Rancho Los Amigos Level of Cognitive Functioning Scale: Difference between revisions

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<p><b>Original Editor </b>- Venugopal Pawar  
'''Original Editor '''- Venugopal Pawar  
</p><p><b>Top Contributors</b>
 
</p>
'''Top Contributors'''
</div>  
</div>  
<h2> Objective<br />  </h2>
== Objective<br>  ==
<p>The Ranchos Los Amigos Scale measures the levels of awareness, cognition, behavior and interaction with the environment.  
 
</p><p><br />  
The Ranchos Los Amigos Scale measures the levels of awareness, cognition, behavior and interaction with the environment.  
</p>
 
<h2> Intended Population<br />  </h2>
<br>  
<p>Head Injury  
 
</p><p>To diagnose the symptoms of Traumatic Brain Injury  
== Intended Population<br>  ==
</p>
 
<h2> Method of Use  </h2>
Head Injury  
<p>RANCHO LOS AMIGOS SCALE<br />AKA Level of Cognitive Functioning Scale (LCFS)  
 
</p>
To diagnose the symptoms of Traumatic Brain Injury  
<ul><li>(1) Level I - No Response.
 
</li></ul>
== Method of Use  ==
<p>Patient does not respond to external stimuli and appears asleep.  
 
</p>
RANCHO LOS AMIGOS SCALE<br>AKA Level of Cognitive Functioning Scale (LCFS)  
<ul><li>(2) Level II - Generalized Response.
 
</li></ul>
*(1) Level I - No Response.
<p>Patient reacts to external stimuli in nonspecific, inconsistent, and nonpurposeful manner with<br />stereotypic and limited responses.  
 
</p>
Patient does not respond to external stimuli and appears asleep.  
<ul><li>(3) Level III - Localized Response.
 
</li></ul>
*(2) Level II - Generalized Response.
<p>Patient responds specifically and inconsistently with delays to stimuli, but may follow simple<br />commands for motor action.  
 
</p>
Patient reacts to external stimuli in nonspecific, inconsistent, and nonpurposeful manner with<br>stereotypic and limited responses.  
<ul><li>(4) Level IV - Confused, Agitated Response.
 
</li></ul>
*(3) Level III - Localized Response.
<p>Patient exhibits bizarre, nonpurposeful, incoherent or inappropriate behaviors, has no shortterm<br />recall, attention is short and nonselective.  
 
</p>
Patient responds specifically and inconsistently with delays to stimuli, but may follow simple<br>commands for motor action.  
<ul><li>(5) Level V - Confused, Inappropriate, Nonagitated Response.
 
</li></ul>
*(4) Level IV - Confused, Agitated Response.
<p>Patient gives random, fragmented, and nonpurposeful responses to complex or unstructured<br />stimuli - Simple commands are followed consistently, memory and selective attention are<br />impaired, and new information is not retained.  
 
</p>
Patient exhibits bizarre, nonpurposeful, incoherent or inappropriate behaviors, has no shortterm<br>recall, attention is short and nonselective.  
<ul><li>(6) Level VI - Confused, Appropriate Response.
 
</li></ul>
*(5) Level V - Confused, Inappropriate, Nonagitated Response.
<p>Patient gives context appropriate, goal-directed responses, dependent upon external input for<br />direction. There is carry-over for relearned, but not for new tasks, and recent memory<br />problems persist.  
 
</p>
Patient gives random, fragmented, and nonpurposeful responses to complex or unstructured<br>stimuli - Simple commands are followed consistently, memory and selective attention are<br>impaired, and new information is not retained.  
<ul><li>(7) Level VII - Automatic, Appropriate Response.
 
</li></ul>
*(6) Level VI - Confused, Appropriate Response.
<p>Patient behaves appropriately in familiar settings, performs daily routines automatically, and<br />shows carry-over for new learning at lower than normal rates. Patient initiates social<br />interactions, but judgment remains impaired.  
 
</p>
Patient gives context appropriate, goal-directed responses, dependent upon external input for<br>direction. There is carry-over for relearned, but not for new tasks, and recent memory<br>problems persist.  
<ul><li>(8) Level VIII - Purposeful, Appropriate Response.
 
</li></ul>
*(7) Level VII - Automatic, Appropriate Response.
<p>Patient oriented and responds to the environment but abstract reasoning abilities are<br />decreased relative to premorbid levels.  
 
