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Details

Rancho Los Amigos Cognitive Functioning Scale
LCFS
10
Health Care
Graduate
07/16/2010

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Cards

Term
Rancho Level 1
Definition
No response: appears asleep, coma
Term
Rancho Level 2
Definition
Generalized and limited response: Reactions to stimuli are not consistent, nonpurposeful, and nonspecific in manner
Term
Rancho Level 3
Definition
Localized response: Patient responds specifically and inconsistently with delays to stimuli, but may follow simple
commands for motor action.
Term
Rancho Level 4
Definition
Confused, agitated response: Patient exhibits bizarre, nonpurposeful, incoherent or inappropriate behaviors, has no shortterm
recall, attention is short and nonselective.
Term
Rancho Level 5
Definition
Confused, inappropriate, nonagitated response:
Patient gives random, fragmented, and nonpurposeful responses to complex or unstructured
stimuli - simple commands are followed consistently, memory and selective attention are
impaired, and new information is not retained.
Term
Rancho Level 6
Definition
Confused, appropriate, response:
Patient gives context appropriate, goal-directed responses, dependent upon external input for
direction. There is carry-over for relearned, but not for new tasks, and recent memory
problems persist.
Term
Rancho Level 7
Definition
Automatic, appropriate response:
Patient behaves appropriately in familiar settings, performs daily routines automatically, and
shows carry-over for new learning at lower than normal rates. Patient initiates social
interactions, but judgment remains impaired.
Term
Rancho Level 8
Definition
Purposeful, appropriate response:
Patient oriented and responds to the environment but abstract reasoning abilities are
decreased relative to premorbid levels.
Term
Rancho Level 9
Definition
Purposeful and appropriate response (stand by assist): can stay on task for up to 2 hours, may need assistive memory devices, completes ADLs and iADLs independently, thinks about consequences, can self monitor social appropriateness, and acknowledges others' needs and feelings.
Term
Rancho Level 10
Definition
Purposeful and appropriate responses (modified independent): independently procures own assistive memory devices, can complete unfamiliar tasks, anticipates problems caused by impairments, makes independent decisions, consistent socially appropriate behavior.
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