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Table 37.4

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   Rancho Los Amigos Scale (77)

I.NO RESPONSEUnresponsive to any stimulus
II.GENERALIZED RESPONSELimited, inconsistent, nonpurposeful, often only to pain
III.LOCALIZED RESPONSEPurposeful, may follow simple commands, may focus on object
IV.CONFUSED, AGITATEDHeightened state of activity, confused, disoriented, aggressive behavior, agitation appears to relate to internal confusion, unable to do self-care, unaware of present events
V.CONFUSED, INAPPROPRIATENot agitated, appears alert, responds to commands, distractible, unable to concentrate on tasks, agitation to external stimuli, verbally inappropriate, does not learn new info
VI.CONFUSED, APPROPRIATEGood directed behavior, needs cueing, can relearn old skills, memory problems, some awareness of self and others
VII.AUTOMATIC, APPROPRIATEAppears appropriate, oriented, robotlike in daily routine, minimal or absent confusion, increased awareness of self, lacks insight in to disability; decreased judgment and problem solving, interacts in environment
VIII.PURPOSEFUL, APPROPRIATEAlert, oriented, recalls and integrates new activities, independent in home and living, capable of driving; deficits in stress tolerance/judgment/abstract reasoning, may function at reduced levels in society