Rancho Los Amigos - Level of Cognitive Functioning (RLA-LOCF)

Assessing Consciousness and Cognitive Function

• Observing a patient's responses to family situations, jobs, and interpersonal conflicts assesses their cognitive function and emotional response.

Levels of Consciousness

• Obtunded patients are characterized by a dull, reduced, or apathetic response to stimuli.
• The Stroop test is an assessment tool used to maintain attention on a question or task.

Rancho Los Amigos – Level of Cognitive Functioning (RLA-LOCF)

• At Level II (Generalized), a patient responds to stimuli in a non-purposeful or reflexive manner.
• At Level IV (Confused-Appropriate), a patient responds to stimuli with a confused or disoriented response, but still shows awareness of their surroundings.
• Verbalizations of a patient at Level VI (Confused-Appropriate) are characterized by inconsistent and often irrelevant responses.

States of Consciousness

• Stupor is a state where a patient responds only to strong, vigorous, or unpleasant stimuli.
• When aroused from sleep, a stuporous patient often exhibits a slow, delayed, or incomplete response.
• An alert patient typically responds to stimuli quickly and appropriately.

Level of Consciousness

• Lethargy refers to a state of drowsiness, reduced awareness, or a decreased response to stimuli, but still with some level of responsiveness.