Ranchos Los Amigos Cognitive Functioning

Question 1

I

Answer 1

No response

appears to be in deeps sleep and completely unresponsive

Question 2

II

Answer 2

Generalized Response

• reacts inconsistently and non-purposefully
• responses are limited and often the same regardless the stimuli

Question 3

III

Answer 3

Localized response

• reacts specifically but inconsistently to stimuli
• responses are directly related to the type of stimulus presented
• may follow simple commands in an inconsistent and delayed manner

Question 4

IV

Answer 4

Confused agitated

• behavior is bizarre and non-purposeful relative to the immediate environment
• is unable to cooperate directly with treatment effort
• verbalizations are incoherent and inappropriate to the environment; confabulation may be present
• gross attention to the environment is very brief; selective attention is nonexistent
• patient lacks short and long term recall

Question 5

V

Answer 5

Confused inappropriate

• respond to simple commands fairly consistently
• with increased complexity of commands or lack of any external structure, responses are non-purposeful, random, or fragmented
• demonstrates gross attention to the environment
• highly distractible and lacks the ability to focus attention on a specific task
• may converse on a social automatic level for short periods of time
• verbalization is often inappropriate and confabulatory
• memory is severely impaired; often shows inappropriate use of objects; may perform previously learned tasks with structure, but is unable to learn new information

Question 6

VI

Answer 6

Confused appropriate

• shows goal- directed behaviors
• dependent on external input or direction
• follows simple directions consistently and shows carryover for relearned tasks such as self-care
• responses may be incorrect due to memory problems, but appropriate to the situations
• past memories show more depth and detail than recent memory

Question 7

VII

Answer 7

Automatic Appropriate

• appropriate and oriented within the hospital and home setting
• goes through daily routine automatically but is robot like
• shows minimal to no confusion and has shalow recall of activities
• is able to initiate social or recreational activities; judgement remains impaired

Question 8

VIII

Answer 8

Purposeful-appropriate

• able to recall and integrate past and recent events and is aware of and responsive to environment
• shows carryover for new learning and needs no supervision once activities are learned
• may continue to show a decreased ability relative to premorbid abilities, abstract reasoning, tolerance for stress, and judgement in emergencies or unusual circumstances