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ACL Levels
Question | Actions | Conscious |
---|---|---|
ACL level 5 | Exploratory actions (learning new activity) consults with others, considers social standards, self-directed learning, can improve fine details of actions, compares & changes versions. Can be careless, impulsive, trouble recognizing long-term consequences | Interested in relat between objects - must be concrete, obvious. Able to coordinate hands w/more refinement (speed, pressure). Can perform tasks w/3 familiar steps + 1 new step after demo of new. Allen: sufficient for lower ed to function in community |
ACL level 4 | Goal-Directed Activity (familiar activity) Rote learning, personalizing, completing a goal, differentiating features, sequencing. Probably requires cues | Able to copy directions one-step/time, visualize goal/finished product; interest in 2-dimens products (checker pattern mosaic) No plan for details like spacing, relies on prior learning. Trouble recognizing, correcting errors. Can't grasp hidden objects |
ACL level 3 | Manual Actions - uses all objects, senses completion of activity, distinguishes, grasps objects, notes effects of actions, sustains actions. Actions may be pointless or destructive. Needs cues to groom | May behave inappropriately or lack goal direction. Interested in surroundings, easily distracted. Difficulty understanding cause/effect except in own simple acts. May get lost. |
ACL level 2 | Postural Actions (Gross Body Movements) Uses grab bars & railings for support, directed walking to self-id locaions, aimless walking, righting reactions, standing, overcoming gravity. Is aware of effects of gravity on body positions. | May not be aware of social contexts, may wander. Appears to have primitive sense of self separate from environment. May take bizarre postures, 24 care needed |
ACL level 1 | Rasing body parts, rolling/moving in bed, locating stimuli, responding to stimuli, withdrawing from noxious stimuli. Slow response to cues/requests | Conscious but profoundly disabled. Attention span - few seconds. May stare, walk, sit, chew with simple commands or carry out automatic habitual motor routines, such as self-feeding when food presented. Needs 24-hr nursing |
ACL level 0 | COMA: generalized reflexive actions | Unconscious |
ACL level 6 | Planned actions (conceptual ability). Can think ahead, anticipate, predict consequences. Independent & organized | Can appreciate relate. between obj. even when not obvious. Can anticipate errors & how to avoid them. Level 6 - assoc w/ higher ed, occupational bckgrnd, socioecon status |