</p>
Patient behaves appropriately in familiar settings, performs daily routines automatically, and<br>shows carry-over for new learning at lower than normal rates. Patient initiates social<br>interactions, but judgment remains impaired.  
<h2> Reference<br />  </h2>
 
<p>http://www.traumaticbraininjury.com/symptoms-of-tbi/ranchos-los-amigos-scale/<br />http://www.neuroskills.com/resources/rancho-los-amigos-revised.php  
*(8) Level VIII - Purposeful, Appropriate Response.
</p>
 
<h2> Advantages / Limitations&nbsp;  </h2>
Patient oriented and responds to the environment but abstract reasoning abilities are<br>decreased relative to premorbid levels.  
<h3> Advantage:  </h3>
 
<p>The LCFS is a quick and simple way to present an individual’s level of recovery. It is also useful for making quick comparisons between groups (Johnston et al. 1991). Its simplicity and utility have contributed to its widespread use within the United States (Hall 1997; Hall &amp; Johnston 1994).  
== Reference<br>  ==
</p>
 
<h3> Limitations<br />  </h3>
http://www.traumaticbraininjury.com/symptoms-of-tbi/ranchos-los-amigos-scale/<br>http://www.neuroskills.com/resources/rancho-los-amigos-revised.php  
<p>At present there is no standardized method to derive an LCFS rating. Variable inter-observer agreement has been reported suggesting that standardized rating methods might serve to improve reliability (Beauchamp et al. 2001).  
 
</p>
== Advantages / Limitations&nbsp;  ==
<h3> Interpretability:<br />  </h3>
 
<p>The LCFS is used widely in the United States and provides a quick, global presentation of level of recovery.  
=== Advantage:  ===
</p>
 
<h3> Acceptability:  </h3>
The LCFS is a quick and simple way to present an individual’s level of recovery. It is also useful for making quick comparisons between groups (Johnston et al. 1991). Its simplicity and utility have contributed to its widespread use within the United States (Hall 1997; Hall &amp; Johnston 1994).  
<p>Ratings are derived from observation and represent little or no patient burden. Use of collateral information to derive ratings has not been evaluated.  
 
</p>
=== Limitations<br>  ===
<h3> Feasibility:<br />  </h3>
 
<p>The LCFS is short and simple. It is available free of charge. The LCFS has been evaluated for use in longitudinal assessments.  
At present there is no standardized method to derive an LCFS rating. Variable inter-observer agreement has been reported suggesting that standardized rating methods might serve to improve reliability (Beauchamp et al. 2001).  
</p><p>&nbsp;  
 
</p>
=== Interpretability:<br>  ===
<h2> Links  </h2>
 
<p>http://www.traumaticbraininjury.com/symptoms-of-tbi/ranchos-los-amigos-scale/<br />http://www.neuroskills.com/resources/rancho-los-amigos-revised.php<br />http://www.abiebr.com/set/17-assessment-outcomes-following-acquiredtraumatic-brain-injury/rancho-los-amigos-levels<br />  
The LCFS is used widely in the United States and provides a quick, global presentation of level of recovery.  
</p>
 
<h2> Recent Related Research (from &lt;a href="http://www.ncbi.nlm.nih.gov/pubmed/"&gt;Pubmed&lt;/a&gt;)  </h2>
=== Acceptability:  ===
 
Ratings are derived from observation and represent little or no patient burden. Use of collateral information to derive ratings has not been evaluated.  
 
=== Feasibility:<br>  ===
 
The LCFS is short and simple. It is available free of charge. The LCFS has been evaluated for use in longitudinal assessments.  
 
&nbsp;  
 
== Links  ==
 
http://www.traumaticbraininjury.com/symptoms-of-tbi/ranchos-los-amigos-scale/<br>http://www.neuroskills.com/resources/rancho-los-amigos-revised.php<br>http://www.abiebr.com/set/17-assessment-outcomes-following-acquiredtraumatic-brain-injury/rancho-los-amigos-levels<br>  
 
== Recent Related Research (from &lt;a href="http://www.ncbi.nlm.nih.gov/pubmed/"&gt;Pubmed&lt;/a&gt;)  ==
<div class="researchbox">
<div class="researchbox">
<p><span>Feed goes here!!|charset=UTF-8|short|max=10</span>
<span>Feed goes here!!|charset=UTF-8|short|max=10</span>  
</p>
</div>  
</div>  
<h2> References  </h2>
== References  ==
<p>References will automatically be added here, see &lt;a href="Adding References"&gt;adding references tutorial&lt;/a&gt;.  
 
