heightened state of activity. Behavioris bizarre and non purposeful relative to the immediate environment. Gross attention to environment is very brief; selective attention is often non-existent. Confused-agitated
Does not discriminate among persons or objects; is unable to cooperate directly with treatment efforts. Confused-agitated
Patient lacks short and long term recall. Verbalizations frequently are incoherent and/or inappropriate to the environment; confabulation may be present. Confused-agitated
Patient is able to respond to simple commands fairly consistently. However, with increased complexity of commands or lack of any external structure, responses are non-purposeful, random, fragmented. Confused in-appropriate
Demonstrates gross attention to the environment, but is highly distractible and lack the ability to focus attention on a specific task. Confused in-appropriate
With structure, may be able to converse on a social automatic level for short periods of time. Confused in-appropriate
Verbalization is often inappropriate and confabulatory. Confused in-appropriate
Memory is severly impaired; often shows inappropriate use of objects; may perform previously learned tasks with structure, but is unable to learn new informationConfused in-appropriate
Patient shows goal-directed behavior, but is dependent on external input or direction. Confused -Appropriate
Follows simple directions consistently and shows carry over for relearned tasks such as self care. Confused -Appropriate
Responses may be incorrect due to memory problems, but they are appropriate to the situation. Confused -Appropriate
Past memories show more depth and detail than recent memoryConfused -Appropriate
Patients appears appropriate and oriented within the hospital and home setting. Automatic-Appropriate
Goes through daily routine automatically, but frequently robot-like. Automatic-Appropriate
Patient shows minimal to no confusion and has shallow recall of activities. Automatic-Appropriate
Shows carryover for new learning, but at decreased rate. With structure is able to initiate social or recreational activities; judgment remains impaired.Automatic-Appropriate
Patient is able to recall and integrate past and recent evens and is aware of and responsive to environment. Purposeful-Appropriate
Shows carryover for new learning and needs no supervision once activities are learned. Purposeful-Appropriate
May continue to show a decreased ability relative to premorbid abilities, abstract reasoning, tolerance for stress, and judgment in emergencies or unusual circumstances. Purposeful-Appropriate
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