Rancho Scale/Allen Scale/Glasgow Flashcards Preview

7/13/15 NBCOT Exam > Rancho Scale/Allen Scale/Glasgow > Flashcards

Flashcards in Rancho Scale/Allen Scale/Glasgow Deck (26):
1

Glasgow Coma Scale

traditional method to assess levels of TBI
scores range from 3-15

2

Glasgow Come Scale - Scores below 8

indicate severe brain injury

3

Glasgow Come Scale - Scores between 9-12

indicate moderate brain injury

4

Glasgow Come Scale - Scores above 14

indicate minor brain injury

5

Glasgow Come Scale - Motor responses assessed

No response (1 pt)
response to pain
movement to painful stimulus
obeys commands

6

Glasgow Come Scale - Verbal responses assessed

No response (1 pt)
incomprehensible speech
inappropriate words
confused conversation but able to answer
oriented to person, place, time

7

Glasgow Come Scale - Eye opening responses assessed

No response (1 pt)
to pain only
when asked w/lout voice
eyes open on own

8

Rancho Los Amigos Scale

awareness/cognitive function after TBI

9

Rancho Los Amigos Scale - Level I (no response)

no response to any stimuli

10

Rancho Los Amigos Scale - Level II (generalized response)

inconsistent /non-purposeful reaction to stimuli

11

Rancho Los Amigos Scale - Level III (localized response)

reaction specifically to stimuli but inconsistent

12

Rancho Los Amigos Scale - Level IV (confused/agitated)

heightened state of activity w/severely decreased ability to process info

-short attention span
-limited short term memory

13

Rancho Los Amigos Scale - Level V (confused/inappropriate non-agitated)

appears alert w/fairly consistent reaction, although increased complexity of commands causes more random responses

-overstimulated by environment
-wander

14

Rancho Los Amigos Scale - Level VI (confused/appropriate )

goal-directed behavior but dependent on external input for direction

-may show carry-over for tasks he has relearned
-able to attend a 30 min structured task
-aware of need for food, thirst, toileting

15

Rancho Los Amigos Scale - Level VII (automatic/appropriate)

appears appropriate and oriented to place/routine but frequently displays shallow recall

-oriented x3
-mannerisms are robot-like
-limited judgement

16

Rancho Los Amigos Scale - Level VIII (Purposeful/appropriate)

client is alert/oriented and able to recall and integrate past/recent events.

-needs no supervision once activities are learned
-indep in home/community
-decreased tolerance for stress, abstract reasoning, judgement in emergencies

17

Allen's cognitive disabilities groups

level 1 - pts would not benefit from the group

level 2 - pts would be successful in situations in which they can move around/copy movement that is modeled

level 3 - pts focus on elements of repetition/manipulation

level 4 - pts work on goal-directed activities such as crafts

level 5 - pts engage in activities w/a graded structure (clay modeling/mosaic project.

18

Dementia effects on occupational performance - Early Stage

-ADLs remain intact
-first signs of memory loss happen in IADLs
-affects orientation to place
-learning/reading become hard
-social withdrawal

19

Dementia effects on occupational performance - Middle Stage

-the person can no longer live alone
-no longer attend to ADLs
-weight loss occurs
-IADLs are neglected
-dependent in community mobility
-safety is a concern

20

Dementia effects on occupational performance - Late Stage

-All areas of occupations are lost
-dependent in all ADLs
-can no longer ambulate safely
-communication is lost

21

Claudia Allen's Cognitive Disability Theory - Cognitive Level 6 - Planned actions

-client is indep

22

Claudia Allen's Cognitive Disability Theory - Cognitive Level 5 - exploratory actions

-supervision is needed
-pt learns through visible, concrete, meaningful stimuli
-pt explores the effects of self-initiated motor actions on physical objects
-pt uses trial-error problem solving
-pt has problems w/judgement, reasoning, planning

23

Claudia Allen's Cognitive Disability Theory - Cognitive Level 4 - goal directed activity

-pt needs min cognitive assistance
-attention is to visual/tactile cues
-can no longer problem solve
-can follow two/three step activities
-activities must be simple, concrete, supportive
-labels/pictures
-task setup
-eat indep but needs supervision for amount of food
-24 hour supervision

24

Claudia Allen's Cognitive Disability Theory - Cognitive Level 3 - manual actions

-mod cognitive assistance
-cannot learn new behaviors
-activities (wiping countertops, vacuuming, walking)
-needs routine
-should avoid sensory overload
-able to wash hands/face and brush teeth
-during bathing items presented to client one at a time
-24 hour supervision

25

Claudia Allen's Cognitive Disability Theory - Cognitive Level 2 - postural actions

-max cognitive assistance
-motor actions are near reflexive
-ADLs can be done by imitating the caregiver
-spontaneous behaviors
-able to eat finger goods
-paces/wanders
-taken to bathroom every 2 hours
-around the clock supervision

26

Claudia Allen's Cognitive Disability Theory - Cognitive Level 1 - automatic actions

-total cognitive assistance
-motor actions are in response to one-word
-needs assistance w/ambulation and transfers
-needs PROM, AROM to prevent bed sores/contractures
-constant 24 supervision
-terminal phase