RLA Level Descriptions

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Author:
brau2308
ID:
267876
Filename:
RLA Level Descriptions
Updated:
2014-03-25 12:50:31
Tags:
RLA TBI
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Description:
review of the descriptions of RLA levels
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  1. complete absence of observable change in behavior when presented visual, auditory, tactile, proprioceptive, vestibular or painful stimuli
    I
  2. reflex response to painful stimuli
    II
  3. response to auditory stimuli is increased or decreased actively
    II
  4. response to external stimuli w/ generalized physiological changes, gross body movement and/or non-purposeful vocalizations
    II
  5. responses may be the same regardless of type and location of stimuli
    II
  6. responses may be significantly delayed
    II
  7. demonstrates w/drawal or vocalization to painful stimuli
    III
  8. turns toward or away from auditory stimuli
    III
  9. blinks when strong light crosses visual field
    III
  10. pulling at tubes or restraints
    III
  11. responds inconsistently to simple commands
    III
  12. responses directly related to type of stimulus
    III
  13. may respond to some persons but not to others
    III
  14. alert and in heightened state of activity
    IV
  15. purposeful attempts to remove restraints and tubes
    IV
  16. at danger for falling out of bed
    IV
  17. may perform motor activities such as sitting, reaching, and walking but not on request
    Iv
  18. very brief sustained and divided attention
    IV
  19. very decreased, if any short term memory
    IV
  20. may overreact to stimuli by crying or screaming
    IV
  21. may exhibit aggressive or flight behavior
    IV
  22. mood swings from euphoria to hostile w/o cause
    IV
  23. verbalizations are incoherent or inappropriate
    IV
  24. unable to cooperate w/ tx
    IV
  25. alert, may wander randomly or w/ a vague intention of going home
    V
  26. may become agitated in response to external stimuli and/or lack of environmental structure
    V
  27. not oriented to person, place or time
    V
  28. frequent brief periods of non-purposeful sustained attention
    V
  29. Severely impaired recent memory w/ confusion of past and present in reaction to ongoing activity
    V
  30. may be able to perform previously learned tasks when cues and structure are provided
    V
  31. behavior is not goal directed and is not self-monitored
    V
  32. unable to learn new info
    V
  33. response to simple commands w/o external structure are random and non-purposeful
    V
  34. able to converse on a social, automatic level for brief periods of time
    V
  35. unable to understand joking, sarcasm, etc
    V
  36. verbalizations about present events become inappropriate and confabulatory when external structure and cues are not provided
    V
  37. inconsistently oriented to person, time, and place
    VI
  38. able to attend to highly familiar tasks in non-distracting environment for 30 minutes w/ moderate cues
    VI
  39. able to use assistive memory aide w/ max assist
    VI
  40. emerging awareness of appropriate response to self, family and basic needs
    VI
  41. shows carry over for relearned familiar tasks
    VI
  42. able to follow simple directions consistently
    VI
  43. appropriate verbal expressions in highly familiar and structured situations
    VI
  44. unaware of impairments, disabilities, and safety risks
    VI
  45. consistently oriented to person and place w/in familiar environments, moderate cues for orientation to time
    VII
  46. able to attend to highly familiar tasks for 30 minutes w/ min assist
    VII
  47. able to perform new learning w/ min assist
    VII
  48. has shallow recall of what he/she has been doing after completion of familiar task
    VII
  49. superficial awareness of condition, but unaware of specific deficits and how that impacts his/her ability to fxn in their household or community
    VII
  50. unrealistic planning for future
    VII
  51. consistently oriented to person, place and time
    VIII
  52. can attend and complete familiar tasks in a distracting environment for 1 hour
    VIII
  53. able to recall and integrate past and recent events
    VIII
  54. uses assistive memory devices w/ cues
    VIII
  55. aware of and acknowledges deficits when they interfere w/ task completion but requires assistance to take corrective action
    VIII
  56. overestimates or underestimates abilities
    VIII
  57. depressed, irritable, easily angered, argumentative, self-centered
    VIII
  58. Able to recognize socially inappropriate behavior and able to take corrective action w/ min assist
    VIII
  59. independently shifts back and forth b/w tasks and completes them accurately for at least 2 consecutive hours
    IX
  60. uses assistive memory devices independently
    IX
  61. initiates and carries out familiar tasks independently, unfamiliar tasks w/ SBA
    IX
  62. accurately estimates abilities but requires SBA to adjust to task demands or anticipate a problem or take action to avoid it
    IX
  63. able to monitor social appropriate w/ SBA
    IX
  64. depression may continue, may be easily irritable, may have low frustration tolerance
    IX
  65. able to handle multiple tasks simultaneously in all environments but may require periodic breaks
    X
  66. accurately estimates abilities and independently adjusts task demands, may require increased time or compensatory strategy
    X
  67. compensatory strategies or more time may be necessary to independently complete familiar and unfamiliar tasks
    X
  68. socially appropriate in all settings
    X
  69. periods of depression may occur, irritability and low frustration tolerance when sick, fatigued and/or under emotional stress
    X

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