Rancho Los Amigos Levels Cognitive Functioning

No response

Level I

Generalized response

Level II

Localized response

Level III

confused-Agitated

Level IV

Confused-inappropriate

Level V

Confused-appropriate

Level VI

Automatic-appropriate

Level VII

purposeful-appropriate

Level VIII

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Number of Rancho Lose Amigos Leves

Level VIII

purposeful-appropriate

Level VII

Automatic-appropriate

Level VI

Confused-appropriate

Level V

Confused-inappropriate

Level IV

confused-Agitated

Level III

Localized response

Level II

Generalized response

Level I

No response

I. No response

Completely unresponsive to any stimuli

II. Generalized response

reacts to stimuli inconsistently

III. Localized response

reacts specifically but inconsistently to stimuli. May follow commands in inconsistent, delayed manner

IV. Confused-agitated

behavior is bizarre and nonpurposeful

IV. Confused-agitated

unable to cooperate directly with treatment efforts

IV. Confused-agitated

verbalizations incoherent and/or inappropriate to the environment

IV. Confused-agitated

gross attention yo environment is very brief

IV. Confused-agitated

patient lacks short-and-long-term recall

IV. Confused-agitated

therapy should be structured, consistant and flexible.

IV. Confused-agitated

the therapist should expect no carry over

V. confused-inappropriate

responds to simple commands fairly inconsistantly

VI. confused-appropriate

follows simple directions consistently

VI. confused-appropriate

would benefit from memory aids and feedback

VII. Automatic-appropriate

oriented within the hospital and home settings

VIII. purposeful-appropriate

recall and integrate past and recent events and is aware and responsive to environment.

VIII. purposeful-appropriate

shows carryover for new learning and needs no supervision once activities are learned

I,II,III

contraindications: weight bearing restrictions, wounds, increased ICP

weight bearing restrictions, wounds, increased ICP

contraindications: I,II,III