Rancho Los Amigos Levels of Cognitive Functioning Scale
OT Interventions
Random Facts
Levels of alteration of consciousness
100
Spontaneous
To speech
To pain
Nil
What is eye opening?
100
No response: unresponsive to stimuli
What is level I?
100
Stimulating the sense with noxious or pleasant odors, such as spices, almond, vanilla, banana, lemon, perfume, coffee, or other smells familiar to the patient.
What is olfactory sensory stimulation?
100
The cause for children <5 years of age.
What is falls?
100
Unarousability with absences of sleep-wake cycles on EEG and loss of capacity for environmental interaction.
Confused, agitated: response heightened, severely confused, may be aggressive
What is level IV?
200
Begin 1st with simple tasks, such as copying simple designs with a pencil, pegs, or blocks. Incorporate crafts into treatment to increase their ________for following directions and sequencing and timing.
What is cognition?
200
bicycles, horses, skateboards and sports is the cause for people between these ages.
What is 5-15 years of age?
200
Complete loss of ability to interact with the environment despite the capacity for spontaneous or stimulus-induced arousal.
What is vegetative state?
300
Oriented
Confused conversation
Inappropriate words
Incomprehensible sounds
Nil
What is verbal response?
300
Confused, agitated: response heightened, severely confused, may be aggressive
What is level X?
300
Improving the coping skills and frustration tolerance through training in relaxation techniques and by talking about alternative strategies that are socially acceptable or through discussion on handling frustration.
What is a psychosocial intervention?
300
the number of people who suffer sever neurological damage each year.
What is 80,000?
300
Neurobehavioral criteria for this diagnosis include:
• Patients eyes do not open
• Does not follow commands
• Does not mouth or speak recognizable words.
• Does not demonstrate intentional movement
What is coma?
400
a 50% survival rate of severe disability (greater then 6 hours) is a score of ________.
What is a score of 8 or lower?
400
Automatic-appropriate: response robotlike, judgment and problem solving lacking
What is level VII?
400
Stimulation consists of tapes of favorite music or familiar voices, bells, loud alerting noises such as clapping hands, direct conversation to the patient, verbal commands, explanations, and feedback.
What is auditory sensory stimulation?
400
The gender that is 4 times more likely to be injured.
What are males?
400
the state the person is in when they opens their eyes spontaneously or after stimulation.
What is vegetative state?
500
the _____ the score the lower the level of arousal
What is lower?
500
Generalized response: non-specific, inconsistent, and non-purposeful reaction to stimuli
What is level II?
500
May have to perform neurological/ADL re-training of these tasks or have the pt. use AE initially. (ex. grooming, bathing, dressing...)
What is self care retraining?
500
A related disorder to TBI.
What is Personality disorders/Concussion/Amnesia?
500
Have capacity for environmental interaction evidenced through observation or testing. Meaningful responses are inconsistent and depend on external stimulation.