Rancho Los Amigos Scale-Revised

<p>Anger explosivo (A)</p> Signup and view all the answers

<p>Coma pro &gt; 2 hebdomadas (A)</p> Signup and view all the answers

<p>Resistente (D)</p> Signup and view all the answers

<p>Rapiditate de parlar (C)</p> Signup and view all the answers

<p>Age &gt; 65 annos (C)</p> Signup and view all the answers

<p>Pacing (C)</p> Signup and view all the answers

<p>Moderate Assist (B)</p> Signup and view all the answers

<p>Le nivello VIII es considerato automatic, le IX es activamente apropriato (D)</p> Signup and view all the answers

<p>Maximal Assist (C)</p> Signup and view all the answers

<p>Supporto emotional e stimulation (B)</p> Signup and view all the answers

<p>Localized Response (B)</p> Signup and view all the answers

<p>Minimal Assist (B)</p> Signup and view all the answers

<p>Le patient responde generalmente a stimulos (D)</p> Signup and view all the answers

<p>Le nivello de assistentia academic (D)</p> Signup and view all the answers

<p>Confuso e inappropriate, non agitate. (A)</p> Signup and view all the answers

<p>Activitates physique e cognitives in combination (C)</p> Signup and view all the answers

<p>Stand-by assist (B)</p> Signup and view all the answers

<p>Le minus probable (D)</p> Signup and view all the answers

<p>Promover le activitate cognitive (C)</p> Signup and view all the answers

<p>Total (C)</p> Signup and view all the answers

<p>Level IV (D)</p> Signup and view all the answers

<p>Behaviour excessive in un state alterate de consciousness (B)</p> Signup and view all the answers

<p>Purposeful and appropriate (C)</p> Signup and view all the answers

<p>Moderate Assist (C)</p> Signup and view all the answers

<p>14 (B)</p> Signup and view all the answers

<p>Le patientes in un stato minimo consciente pote responder ad stimulos. (D)</p> Signup and view all the answers

<p>Interventiones psychologic (C)</p> Signup and view all the answers

<p>Possibilitate de recuperation (D)</p> Signup and view all the answers

<p>Repulsione a stimulos (C)</p> Signup and view all the answers

<p>Moderate Assist (B)</p> Signup and view all the answers

<p>Facilitar le determination de le niveau de consciousness (C)</p> Signup and view all the answers

<p>Modified independence (D)</p> Signup and view all the answers

<p>Moderate Assist (C)</p> Signup and view all the answers

<p>Level IV (B)</p> Signup and view all the answers

<p>Purposeful, appropriate responses (A)</p> Signup and view all the answers

<p>Excessive motor activity (A)</p> Signup and view all the answers

<p>Level I (A)</p> Signup and view all the answers

<p>Stand-by Assist (B)</p> Signup and view all the answers

<p>14 (A)</p> Signup and view all the answers

<p>Level V (C)</p> Signup and view all the answers

<p>Automatic and appropriate response (D)</p> Signup and view all the answers

<p>Generalized response (A)</p> Signup and view all the answers

<p>It can differentiate between all levels of consciousness accurately. (C)</p> Signup and view all the answers

<p>Vegetative state (B)</p> Signup and view all the answers

<p>Patient requires full support for all activities (A)</p> Signup and view all the answers

<p>Total (C)</p> Signup and view all the answers

<p>Ensure safety and orientation (D)</p> Signup and view all the answers

<p>Variable, depending on individual factors (C)</p> Signup and view all the answers

<p>Stand-by assist (B)</p> Signup and view all the answers

<p>Promoting consistent behaviors in familiar environments (A)</p> Signup and view all the answers

<p>Agitated and inappropriate actions (C)</p> Signup and view all the answers

<p>Modified independence (A)</p> Signup and view all the answers

<p>Level IV (D)</p> Signup and view all the answers

<p>Stimulating localized responses to commands (C)</p> Signup and view all the answers

<p>Managing confusion and agitation (B)</p> Signup and view all the answers

<p>No response to stimuli (C)</p> Signup and view all the answers

<p>Level III (B)</p> Signup and view all the answers

<p>Providing cues and support to enhance awareness (C)</p> Signup and view all the answers

<p>Neuroplasticity is maximized during the initial recovery. (D)</p> Signup and view all the answers

<p>High levels of initial agitation (B)</p> Signup and view all the answers

<p>Pacing and excessive movement (C)</p> Signup and view all the answers

<p>Maintaining a structured environment (B)</p> Signup and view all the answers

<p>Sudden mood changes (B)</p> Signup and view all the answers

<p>Unlikely association with positive recovery (A)</p> Signup and view all the answers

<p>Level III (B)</p> Signup and view all the answers

<p>Impulsivity and irritability (B)</p> Signup and view all the answers

<p>Rarely associated with severe disability (C)</p> Signup and view all the answers

<p>Older age is associated with poorer prognosis (D)</p> Signup and view all the answers

A scale used to evaluate the level of consciousness in patients with disorders of consciousness.

No response; patient shows no reaction to stimuli.

