Term
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Definition
No Response: Total Assistance
* Complete absence of observable change in behavior when presented visual, auditory, tactile, proprioceptive, vestibular or painful stimuli |
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Term
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Definition
Generalized Response: Total Assistance
*Demonstrates generalized reflex response to painful stimuli
*Responses 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
*Responses noted above may be same regardless of type and location of stimulation
*Responses may be significantly delayed |
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Term
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Definition
Localized Response: Total Assistance
* Demonstrates withdrawal or vocalization to painful stimuli
*Turns toward or away from auditory stimuli
*Blinks when strong light crosses visual field
*Follows moving object passed within the visual field
*Responds to discomfort by pulling tubes or restraints
*Responds inconsistently to simple commands
*Responds directly related to type of stimulus
*May respond to some persons (especially family and friends) but not others |
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Term
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Definition
Confused/Agitated: Maximal Assistance
*Alert and in heightened state of activity
*Purposeful attempts to remove restraints or tubes or crawl out of bed
*May perform motor activities such as sitting, reaching and walking but without any apparent purpose or upon another's request
*Very brief and usually non-purposeful moments of sustained alternatives and divided attention
*Absent short-term memory
*May cry out of scream out of proportion to stimulus even after its removal
*May exhibit aggressive or flight behavior
*Mood swing from euphoric to hostile with no apparent relationship to environmental events
*Unable to cooperate with treatment efforts
*Verbalizations are frequently incoherent and/or inappropriate to activity or environment |
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Term
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Definition
Confused, Inappropriate Non-Agitated: Maximal Assistance
*Alert, not agitated by may wander randomly or with a vague intention of going home
*May become agitated in response to external stimulation, and/or lack of environmental structure
*Not orientated to person, place, or time
*Frequent brief periods, non-purposeful sustained attention
*Severely impaired recent memory, with confusion of past and present in reaction to ongoing activity
*Absent goal directed, problem solving, self-monitoring behavior
*Often demonstrates inappropriate use of objects without external direction
*May be able to perform previously learned tasks when structured and cues provided
*Unable to learn new information
*Able to converse on a social, automatic level for brief periods of time when provided external structure and cues
*Verbalization about present events become inappropriate and confabulatory when external structure and cures are not provided |
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Term
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Definition
Confused, Appropriate: Moderate Assistance
*Inconsistently oriented to person, time and place
*Able to attend to highly familiar tasks in non-distracting environmental for 30 minutes with moderate redirection
*Remote memory has more depth and detail than recent memory
*Vague recognition of some staff
*Able to use assistive memory aide with maximum assistance
*Emerging awareness of appropriate response to self, family, and basic needs
*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 A for new learning with little or no carry over
*Unaware of impairments, disabilities and safety risks
*Consistently follows simple directions
*Verbal expressions are appropriate in highly familiar and structured situations |
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Term
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Definition
Automatic, Appropriate: Min A for ADL
*Consistently oriented to person and place, within highly familiar environments. Mod A for orientation to time
*Able to attend to highly familiar tasks in a non-distraction environment for at least 30 min with min A to complete tasks
*Minimal supervision for new learning
*Demonstrates carry over of new learning
*Initiates and carries out steps to complete familiar personal and household routine but has shallow recall of what she/she has been doing
*Able to monitor accuracy and completeness of each step in routine personal and household ADLs and modify plan with min A
*Superficial awareness of his/her condition but unaware of specific impairments and disabilities and the limits they place on his/her ability to safely, accurately, and completely carry out his/her household, community, work and leisure ADL
*Min Supervision for safety in routine home and community activities
*Unable to think about consequences of a decision or action
*Overestimates abilities
*Unaware of others' needs and feelings
*Oppositional/uncooperative
*Unable to recognize inappropriate social interaction behavior |
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Term
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Definition
Purposeful, Appropriate: Stand-By A
*Consistently orientated to person, place and time
*Independently attends to and completes familiar task for 1 hr in distracting environments
*Able to recall and integrate past and recent events
*Uses assistive memory devices to recall daily schedule, "to-do"lists and record critical information for later use with stand-by assistance
*Initiates and carries out steps to complete familiar personal, household, community, work and leisure routines with stand-by assistance and can modify the plan when needed with min A
*Requires no assistance once new tasks/activities are learned
*Thinks about consequences of a decision or action with minimal assistance
*Depressed
*Irritable
*Low frustration tolerance/easily angered
*Argumentative
*Self-centered
*Uncharacteristically dependent/independent
*Able to recognize and acknowledge inappropriate social interaction behavior while it is occurring and takes corrective action with min a |
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Term
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Definition
Purposeful, Appropriate: Stand-by Assistance on Request
*Independently shifts back and forth between tasks and completes them accurately for at least 2 consecutive hours
*Uses assistive memory decides to recall daily schedule, "to-Do" lists and record critical information for later use with assistance when requested
*Initiates and carreis out steps to compete familiar personal, household, work and leisure tasks independently and unfamiliar personal, household, work and leisure tasks with assistance when requested
*Aware of and acknowledges impairments and disabilities when they interfere with task completion and takes appropriate corrective action but requires stand-by assist to anticipate a problem before it occurs and take action to avoid it
*Accurately estimates abilities but requires stand-by assistance to adjust to task demands
*Acknowledges others' needs and feelings and responds appropriately with stand-by assistance
*Depression my continue
*May be easily irritable
*May have low frustration tolerance
*Able to self-monitor appropriateness of social interaction with stand-by assistance |
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Term
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Definition
Purposeful, Appropriate: Modified Independent
*Able to handle multiple tasks simultaneously in all environments but may require periodic breaks
* Able to independently procure, crease and maintain own assistive memory devices
*Independly initiates and carries out steps to complete familiar and unfamiliar personal, household, community, work and leisure task but may require more than usual amount of time and/or compensatory strategies
*Able to independently think about consequences of decisions or actions but may more than usual amount of time and/or compensatory strategies to select the appropriate decision or action
*Accurately estimates abilities and independently adjusts to task demands
*Able to recognize the need and feelings of others and automatically respond in appropriate manner
*Periodic periods of depression may occur
*Irritability and low frustration tolerance when sick, fatigued and/or under emotional stress
* Social interaction behavior is consistently appropriate |
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