Allen Levels
Rancho Levels
Burns
Assessments
Definitions
100

How much assistance does an Allen Cognitive Level 1 require?

  • Level 1: Automatic actions, such as swallowing and diverting attention, and requires total assistance
100

Describe rancho level 2.

  • Level II
  • Generalized response- patient reacts to external stimuli in nonspecific, inconsistent and non-purposeful manner
100

What is the rule of nines? 

If an adult burned the dorsal surface of their right arm and their entire right leg what would their burn percentage be?

A technique used to determine burn size in adults.


22.5%

100

Describe the COPM.

Used to help people and their families identify activities that are important to them to work on in therapy. It focuses on everyday activities like self-care, attending school or work, and participating in leisure or play.

100

What is the function of the Cranial nerve XI: Spinal Accessory nerve?

Cranial nerve associated with the following function: 

• innervates sternocleidomastoid and trapezius muscles for motor movements of the shoulder and neck




200

At what ACL can an individual safely live independently? 

Level 4.4

200

What are interventions for ranch levels 1-3?

  • Increase patients’ level of response and overall awareness of self and environment
  • Sensory stimulation, wheelchair position, bed position 
200

Describe a deep partial thickness burn.

Causes cell injury in the epidermis and severe damage to the dermal layer (hair follicles & sweat glands)

Appear blotchy, with areas of whitish color interspersed throughout the wound


200

Describe the Executive function performance test.

Assesses executive function deficits during the performance of real-world tasks (cooking oatmeal, making a phone call, managing meds, and paying a bill)

200

Performance-based test


Type of assessment in which occupational performance is measured through observation and analysis of the client engaging in a functional task


300

Describe an ACL 2?

  • Level 2: Postural actions, such as gross movement in response to proprioceptive cues, and require maximum assistance
300

Describe rancho level 5.

  • Confused inappropriate non-agitated- patient gives random, fragment and non-purposeful responses to complex or unstructured stimuli
  • Simple commands are followed, consistently, new information not retained
300

What is the difference between an allograft and an autograft. 

Allograft: graft from a skin bank; used as a temporary covering to protect against infection, reduce pain, reduce fluid loss, and allow the tissues underneath to heal. Due to the body’s immune system recognition of an allograft being foreign, it rejects the graft in 1-3 weeks; then it is removed.

Autograft: patient’s own unburned skin (donor sites); the grafts will ideally come from locations that are not ordinarily visible (buttocks, upper thighs) b/c the donor sites will not be normal in appearance after they heal

300

What is the target population for the Barthel index?

Population: adults and elders with physical disabilities and/or chronic illnesses, typically used in medical model settings
-Focus: measurement of a person's independence in BADL and functional mobility before and after intervention and level of personal care needed by the individual.

300

Frontal lobe


Major functions of this lobe of the cerebral cortex include:
• emotional control
• impulse control
• motor function
• short-term memory
• initiation
• executive function, including organization, planning, problem-solving
• social and sexual behavior

400

Describe an ACL 3.

  • Level 3: Manual actions, such as grasping at and using objects, and patients at this level can acquire new behaviors through long-term repetitive training
400

What are some interventions for behavioral management for rancho level 4-8.

  • Behavioral management- speaking in calm manner, using simple explanations
400

When should you use a splint to support the healing of a burn and prevent contractors?

Any joint involves in a superficial partial thickness injury or worse has the potential for contractures

400

Name 3 of the 5 areas that the DAY-C examines.

Cognition, Communication, Social-Emotional Development, Physical Development, and Adaptive Behavior

400

Phalen’s test


Screening test used to detect irritation of the median nerve at the wrist, performed by pressing the dorsum of the hands together with wrists fully flexed and fingers pointed down for one minute, a positive test results in paresthesia/tingling in the median nerve distribution

Common screening for carpal tunnel syndrome


500

Describe ACL 6.

  • Level 6: Planning new activity and independent in daily care, finances, and decision-making skills. (Typical person/ totally independent)
500

What are some interventions for neuromuscular impairment for rancho level 4-8.

  • Neuromuscular impairments- proximal to distal, symmetric posture, bilateral integration
500

What are keloid scars and what is the treatment for them? 

Keloid scars: Thick, irregular scarring, typically on the earlobes, shoulders, cheeks, or middle chest; Extends beyond the original wound area.

Intervention: Corticosteroid shots, Laser therapy, Surgical excision, Silicone gel

500

What does the Kohlman Evaluation of Living Skills (KELS) examine?


1) Population: Teens to adults in Acute Psych hospital; or those with a variety of diagnoses
2) Purpose: evaluate the ability to live independently and safely in the community of 17 basic living skills needed to live independently in 5 main areas (self care, safety and health, money management, transportation and telephone, work and leisure)

500

Froment’s sign


Screening test used to detect an ulnar nerve lesion, performed by having a client forcefully hold a piece of paper between the thumb and radial side of the proximal phalanx of the second digit, a positive test results in flexion of the IP joint of the thumb to substitute for absence of the adductor pollicis


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