Generalized response; patient shows a generalized response to stimuli.

Localized response; patient shows a localized response to stimuli.

Confused and agitated; patient is confused and agitated.

Confused and inappropriate, nonagitated; patient is confused and inappropriate but not agitated.

Confused and appropriate; patient is confused but their actions are suitable.

Automatic and appropriate; patient has automatic actions and they are proper.

Purposeful and appropriate; patient shows purposeful responses and their actions are adequate and correct.

Purposeful and appropriate; patient demonstrates actions that are adequate and correct.

Purposeful and appropriate; patient can perform actions independently.

Conditions where a person's awareness and responsiveness are impaired.

Levels of consciousness, part of the Rancho Los Amigos Scale, focusing on the early stages of cognitive function recovery.

The process of evaluating a patient's awareness and responsiveness, by observing their actions.

Un scala per determinar le nivel de conscientia in pacientes con coma.

Un stato de conscientia in le qual le paciente non respondi a stimulos externe.

Un stato de conscientia in le qual le paciente pote respondi a stimulos externe.

Un scala per describer le responsione de un paciente, usante observation clinic.

Comportamentos excessive in un stato de alteration de conscientia e reduction de function cognitive.

Un scala de observation de 14 comportamentos.

Le grado de apertura e responsione cognitive (mental) a stimulos.

Agir in maniera temprana per prevenir un evento malo.

Le quantitate de support e ghidamento require per un paciente.

Le frequentia in qual un evenimento occurre.

Le causa de un evento.

Le prevision del curso futur de un maladie

Uncooperative, resistant behavior, demanding attitude, and/or restlessness.

Agitation score of 36 or more, indicating high level of agitation.

Agitation score between 29 and 35.

Agitation score between 22 and 28.

Low likelihood of a good recovery, often associated with unfavorable outcomes.

Injury to both sides of the brainstem on MRI.

A collection of blood outside the dura mater.

A collection of blood beneath the dura mater.

Most motor improvement with traumatic brain injury occurs within the first six months.

Majority of motor improvement in TBI cases happens by 6 months after injury.

There are three levels of agitation measured by the Agitated Behavior Scale: Mild, Moderate, and Severe. Severity increases as the score on the scale goes up.

Many patients with a TBI see the majority of their motor recovery within the first 6 months after the injury, highlighting the importance of early intervention and rehabilitation.

A standardized assessment tool used to evaluate the level of consciousness in patients with disorders of consciousness, such as coma, vegetative state, and minimally conscious state.

A state of wakefulness without awareness. Patients in a vegetative state may have their eyes open, exhibit sleep-wake cycles, and have some reflex responses, but they lack awareness of themselves or their surroundings.

A state of consciousness where there is some evidence of awareness, but it is inconsistent and limited. Patients in a minimally conscious state may show purposeful behaviors or react to their environment in a limited way.

The CRS-R uses 10 levels to assess consciousness, ranging from no response (Level I) to purposeful and appropriate behavior (Level X).

A state of excessive behavior that occurs in patients with altered consciousness and cognitive impairment following a traumatic injury.

The progression of a disease or condition over time.

Factors that need to be considered when designing a rehabilitation program for patients with disorders of consciousness.

The treatment and care provided by medical and surgical professionals to patients with disorders of consciousness.

Tests used to diagnose and monitor patients with disorders of consciousness, such as blood tests, imaging scans, and neuropsychological assessments.

The typical symptoms and signs observed in patients with disorders of consciousness.

A 10-level scale used to assess a person's level of consciousness and cognitive function after a brain injury.

This level denotes a state of confusion and agitation following a brain injury. The person may be confused, restless, and experience fluctuations in their behavior.

This level denotes a state of confusion where the person's actions are somewhat appropriate and they display emerging awareness. Though still confused, their behavior is more aligned with reality.

Time is a crucial factor in recovery. Most motor improvement occurs within the first six months after a traumatic brain injury.

Lab tests, imaging studies (like MRIs), and assessments are used to determine the cause and severity of a disorder of consciousness. These tests can help pinpoint the areas of brain damage and guide treatment approaches.

Medical management focuses on addressing any underlying medical conditions, providing supportive care, and facilitating rehabilitation. Surgical interventions may be necessary depending on the cause and severity of the injury.

Rehabilitation aims to improve cognitive functions, enhance communication skills, boost physical mobility, and help patients regain their independence.

Levels of assist range from total assistance (patient requires full help) to modified independence (patient can perform tasks with minimal support). The level of assist needed varies based on the individual's recovery progress.

Agitation, including restlessness, aggression, and disruptive behavior, is a challenging symptom often seen in patients with disorders of consciousness. It can make rehabilitation and care more difficult.

Factors like the severity of the injury, the presence of other medical conditions, and the individual's overall health can influence their long-term recovery.

Bilateral brainstem lesions, or injuries to both sides of the brainstem, can severely impact prognosis. These injuries often result in significant cognitive and motor impairment.

A poor prognosis indicates a low likelihood of a good recovery. Patients with unfavorable outcomes may face significant long-term limitations in their cognitive and physical functions.