Coma
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Ranchos Scale of
Cognitive Functioning
Level
I - (No Response)
Unresponsive to all stimuli
Level
II - (Generalized)
Inconsistent, nonpurposeful,
and nonspecific reactions to stimuli
Level
III - (Localized Response)
Inconsistent reaction directly
related to type of stimulus presented
May follow simple commands inconsistently
Level
IV - (Confused, Agitated)
Disoriented and unaware of present
events
Bizarre and nonpurposeful behavior
Limited attention span
Ability to process information
is impaired
Level
V - (Confused, Inappropriate, Nonagitated)
Nonpurposeful behaviors unless
environment is highly structured
Responds to simple commands
fairly consistently
Poor attention and initiation
Often wanders off or attempts
to go home
Level
VI - (Confused, Appropriate)
Behavior is goal-directed but
still needs structure
Responses are approriate to
the situation
Displays difficulty with new
learning
Follows simple commands consistently
Level
VII - (Automatic, Appropriate)
Appears
oriented to setting
Performs
activities of daily living automatically and independently
Judgement
and problem-solving are poor
Lacks
insight into deficits
Level
VIII - (Purposeful, Appropriate)
Completes
familiar tasks for a 1 hour time period independently
Overestimates
or underestimates abilities
Recognizes
inappropriate social behavior with minimal assistance
Uses compensatory
memory devices with intermittent assistance
Level
IX -
Shifts
between tasks for at least 2 hours
Displays
depression, irritability, frustration
Able to
self-monitor in social situations with stand-by assistance
Uses assistive
memory devices upon request
Level
X -
Handles
multiple tasks simultaneously
Estimates
abilities accurately
Appropriate
in social situations
Completes
executive tasks independently
Hagen, C. (2000,
February). TBI rehabilitation in a managed care environment: An
interdisciplinary approach to rehabilitation. Presented in San Antonio,
TX. |
