Rancho Los Amigos

Question 1

Level 2

Answer 1

Generalized response. Total assist

Inconsistent and non purposeful reactions to stimuli

Question 2

Level 3

Answer 2

Localized response. Total assist

Reacts specifically to stimuli, though inconsistently

Question 3

Level 4

Answer 3

Confused/agitated. Max assist

Heightened state of activity with severely decreased ability to process info

Question 4

Level 5

Answer 4

Confused, inappropriate non-agitated. Max assist

Appears alert with fairly consistent reactions, although increased complexity of commands causes more random responses.

Question 5

Level 6

Answer 5

Confused appropriate. Moderate assist

Exhibits goal directed behavior but is dependent on external input for direction

Question 6

Level 7

Answer 6

Automatic appropriate. Min assist with daily living skills.

Behaves appropriately and is oriented to place and routine but frequently displays shallow recall.

Question 7

Level 8

Answer 7

Purposeful appropriate. Stand-by assistance

Alert and oriented & able to recall and integrate past and recent events.

Decreasing need for daily assistance.

Question 8

Level 9

Answer 8

Purposeful appropriate. Stand-by assistance on request.

Alert and oriented & able to recall and integrate past and recent events.

Decreasing need for daily assistance.

Question 9

Level 10

Answer 9

Purposeful appropriate. Mod I

Alert and oriented & able to recall and integrate past and recent events.

Decreasing need for daily assistance.

Question 10

Level 1

Answer 10

No response. Total assist

Completely unresponsive to any stimuli presented.