1
No Response
Total Assist
1,2,3
LEVEL 1 (No Response)-TA
deep sleep/come
no response to any stimuli
2
Generalized Response
MOD I
10
LEVEL 2 (GENERALIZED Response)-TA
may have inconsistent & aimless physical movement, largely due to pain
may open eyes to look blankly unfocused
3
Localized Response
MAX Assist
LEVEL 3 (LOCALIZED Response)-TA
begins to moves & lock in on people/objects
may respond to loud sounds/noise
may follow simple commands "squeeze my hands"
4
Confused, Agitated Response
MOD I/SBA by request
9
LEVEL 4 (Confused, AGITATED)-MAX A
agitated and confused about present state & condition
restless, abusive, aggressive, bizarre behavior
could have incoherent conversation
5
Confused, Inappropriate Response
MOD Assist
6
LEVEL 5 (Confused, INAPPROPRIATE, NON-agitated)-MAX A
more consistent with following simple commands
memory is still impaired & damaged
follows tasks better but easily distracted & tired
need a quiet & less busy environment
6
Confused, Appropriate Response
SBA
8
LEVEL 6 (Confused, APPROPRIATE)-MOD A
INC awareness of family & staff
recognition develops
more appropriate rx & speech
can easily follow simple instructions
memory still impaired
7
Automatic, Appropriate Response
MIN Assist
7
LEVEL 7 (AUTOMATIC, Appropriate)- MIN A
begins to act appropriately; seems to know who they are, where they are, date/time
can take care of daily routine tasks (I) but with safety supervision
judgment & problem solving remains severely impaired
8
Purposeful, Appropriate Response
LEVEL 8 (PURPOSEFUL, Appropriate)-SBA
begins to remember the past, present, & understands the future
(I) & fx appropriately in society
difficulty w? reasoning/judgement
begins to learn a new way to live
can be depressed frustrated w/ new life