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Rancho, Allen and Reisburg Levels
Ranchos Levels of Cognitive functioning, Allen Cognitive Levels and Reisburg's Stages of Dementia
31
Health Care
Graduate
01/05/2010

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Cards

Term
Ranchos Level I
Definition
No response/ total assistance
Term
Ranchos Level II
Definition
Generalized response/ total assistance. Demonstrates generalized reflex response to pain/ repeated auditory stimuli -- significantly delayed response
Term
Ranchos Level III
Definition
Localized response/ total assistance. Turns toward auditory stimuli/ tracks visually, pulls away from painful stimuli, inconsistently response to simple commands/ persons.
Term
Ranchos Level IV
Definition
Confused/Agitated/ maximal assistance. Alert/ heightened activity (pulling out tubes/ crawling out of bed). Non-purposeful activities (sitting, walking), mood swings, aggressive/flight behavior, incoherent verbalizations, unable to cooperate with tx.
Term
Ranchos Level V
Definition
Confused/inappropriate/ non-agitated/ Max Assist. Not oriented x3, inappropriate use of objects without purpose, able to respond to simple commands, cannot learn new things, severely impaired memory, no problemm solving, self-monitoring, goal-directed behavior
Term
Ranchos Level VI
Definition
Confused, Appropriate/ Moderate Assistance. Inconsistently oriented to time and place. Mod A to problem solve barriers, remote memory greater detail than recent memory, shows carry over of relearned familiar tasks (selfcare), unaware of safety risks/ impairments, max A for new learning
Term
Ranchos Level VII
Definition
Automatic/Appropriate. Min Assist for ADLs. Min A for new activities, shows carryover of new learning. Shallow recall of events just being done, superficial awareness of condition but unaware of specific impairments and limits on ability to perform ADLS/IADLS etc. Unaware of others' needs/ feelings. Oppositional/defiant, unable to recognize inappropriate social behavior.
Term
Ranchos Level VIII
Definition
Purposeful, Appropriate/ Stand by Assistance. Consistently oriented x3, able to attend to familiar tasks in distracting environment. Uses assistive memory devices with stand-by assistance. Aware of deficits when they interfere with task completion however needs stand-by assist to correct. Min A to think consequences of actions/decisions. Overestimates abilities, low frustration tolerance, self-centered, irritable, self-centered. Requires min A to correct socially inappropriate actions while they occur.
Term
Ranchos Level IX
Definition
Purposeful, Appropriate, Stand-by assistance on request. Able to use assistive memory devices with standby A on request, able to respond appropriately to others' needs w standby A. May be easily irritable/ low frustration tolerance. Able to self-monitor social interactions with standby assist.
Term
Ranchos Level X
Definition
Purposeful, Appropriate. Modified Independent. Can independently procure, create and maintain own assistive memory devices. May require more time and/or compensatory strategies to complete taks,avoid problems etc.
Term
Reisburg Stage I
Definition
No disability noted
Term
Reisburg Stage II
Definition
C/o forgetting normal age-related information (location of keys, wallets)
Term
Reisburg Stage III
Definition
Forgets important information, experiences difficulty completing complex taks, experiences difficulty negotiating directions to new location. Remains I in IADLs, uses compensatory strategies and can avoid problem situations.
Term
Reisburg Stage IV- weaknesses
Definition
Deficits noted in all IADLs. Becomes increasingly forgetful, unable to follow & sequence written cues, unable to perform familiar challenging activities. Word finding difficulties. Requires assistance to manage home.
Term
Reisburg Stage IV- strengths
Definition
Can perform simple, repetitive ADLs independently, can live at home with support, can follow simple verbal and demonstrational cues.
Term
Reisburg Stage V- weaknesses
Definition
Cannot function indpendently. Demonstrates poor judgment, experiences difficulty with all decision making, forgets hygiene.
Term
Reisburg Stage V Strengths
Definition
Can cperform ADL and some IADL with correct cues/ assistance. Can respond to encouragement.
Term
Reisburg Stage VI- weaknesses
Definition
Cannot perform ADLs without cues. Demonstrates signficant deficits in 2-step commands, cannot sequence steps of ADL tasks, cannot speak in full sentences, becomes incontinent of bowel/bladder.
Term
Reisburg Stage VI- strength
Definition
Can perform components of familiar tasks, and can follow hand-over-hand.
Term
ACL Level 1
Definition
Automatic action. Habitual or reflexive actions with attention to internal cues. Dependendent in all ADLs, 24 nsg care required. (severe dementia, acute cva)
Term
ACL Level 2
Definition
Postural Actions. Spontaneous postural reactions to proprioceptive cues. Imitative behaviors, GM actions, Max A in ADLS secondary to limited processing. Wandering/pacing common. 24 hr nsg required.
Term
ACL Mode 2.2
Definition
Person can use righting reactions and name body parts (can walk)
Term
ACL Mode 2.8
Definition
Person can use railing and grab bars for support.
Term
Activities for Level 2
Definition
Teaching new/familiar songs, rhythmic clapping games, sensations
Term
ACL Mode 4.2
Definition
Differentiates between parts of an ativity. Person can be d/c to street. May follow simple bus routine, spend daily allowance, walk to familiar locations.
Term
ACL 3.6
Definition
Person can note effects of actions on an object (wind up toys, sort toys etc).**Understand cause and effect** Can sequence self through self-care when set up in corret linear order.
Term
ACL Mode 4.0
Definition
Person can sequence self through steps to do short term activity. Does not set up/clean up/ correct errors. May recognize errors. Recognizes concept of game- may need cues to take turns, memory impaired. Independent in ADLs.
Term
ACL Mode 4.4
Definition
Person can complete a goal. Needs assistance to problem-solve, tend to areas/objects out of sight. Follows cues to clean up. Can be alone for part of day
Term
ACL Mode 4.6
Definition
Person can scan environment,live alone with daily assistance for personal safety, for daily allowance. May search for clothing items, can personalize crafts, corrects answer. Can play simple, concrete games
Term
ACL Mode 5.0
Definition
Person can learn to improve effects of actions. Person may live alone with weekly checks for safety/problem-solving. Can work in supportive employment. Assistance to anticipate hazards/ prevent social conflict. Does not consider other's needs.
Term
ACL Mode 5.6
Definition
Person can consider social standards. May work where hazards are consistent and predictable. Recognizes group membership and reciprocity.
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