Term
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Definition
No response to sight, touch, sound, or movement
-complete absence of observable change inbehaviorwhen presented with stimuli |
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Term
| Level 2: Generalized response |
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Definition
respnses may be significantly delayed
-begins to respond to touch, sound, movement, and sight
-responds slowly, inconsistently, or with delay
-responds in the same way to what he hears,or feels, responses can be sweating, increase blood pressure, heavy breathing, and chewing |
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Term
| Level 3: Localized response |
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Definition
emnstrates withdrawl or vocalization to painful stimuli
-turns toward or awa from auditory stimuli
-blinks when strong light crosses visual field
-follows moving object passed within visual field
-responds to discomfort by pulling tubes, restraints and inconsistently responds to simple comands, may respond to some staff and family |
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Term
| Level 4: Confused-agitated |
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Definition
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-alert and in heigthened state of activity
-purposeful attempts to remove restraints or tubes or crawl out of bed
-may perform motor activities such as sitting, reaching, and walking but without any apparent purposeor upon anothers request
-very brief and usually non purposeful moments of sustained alternatives and divided attention
-absent short term memory
-may cry out or scream out of proportion to stimulus even after its removal
-may exhibit aggressive or flight behavior
-mood may swing from euphoric to hostile with no apparent relationship to enviromental events
-unable to cooperate with treatment efforts
-verbalizations are frquently incoherent and or inappropriate to activity
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Term
| Level 5: Confused-inappropriate, non-agitated |
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Definition
-alert, not agitated but may wander randomly with a bague intention of going home
-may become agitated in response to exernal stimuli
-not orienrated to person, place,or time
-frequent brief periods, non purposeful sustained attention
-severly impaired recent memory with confusion of past and present in reaction to ongoing activity
-absent and goal directed
-often demonstrates inappropriate use of objects without external direction
-may be able to perform previously learned tasks when structured and cues are provided
-unable to learn new information
-responses to simple commands without external sturtures and cues but are non puruposeful in relation to command
-able to converse for brief periods of time |
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Term
| Level 6: Confused-apprpropriate |
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Definition
-inconsistently oriented to person, time and place
-able to attend to highly familar tasks in non distracting enviornment for 30 mins with moderate direction
-remote memeory has more depthand detail than recent memory
-bague recognition of some staff
-mod. assist to problem solve barriers to task completion
-supervised for old learning (self care)
-unaware of impariments, disabilities and safety risks
-consistently follows simple directions
-verbal expressions are apropriate in highly familar and structured situations |
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Term
| Level 7: Automatic-appropriate |
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Definition
-consistantly oriented to person and place within highly familar enviroments
-MOD assist with orientation to time
-able to attend to highly familar tasks in a non distraction environment for at least 30 mins with min assist to complete tasks
-min supervision fornew learning
-demonstrates carry over of new learning
-able to monitor accuracy and completeness of each step in routine personal and household adls and modify plan with min assist
-un realistic planning for the future
-unable to think about consequences of a decisionor actin
-overestimates abilities
-unaware of others needs and feelings
-unable to recognize inappropriate social interaction behavior |
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Term
| Level 8: Purposeful-appropriate |
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Definition
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-consistently oriented to person lace and time
-independently completes and attends to familiar tasks for one hour in distracting environments
-able to recall and integrate past events
-uses assistivememor devices to recall daily schedule, initiates and carries out steps to complete familar tasks with sba and can modify the plan when needed with min assist
-requires no assistance once new tasks and activities are learned, is aware of and acknowledges impairments and disabilities
-over estimates and underestemates abilities, acknowledges others needs and feelings and responds appropriately with min assistance
-argumentative
-self centered
-able to recognize and aknowledge inappropriate social interaction behavior while it is occuring and takes corrective action with min assist.
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