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0. NBCOT > Ranchos Los Amigos Scale > Flashcards

Ranchos Los Amigos Scale Flashcards

(68 cards)

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1
Q

Ranchos Level I

A

no response
-does not respond to voices, sounds, light, or touch; appears in a deep sleep

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2
Q

Rancho Level II

A

Generalized response
-limited, inconsistent, non-purposeful responses
-first reaction may be to deep pain
-may open eyes but will not seem to focus on anything in particular

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3
Q

Rancho Level III

A

Localized responses
-inconsistent responses but purposeful in that reacts in a more specific manner to stimulus
-may focus on a presented object
-may follow simple commands

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4
Q

Rancho Level IV

A

Confused/agitated
-Heightened state of activity, confusion
-unable to do self-care
-unaware of present events
-reacts to own inner confusion, fear, disorientation
-excitable behavior amy be abusive or aggressive

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5
Q

Rancho Level V

A

confused, inappropriate, not agitated
-appears alert, responds to commands
-follows task for 2-3 minutes but easily distracted by environment
-frustrated and verbally inappropriate
-does not learn new information

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6
Q

Rancho Level VI

A

Confused, appropriate
-follows simple directions consistently, needs cueing
-can relearn old skills
-serious memory problems but improving
-attention improving
-self-care tasks performed w/o help
-some awareness of self and others

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7
Q

Rancho Level VII

A

Automatic, Appropriate
-If physically able, can carry out routine activities but may have robot-like behavior
-minimal confusion shallow recall
-poor insight into condition
-initiates tasks but needs structure
-poor judgement, problem-solving and planning skills
-overall appear normal

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8
Q

Rancho Level VIII

A

Purposefully appropriate
-alert, oriented
-recalls and integrates past events
-learns new activities and can continue w/o supervision
-independent in home and living skills
-capable of driving
-defects in stress tolerance, judgement, abstract reasoning persist
-may function at reduce levels in society

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9
Q

Rancho Level IX

A

Purposefully appropriate
-[stand-by on request]
(l)’ly shifts back/forth btwn tasks w/good accuracy for at least 2 hours
-have deficit awareness and takes appropriate action when impacted
-requires SBA to anticipate problems before they occur and take action to avoid them
-depression may continue
-pt may be easily irritable and have a low frustration tolerance

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10
Q

Rancho Level X

A

Purposefully appropriate:
[modified independent]; handles multiple tasks simultaneously in all environments
-may require breaks
-is able to take action to avoid problems before they occur
-(l)’ly thinks about actions and their consequences
-occasional depression, irritability and low frustration tolerance may be present when feeling ill, fatigued and/or emotionally distressed

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11
Q

what are the Rancho levels designed to indicate/

A

-the behavior and progression of the survivor as they go through treatment
-they are applicable the 1st few months or weeks following the injury
-are not intended to predict improvement over the long term
-progress is rapid at first
-as months go by, progress will slow and at some point the pt may seem to plateau around level VI or VII
-may have characteristics of more than 1 level at a time

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12
Q

what do rancho stages I-III deal with?

A

-deals with emergence from coma, persistent vegetative state or minimally conscious state

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13
Q

what do rancho levels IV-VI deal with?

A

individuals who are in the process of regaining orientation and memory skills necessary for full consciousness

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14
Q

what do rancho levels VII-X deal with?

A

persistent cognitive, social and emotional changes

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15
Q

which rancho level tends to be dangerous?

A

IV

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16
Q

Generalized response

  • (blank)
    -may open eyes but will not seem to focus on anything in particular
A

Rancho II

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17
Q

-limited, inconsistent, non-purposeful responses

A

RANCHO II

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18
Q

first reaction may be to deep pain

A

RANCHO II

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19
Q

may open eyes but will not seem to focus on anything in particular

A

RANCHO II

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20
Q

Localized responses:

  1. (blank)
  2. (blank)
  3. (blank)
A

RANCHO III

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21
Q

inconsistent responses but purposeful in that reacts in a more specific manner to stimulus

A

RANCHO III

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22
Q

may focus on a presented object

A

RANCHO III

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23
Q

may follow simple commands

A

RANCHO III

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24
Q

Confused/agitated

  1. (blank)
  2. (blank)
  3. (blank)
  4. (blank)
A

RANCHO IV

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25
Heightened state of activity, confusion
RANCHO IV
26
-unable to do self-care
RANCHO IV
27
unaware of present events
RANCHO IV
28
reacts to own inner confusion, fear, disorientation
RANCHO IV
29
excitable behavior amy be abusive or aggressive
RANCHO IV
30
# Confused, inappropriate, not agitated 1. (blank) 2. (blank) 3. (blank)
RANCHO V
31
appears alert, responds to commands
RANCHO V
32
follows task for 2-3 minutes but easily distracted by environment
RANCHO V
33
frustrated and verbally inappropriate
RANCHO V
34
-does not learn new information
RANCHO V
35
# Confused, appropriate 6 items
RANCHO VI
36
follows simple directions consistently, needs cueing
RANCHO VI
37
can relearn old skills
RANCHO VI
38
serious memory problems but improving
RANCHO VI
39
attention improving
RANCHO VI
40
self-care tasks performed w/o help
RANCHO VI
41
some awareness of self and others
RANCHO VI
42
# Automatic, Appropriate 5items-
RANCHO VII
43
If physically able, can carry out routine activities but may have robot-like behavior
RANCHO VII
44
minimal confusion shallow recall
RANCHO VII
45
poor insight into condition
RANCHO VII
46
initiates tasks but needs structure
RANCHO VII
47
-poor judgement, problem-solving and planning skills
RANCHO VII
48
overall appear normal
RANCHO VII
49
# Purposely, appropriate -
RANCHO VIII
50
-alert, oriented
RANCHO VIII
51
recalls and integrates past events
RANCHO VIII
52
earns new activities and can continue w/o supervision
RANCHO VIII
53
independent in home and living skills
RANCHO VIII
54
capable of driving
RANCHO VIII
55
defects in stress tolerance, judgement, abstract reasoning persist
RANCHO VIII
56
may function at reduce levels in society
RANCHO VIII
57
Purposefully appropriate
RANCHO IX
58
-[stand-by on request](l)'ly shifts back/forth btwn tasks w/good accuracy for at least 2 hours
RANCHO IX
59
have deficit awareness and takes appropriate action when impacted
RANCHO IX
60
Requires SBA to anticipate problems before they occur and take action to avoid them
RANCHO IX
61
-depression may continue
RANCHO IX
62
-pt may be easily irritable and have a low frustration tolerance
RANCHO IX
63
Purposefully appropriate:
RANCHO X
64
[modified independent]; handles multiple tasks simultaneously in all environments
RANCHO X
65
may require breaks
RANCHO X
66
Is able to take action to avoid problems before they occur
RANCHO X
67
-(l)'ly thinks about actions and their consequences
RANCHO X
68
-occasional depression, irritability and low frustration tolerance may be present when feeling ill, fatigued and/or emotionally distressed
RANCHO X

0. NBCOT (12 decks)

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