In ranchos level one, the patient appears to be in a deep sleep and is completely unresponsive to any stimuli.
Rancho level two is also known as generalized response.
In rancho level two, the patient reacts inconsistently and non-purposefully to stimuli in a nonspecific manner.
In rancho level two, responses are limited and often the same regardless of the stimulus presented.
Rancho level three is also known as localized response.
In rancho level three, the patient reacts specifically, but inconsistently to stimuli. Responses are directly related to the type of stimulus presented.
Patients in rancho level three may follow simple commands such as closing the eyes or squeezing the hand in a delayed inconsistent manner.
Rancho level four is also known as confused agitated.
In rancho level four the patient is in a heightened state of activity. Behavior is bizarre and non-purposeful relative to the immediate environment.
Patients that are rancho level four will not discriminate among persons or objects and is unable to cooperate directly with treatment efforts.
Verbalizations from rancho level four are frequently incoherent and inappropriate to the environment.
Confabulation is common with rancho level four patients.
Rancho level four patient's gross attention to the environment is very brief. Their selective attention is nonexistent.
Patients that are rancho level four will lack short term and long term recall.
Patients with rancho level four will think irrationally and have impaired judgement.
Rancho level four patients will not be oriented to time, place, or situation.
Rancho level four patients with disinhibit.
Rancho level five is also known as confused inappropriate.
Patients that are rancho level five are able to respond to simple command consistently .
Patients that are rancho level five may be able to converse on a social automatic level for short periods of time with structure.
Level five rancho patients will demonstrate gross attention to the environment but are highly distractable and lacks the ability to focus attention on specific tasks.
Rancho level five patients with have inappropriate and confabulatory verbalization.
Rancho level five patients have severely impaired memory and often show inappropriate use of objects.
Rancho level five patients may perform previously learned tasks with structure but are unable to learn new information.
Rancho level five patients may wander randomly or with a vague intention of going home.
Rancho level five patients may become agitated in response to external stimulation or lack of structure.
Rancho level six is also known as confused appropriate.
Rancho level six patients show goal-directed behavior but are dependent on external input or direction.
Rancho level six patients follow simple directions consistently and show carryover for relearned tasks, such as self care.
Responses of rancho level six patients may be incorrect due to memory problems, but they are appropriate to the situation.
Rancho level six patients will be inconsistently oriented to person, time, and place.
Rancho level six patients will vaguely recognize staff and will slowly become aware of basic needs (hunger or need to use the restroom).
Rancho level six patients are supervision assist for old learning, but maximum assist for new learning with little to no carryover.
Rancho level six patients are unaware of impairments, disabilities, and safety risks.
Rancho level six patients will verbalize appropriately in highly familiar and structures situations.
Rancho level seven is also known as automatic appropriate.
Rancho level seven patients appear appropriate and oriented within the hospital and home setting.
Rancho level seven patients will go through their daily routine automatically, but frequently robot-like.
Patients in rancho level seven will show minimal to no confusion and will have shallow recall of activities.