Rancho Los Amigos Scale

Rancho Los Amigos Scale

The Rancho Los Amigos Scale (a.k.a. the Rancho Los Amigos Levels of Cognitive Functioning Scale (LOCF) or Rancho Scale) is a medical scale used to assess individuals after a closed head injury, including traumatic brain injury, based on cognitive and behavioural presentations as they emerge from coma.[1] It is named after the Rancho Los Amigos National Rehabilitation Center, located in Downey, California, United States.

After being assessed based on the LOCF, individuals with brain injury will receive a score from one to eight. A score of one represents non-responsive cognitive functioning, whereas a score of eight represents purposeful and appropriate functioning.[2]

Each of the eight levels represents the typical sequential progression of recovery from brain damage. However, individuals will progress at different rates and may plateau at any stage of recovery. These patients will be scored based on combinations of the following criteria:[2]

  • responsiveness to stimuli
  • ability to follow commands
  • presence of non-purposeful behaviour
  • cooperation
  • confusion
  • attention to environment
  • focus
  • coherence of verbalizations
  • appropriateness of verbalizations and actions
  • memory recall
  • orientation
  • judgement and reasoning

LOCF scores are used by the health care professionals for standardized communication about patient status and can be used by physical therapists, occupational therapists, and speech language pathologists as the basis for treatment planning.[2]

This eight-level scale was found to possess test-retest and interrater reliability as well as concurrent and predictive validity.[3] It is widely used clinically and is often paired with the Glasgow Coma Scale in health care facilities.[2]

References

  1. ^ Rancho Los Amigos National Rehabilitation Center. (1 March 2011). The Rancho Levels of Cognitive Functioning. Retrieved May 15, 2011, from http://www.rancho.org/Research_RanchoLevels.aspx
  2. ^ a b c d Fulk, G. D. (2007). Traumatic Brain Injury. In S. B. O’Sullivan & T. J. Schmitz (Eds.), Physical Rehabilitation (5th ed., pp. 895-935). Philadelphia, PA: F. A. Davis Company.
  3. ^ Gouvier, W. D., Blanton, P. D., LaPorte, K. K., & Nepomuceno, C. (1987). Reliability and validity of the Disability Rating Scale and the Levels of Cognitive Functioning Scale in monitoring recovery from severe head injury. Archives of Physical Medicine and Rehabilitation, 68(2), 94-97.

External links

Please see http://www.rancho.org/Research_RanchoLevels.aspx for a complete description of the scale.

See also


Wikimedia Foundation. 2010.

Игры ⚽ Поможем сделать НИР

Look at other dictionaries:

  • Rancho Los Amigos National Rehabilitation Center — Infobox Hospital Name = Rancho Los Amigos National Rehabilitation Center Org/Group = Los Angeles County DHS Caption = Location = Region = Downey State = California Country = US HealthCare = Public, Medicaid, Medicare Type = Specialist Speciality …   Wikipedia

  • Glasgow Coma Scale — The Glasgow Coma Scale or GCS, sometimes also known as the Glasgow Coma Score is a neurological scale which aims to give a reliable, objective way of recording the conscious state of a person, for initial as well as continuing assessment. A… …   Wikipedia

  • Downtown Los Angeles —   Neighborhood of the City of Los Angeles   Downtown skyline during sunset as seen from Griffith Observatory …   Wikipedia

  • ASA score — ASA stands for American Society of Anesthesiologists. In 1963 the ASA adopted a five category physical status classification system for assessing a patient before surgery. A sixth category was later added. These are: #A normal healthy patient. #A …   Wikipedia

  • ASA physical status classification system — The ASA physical status classification system is a system for assessing the fitness of patients before surgery. In 1963 the American Society of Anesthesiologists (ASA) adopted the five category physical status classification system; a sixth… …   Wikipedia

  • Coma — For other uses, see Coma (disambiguation). Coma ICD 10 R40.2 ICD 9 780.01 In medicine, a coma (from the Greek κῶμα koma, meaning deep slee …   Wikipedia

  • Descanso Gardens — rosarium Descanso Gardens, located in La Cañada Flintridge, Los Angeles County, California, is a 150 acres (61 ha) botanical garden. At one time, this property belonged to newspaper magnate E. Manchester Boddy, who owned the Los Angeles… …   Wikipedia

  • History of robots — The history of robots date at least as far back as the ancient legends.Robotics in AntiquityLikely fictional, the Iliad illustrates the concept of robotics by stating that the god Hephaestus made talking mechanical handmaidens out of gold. cite… …   Wikipedia

  • Winston Patrick Kuo — (born February 13, 1965) is a Chinese American computational biologist that specializes in utilizing translational technologies to solve biomedical related issues. He is currently an Instructor [http://www.hsdm.harvard.edu/faculty/faculty… …   Wikipedia

  • Orange County, California — For other uses, see Orange County (disambiguation). Coordinates: 33°40′N 117°47′W / 33.67°N 117.78°W / 33.67; 117.78 …   Wikipedia

Share the article and excerpts

Direct link
… Do a right-click on the link above
and select “Copy Link”