Rancho Levels 1-4

Level 1

100

List 2 interventions for Rancho Level 1 patients

· PROM

· Positioning

· E-stim

200

True or False

Rancho Level I patients would respond to a loud clap

False- no response to external stimuli

300

What is a secondary complication of prolonged bed mobility for Rancho Level I patients?

· Contractures

· Skin breakdown

· Atrophy

Level 2

100

What senses should you integrate in the sensory stimulation program? 

Vision

Touch

Smell

Taste

Hearing

200

True or False

In Rancho Level II, you will treat your patient for 45 minutes?

False: treatment sessions should be <30 minutes

300

At Level II, responses are typically the same regardless of the type of stimulus. This phrase describes that kind of reaction.

Generalized Response

Level 3

100

A patient's response to stimulation does this at Rancho Level 3.

Localizes

200

The normalization of this cycle begins in Rancho Level 3.

sleep/wake

300

This sign is the first indication of a coma patient emerging into a Minimally Conscious State. 

Visual pursuit

Level 4

100

What is the assistance level for Level 4 Rancho?

Moderate assistance

200

what are 3 ways to reduce overstimulation for a rancho level 4?

reduce noise, dim lights,reduce crowds/visitors

300

when a rancho level 4 becomes agitated and angry during their intervention what is the next best step

BRAIN BREAK!