CNS INJURIES & INTERVENTIONS-Traumatic brain injury and Rancho Levels

glas

"Severe TBI ="

"3 – 8"

"Moderate TBI ="

"9 – 12"

Mild TBI

13 – 15

"Spontaneous response Eye opening Glasgow Coma Scale"

"4"

"Response to speech Eye opening Glasgow Coma Scale"

"3"

"To painful stimulation Eye opening Glasgow Coma Scale"

"2"

"No response Eye opening Glasgow Coma Scale"

"1"

"Mild TBI ="

"13 – 15"

"Follows commands Motor response Glasgow Coma Scale"

"6"

"Makes localizing movements to pain Motor response Glasgow Coma Scale"

"5"

"Makes withdrawal movements to pain Motor response Glasgow Coma Scale"

"4"

"Flexor (decorticate) posturing to pain Motor response Glasgow Coma Scale"

"3"

"Extensor (decerebrate) posturing to pain Motor response Glasgow Coma Scale"

"2"

"No response Motor response Glasgow Coma Scale"

"1"

"Oriented to person, place, and date Verbal response Glasgow Coma Scale"

"5"

"Converses but is disoriented Verbal response Glasgow Coma Scale"

"4"

"Says inappropriate words Verbal response Glasgow Coma Scale"

"3"

"Says incomprehensible sounds Verbal response Glasgow Coma Scale"

"2"

"No response Verbal response Glasgow Coma Scale"

"1"

"Follows commands Motor response Glasgow Coma Scale"

"6"

"Level I Ranchos"

"No response"

"Level II Ranchos"

"Generalized response"

"Level III Ranchos"

"Localized response"

"Level IV Ranchos"

"Confused-agitated"

"Level V Ranchos"

"Confused-inappropriate"

"Level VI Ranchos"

"Confused-appropriate"

"Level VII Ranchos"

"Automatic-appropriate"

"Level VIII Ranchos"

"Purposeful-appropriate"

"I. • Glasgow Outcome Scale (GOS)"

"Death"

"II. Persistent vegetative state Glasgow Outcome Scale (GOS)"

"Minimal responsiveness"

"III. Severe disability Glasgow Outcome Scale (GOS)"

"Conscious but disabled; dependent on others for daily support"

"IV. Moderate disability Glasgow Outcome Scale (GOS)"

"Disabled but independent; can work in sheltered setting"

"V. Good recovery Glasgow Outcome Scale (GOS)"

"Resumption of normal life despite minor deficits"

"Glasgow Outcome Scale (GOS) <8 ="

"Severe injury (Coma)"

"Score 9-12"

"moderate injury"

"Score 13-15"

"mild injury"

Dynamic Interactional Model FOR

cognitive rehabilitation that emphasizes the interaction between person, activity, and environment to enhance cognitive function and engagement in tasks particular with TBI conditions Rancho levels 7-10

-Problem solving, self awareness and neuroplasticity and higher level thinking