Rancho Los Amigos Cognitive Scale
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Level I: No response to pain, touch, sound, or sight.
Level II: Generalized reflex response to pain.
Level III: Localized response. Blinks to strong light, turns toward/away from sound, responds to physical discomfort, inconsistent response to commands.
Level IV: Confused – agitated. Alert, very active, aggressive or bizarre behaviors, performs motor activities, but behavior is non-purposeful, extremely short attention span.
Level V: Confused – non-agitated. Gross attention to environment, highly distractible, requires continual redirection, difficulty learning new tasks, agitated by too much stimulation. May engage in social conversation but with inappropriate verbalizations.
Level VI: Confused – appropriate. Inconsistent orientation to time and place, retentions span/recent memory impaired, begins to recall past, consistently follows simple directions, goal-directed behavior with assistance.
Level VIII: Purposeful- appropriate.
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- Title: Rancho Los Amigos Cognitive Scale
- Author: Michigan Medicine
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- License: “CC BY-NC 4.0”