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Rancho Level of cog

NBCOT

QuestionAnswer
Level I No response: Total Assistance
Level I Definition Complete absence of observable change in behavior when presented visual, auditory, tactile, proprioceptive, vestibular or painful stimuli
Level II Generalized Response: Total Assistance
Level II Definition Demos generalized reflex response to painful stim; Responds to repeated aud. stim with increased or decreased activ; Responds to ext. stim with physiological changes generalized, gross body mvt and/or not purposeful vocalization;responses may be delayed
Level III Localized Response: Total Assistance
Level III Definition Demos withdrawal or vocalization to painful stim;turns toward/away from aud stim;blinks when strong light crosses visual field;follows moving obj passed within vf;responds to discomfort by pulling tubes;may respond to some persons
Level IV Confused/Agitated: Maximal Assistance
Level IV Definition Alert & in heightened state of activity;purposeful attempts to remove restraints or crawl out of bed;absent short term memory;may cry out or scream out of proportion to stim even afters its removal;may exhibit aggressive or flight behavior; mood swings
Level V Confused, Inappropriate Non-Agitated: Maximal Assistance
Level V Definition Alert, not agitated but may wander randomly or with a vague intention of going home;not oriented to person, place, or time;frequent brief periods, non-purposeful sustained attention; unable to learn new info;appro response to simple commands
Level VI Confused, Appropriate: Moderate Assistance
Level VI Definition Inconsistently oriented to person,time,place;able to attend to highly familiar tasks in non-distracting environ for 30 min with mod redirection;mod a to problem solve barriers to task completion;shows carryover for relearned familiar tasks
Level VII Automatic, Appropriate: Minimal Assistance for Daily Living Skills
Level VII Definition Consistently oriented to person & place within highly familiar environ;Min supervision for new learning; demos carry over of new learning;superficial awareness of condition;initiates & carries out steps to complete fam household & personal routine
Level VIII Purposeful, Appropriate: Stand-by Assistance
Level VIII Definition Consistently oriented to person, place, & time;Independently attends to & completes fam tasks for 1 hour in distracting environments;able to recall & integrate past & recent events; uses assistive memory devices;requires no help once new tasks are learned
Level IX Purposeful, Appropriate: Stand-by Assistance on Request
Level IX Definition Independently shifts back&forth bt tasks & completes them accurately for at least 2 consecutive hrs;aware of & acknowledge impairments when they interfere with task completion & takes appro corrective action but req SBA to anticipate prob before it occurs
Level X Purposeful, Appropriate: Modified Independent
Level X Definition Able to handle mult tasks simultaneously in all environments but may require periodic breaks; Independently initiates & carries out steps to complete familiar & unfam personal, household, comm, work & leisure tasks; accurately est abilities & Ily adjusts
Created by: saherrera
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