Command Following
When a patient follows a simple command like "raise your hand", they are showing this skill.
What is command following?
The Rancho Scale is used to measure this after brain injury.
What is cognitive recovery?
This word means how awake or alert a patient is.
What is arousal?
When we ask a patient their name, we are checking orientation to this.
What is person?
This means being able to focus on one task.
What is attention?
"Stick out your tongue" is an example of this type of command.
What is a one-step command?
A patient who is very confused and agitated may be at this Rancho level.
What is Rancho Level IV?
A patient who is sleeping but wakes up when you call their name has this level of alertness.
What is drowsy or lethargic?
Asking what city or hospital they are in checks orientation to this.
What is place?
Counting from 1 to 10 without stopping uses this type of attention.
What is sustained attention?
"Pick up the cup and put it on the table", is this type of command.
What is a two-step command?
At this level, patients may follow simple directions some of the time.
What is Rancho Level III?
Pain, noise, and movement can sometimes increase this in a brain injury patient.
What is arousal?
Asking the date or day of the week checks orientation to this.
What is time?
Doing a task while ignoring noise in the room uses this.
What is selective attention?
If a patient needs the command repeated many times before doing it, they may have trouble with this.
What is processing or understanding directions?
At this level, patients can follow directions and are learning new information but still need help.
What is Rancho Level VI?
A patient opens their eyes when you call their name and can answer questions, but they fall back asleep quickly. This happens multiple times throughout the day. This level of arousal is called this.
What is lethargic?
A patient knows their name and that they are in the hospital, but they think its 1998. They are oriented to these two things.
What are person and place?
Switching between two tasks uses this type of attention.
What is alternating attention?
When we show the patient how to do the action to help them understand the command, we are giving this.
What is a visual cue or demonstration?
This is the highest Rancho level and means the person is more independent and aware.
What is Rancho Level X
A patient who only wakes up when you shake them or speak loudly has this level of arousal.
What is Stuporous?
A patient knows their name, where they are, the date and why they are in the hospital. They are oriented to these four things.
What are person, place, time and situation?
Cooking while talking on the phone uses this.
What is divided attention?