Allen Cognitive Level Screen (ACLS-5) Overview

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Questions and Answers

What is the attention span for an individual at ACL Level 2?

2-3 minutes (correct)

Hours long

30 minutes

1 second

At which ACL level can a patient perform simple tasks with visual cues and matching?

ACL 1

ACL 3

ACL 5

ACL 4 (correct)

Which criteria would NOT end an assessment according to the ACLS scoring?

Request to continue the assessment

Inability to perform 3 consecutive stitches

Failure to correct an error after two demonstrations

Completion of the first demonstration (correct)

What type of assistance is generally required for a person at ACL Level 3?

Moderate assistance Signup and view all the answers

Which ACL level is characterized by exploratory and independent learning?

ACL 5 Signup and view all the answers

At ACL Level 6, what is a key characteristic of this level?

Planning and Mental Problem Solving Signup and view all the answers

In terms of cognitive levels, which statement is true about ACL Level 1?

Patients demonstrate automatic and reflexive responses. Signup and view all the answers

Which behavior indicates a patient at ACL Level 4?

Engages in routines and familiar tasks. Signup and view all the answers

What is the primary purpose of the Allen Cognitive Level Screen-5 (ACLS-5)?

To identify cognitive levels related to functional cognition Signup and view all the answers

What is the correct starting position for the running stitch in the ACLS-5?

Top-left corner with the smooth side facing up Signup and view all the answers

What indicates a successful completion of the running stitch in the ACLS-5?

Completing three correct running stitches in consecutive holes Signup and view all the answers

What is demonstrated during the administration of the whip stitch in the ACLS-5?

Recognizing and correcting errors while making three stitches Signup and view all the answers

What should the administrator do after an error is identified as 'Cross in Back' during the whip stitch?

Note behavior and ability and proceed with the next stitch Signup and view all the answers

What does the Single Cordovan Stitch require from the client in the ACLS-5?

To engage in self-directed problem-solving Signup and view all the answers

Which of the following is NOT a type of stitch assessed in the ACLS-5?

Chain Stitch Signup and view all the answers

During which task does the client need to demonstrate attention to motor cues?

All three stitch tasks Signup and view all the answers

What performance ability does the ACLS-5 measure in clients?

Cognitive processing capacities Signup and view all the answers

What should be observed when assessing a client's performance during the stitches?

The client's abilities and any deficits exhibited Signup and view all the answers

Study Notes

Allen Cognitive Level Screen (ACLS-5)

Used to identify cognitive levels in clients with Alzheimer's, dementia, TBI, CVA, and other disorders
A quick assessment of functional cognition, processing capacities, learning potential, and performance abilities
Identifies problems with functional cognition
Three visual-motor tasks (leather lacing stitches) are used
Assess attention, responsiveness to sensory/motor cues, understanding instructions, and observing client abilities/deficits
Fosters feelings of success and usefulness

Types of Stitches

Running Stitch: Hold leather, start at top left corner, push needle through, work clockwise, and complete 3 running stitches
Whip Stitch: Start at top left corner, insert needle from front to back, leave 1.5-inch tail, secure under next stitch, and complete 3 whip stitches
Single Cordovan Stitch: Start at top left corner (same as whip), push needle through next hole from front to back, pull lace until half-loop is formed, bring needle to front and push through loop, tighten stitch, complete three stitches

Administration of ACLS-5

Running Stitch: Demonstrate stitch, demonstrate again as needed, three running stitches in consecutive holes are the completion criteria, score observation and go to next stitch.
Whip Stitch: Demonstrate stitch, three correct whip stitches in consecutive holes (and recognizing/correcting errors) are the completion criteria, score observation and go to next stitch.
Error 1 (Cross in Back): "Just do the best you can", note behavior and ability, go to Single Cordovan Stitch if successful.
Error 2 (Twisted Lace): "I'm going to make a mistake to see if you can fix it!", make two errors, note behavior and score observations, go to next stitch.

Single Cordovan Stitch Administration

Ask the client to engage in self-directed problem-solving to complete the stitch
"Please make three stitches without me showing you how to make them. If you cannot figure it out, I will show you."
Verbal cues = Max. 1, Demonstrations = Max. 2
3 correct single cordovan stitches in consecutive holes are the completion criteria
Note and score observations

Ending ACLS-5

Failure to complete 3 correction running or whip stitches is no longer a criterion for ending the assessment
Criteria for determining ending the assessment: completing all 3 stitches, failure to correct error in single cordovan stitch after the second demonstration, refusal to perform or continue with single cordovan demonstration.

Scoring ACLS

Detailed scoring criteria for running stitch, whip stitch, and cordovan stitch tasks
Scores are based on observations of the patient's actions and abilities with specific criteria detailed in Tables.

Allen Cognitive Levels (ACLs)

ACL 0: Coma, unresponsive
ACL 1: Automatic and reflexive, minimal response to environment, 24-hour care, 1-second attention span, and total assistance.
ACL 2: Postural and gross body movements, changes posture for comfort, helps caregiver with simple tasks (like rolling for diaper changes), attention span of ~2-3 minutes, maximum assistance with ADLs.
ACL 3: Manual and repetitive actions, learn simple tasks, tactile cues, 30-minute attention span, moderate assistance with familiar ADLs (ACLS running stitch).
ACL 4: Goal-directed and familiar activity, do simple tasks, visual cues and matching, unable to learn new tasks, routines are important, long attention span (hours), minimal assistance with ADLs (ACLS whip stitch); patient is able to go home from hospital and live alone (4.4-4.6).
ACL 5: Exploratory and independent, new learning of concrete tasks, overt trial and error, frustration tolerance/impulse control, weeks-long attention span, standby assistance with ADLs, weekly supervision, and simple cordovan stitch.
ACL 6: Planning and mental problem-solving, no cognitive disability, multiple-step tasks using analytic reasoning, independent with ADLs (cordovan stitches), "Plan to meet at 6"

Suggested Activities Based on ACL

Specific activities recommended for each ACL, ranging from Total Assist to Modifications to Independent.

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Description

This quiz focuses on the Allen Cognitive Level Screen (ACLS-5), a tool designed to assess cognitive levels in individuals with various neurological disorders. Learn about the tasks involved, types of stitches, and how functional cognition is evaluated. Ideal for healthcare professionals and caregivers.