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10 Cards in this Set
- Front
- Back
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Level I
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NO RESPONSE- TOTAL ASSIST
-Complete absence of observable change in behavior when presented visual, auditory, tactile, proprioceptive, vestibular or painful stimuli. |
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Level II
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GENERALIZED RESPONSE- TOTAL ASSIST
- Demonstrates generalized reflex response to painful stimuli - Responses may be significantly delayed - Responds to repeated auditory stimuli with increased or decreased activity - Responds to external stimuli with physiological changes generalized, gross body movement and/or not purposeful vocalization |
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Level III
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LOCALIZED RESPONSE- TOTAL ASSIST
- Demonstrates withdrawl or vocalization to painful stimuli - Turns toward or away from auditory stimuli - Blinks when strong light crosses visual field - Responds inconsistently to simple commands - May responds to some persons but not others |
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Level IV
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CONFUSED/AGITATED- MAX ASSIST
- Alert and in heightened state of activity - Purposeful attempts to remove restraints or tubes, crawl out of bed - May perform motor activities such as sitting or walking, but without apparent purpose or at request. - Absent short term memory - May exhibit aggressive or flight behavior - Mood swings without relationship to environmental events - Unable to cooperate with treatment efforts |
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Level V
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CONFUSED, INAPPROPRIATE NON-AGITATED- MAX ASSIST
- Alert, no-agitated but may wander randomly or in attempt to go home - May become agitated in response to external stimulation - Not oriented to person, place or time - Frequent brief periods, non-purposeful sustained attention - Severely impaired recent memory, confusion of past and present - Absent goal directed, problem solving - Inappropriate use of objects without external direction - Unable to learn new information, but may be able to perform previously learned tasks with structure/cues - Able to respond appropriately to simple commands with cues - Able to converse on social automatic level with cues |
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Level VI
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CONFUSED, APPROPRIATE- MOD ASSIST
- Inconsistently oriented to person, time and place - Able to attend to highly familiar tasks in non-distracting environment for 30 min with moderate redirection - Remote memory has more detail than recent memory - Vague recognition of some staff - Moderate assist to problem solve barriers to task completion - Supervised for old learning (Self care) - Shows carry-over for relearned familiar tasks (self care) - Max assist for new learning with little or no carry-over - Unaware of disabilities, impairments, safety risks - Verbal expressions are appropriate in highly familiar and structured situations |
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Level VII
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AUTOMATIC, APPROPRIATE- MIN ASSIST FOR DAILY LIVING SKILLS
- Consistently oriented to person and place within familiar environments. Mod assist for orientation to time. - Able to attend to highly familiar tasks in non distraction environment with min assist to complete tasks - Min supervision for new learning - Demonstrates carry-over of new learning - Monitors accuracy and completeness of each step in routine personal and household ADL and modify plan with min assistance. - Superficial awareness of condition, but unaware of specific impairments - Min supervision for safety in routine home and community activities - Unrealistic planning for future - Overestimates abilities - Unable to think about consequences - Unaware of others' needs and feelings and unable to recognize inappropriate social interaction behavior |
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Level VIII
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PURPOSEFUL, APPROPRIATE- STAND-BY ASSISTANCE
- Consistently oriented to person, place and time - Independently completes familiar tasks for 1 hour (distracting environment) - Uses assistive memory devices with stand-by assistance - Initiates steps to familiar routines with stand-by assistance; modifies plan with min assistance. - Requires no assistance once new tasks are learned - Acknowledges impairments when they interfere with task completion, but requires stand-by assistance for corrective action - Thinks about consequences of a decision with minimal assistance - Over/under estimates abilities - Depressed, irritable, easily angered, argumentative, self-centered - Able to recognize and acknowledge inappropriate social behavior and takes corrective action with min assistance. |
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Level IX
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PURPOSEFUL,APPROPRIATE- STAND BY ASSISTANCE ON REQUEST
- Independently shifts between tasks and completes them accurately for at least 2 hours. - Uses assistive memory devices with assistance when requested - Initiates and carries out steps to unfamiliar tasks with req assist. - Aware of impairments, takes appropriate corrective action, but requires stand-by assist to anticipate problem before it occurs and action to avoid it. - Acknowledges others' needs and feelings and responds appropriately with stand-by assistance. - Depression may continue - May be easily irritable and/or have low frustration tolerance. |
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Level X
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PURPOSEFUL, APPROPRIATE- MOD INDEPENDENT
- Able to handle multiple tasks in all environments but may require breaks - Independently procures and uses assistive memory devices - Independently carries out steps to unfamiliar tasks, but may require additional time or compensatory strategies for appropriate decision/action - Independently thinks about consequences, but may require additional time or compensatory strategies to select appropriate action - Accurately estimates abilities and adjusts to task demands - Able to recognize needs and feelings of others and responds appropriately - Periodic depression may occur - Irritable/low frustration tolerance when sick, fatigues, or stressed - Social interaction behavior consistently appropriate |
