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Rancho Level of cog
NBCOT
Question | Answer |
---|---|
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 |