</p><p>&lt;span class="fck_mw_references" _fck_mw_customtag="true" _fck_mw_tagname="references" /&gt;
References will automatically be added here, see &lt;a href="Adding References"&gt;adding references tutorial&lt;/a&gt;.  
</p>
 
&lt;span class="fck_mw_references" _fck_mw_customtag="true" _fck_mw_tagname="references" /&gt;

Revision as of 12:13, 5 December 2016

Original Editor - Venugopal Pawar

Top Contributors

Objective
[edit | edit source]

The Ranchos Los Amigos Scale measures the levels of awareness, cognition, behavior and interaction with the environment.


Intended Population
[edit | edit source]

Head Injury

To diagnose the symptoms of Traumatic Brain Injury

Method of Use[edit | edit source]

RANCHO LOS AMIGOS SCALE
AKA Level of Cognitive Functioning Scale (LCFS)

  • (1) Level I - No Response.

Patient does not respond to external stimuli and appears asleep.

  • (2) Level II - Generalized Response.

Patient reacts to external stimuli in nonspecific, inconsistent, and nonpurposeful manner with
stereotypic and limited responses.

  • (3) Level III - Localized Response.

Patient responds specifically and inconsistently with delays to stimuli, but may follow simple
commands for motor action.

  • (4) Level IV - Confused, Agitated Response.

Patient exhibits bizarre, nonpurposeful, incoherent or inappropriate behaviors, has no shortterm
recall, attention is short and nonselective.

  • (5) Level V - Confused, Inappropriate, Nonagitated Response.

Patient gives random, fragmented, and nonpurposeful responses to complex or unstructured
stimuli - Simple commands are followed consistently, memory and selective attention are
impaired, and new information is not retained.

  • (6) Level VI - Confused, Appropriate Response.

Patient gives context appropriate, goal-directed responses, dependent upon external input for
direction. There is carry-over for relearned, but not for new tasks, and recent memory
problems persist.

  • (7) Level VII - Automatic, Appropriate Response.

Patient behaves appropriately in familiar settings, performs daily routines automatically, and
shows carry-over for new learning at lower than normal rates. Patient initiates social
interactions, but judgment remains impaired.

  • (8) Level VIII - Purposeful, Appropriate Response.

Patient oriented and responds to the environment but abstract reasoning abilities are
decreased relative to premorbid levels.

Reference
[edit | edit source]

http://www.traumaticbraininjury.com/symptoms-of-tbi/ranchos-los-amigos-scale/
http://www.neuroskills.com/resources/rancho-los-amigos-revised.php

Advantages / Limitations [edit | edit source]

Advantage:[edit | edit source]

The LCFS is a quick and simple way to present an individual’s level of recovery. It is also useful for making quick comparisons between groups (Johnston et al. 1991). Its simplicity and utility have contributed to its widespread use within the United States (Hall 1997; Hall & Johnston 1994).

Limitations
[edit | edit source]

At present there is no standardized method to derive an LCFS rating. Variable inter-observer agreement has been reported suggesting that standardized rating methods might serve to improve reliability (Beauchamp et al. 2001).

Interpretability:
[edit | edit source]

The LCFS is used widely in the United States and provides a quick, global presentation of level of recovery.

Acceptability:[edit | edit source]

Ratings are derived from observation and represent little or no patient burden. Use of collateral information to derive ratings has not been evaluated.

Feasibility:
[edit | edit source]

The LCFS is short and simple. It is available free of charge. The LCFS has been evaluated for use in longitudinal assessments.

 

Links[edit | edit source]

http://www.traumaticbraininjury.com/symptoms-of-tbi/ranchos-los-amigos-scale/
http://www.neuroskills.com/resources/rancho-los-amigos-revised.php
http://www.abiebr.com/set/17-assessment-outcomes-following-acquiredtraumatic-brain-injury/rancho-los-amigos-levels

Recent Related Research (from <a href="http://www.ncbi.nlm.nih.gov/pubmed/">Pubmed</a>)[edit | edit source]

Feed goes here!!|charset=UTF-8|short|max=10

References[edit | edit source]

References will automatically be added here, see <a href="Adding References">adding references tutorial</a>.

<span class="fck_mw_references" _fck_mw_customtag="true" _fck_mw_tagname="references" />

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