Ranchos Los Amigos Levels of Cognitive Functioning
Eight-level scale measuring cognitive recovery and behavioral patterns following traumatic brain injury.
Full Definition
The Ranchos Los Amigos Levels of Cognitive Functioning is a comprehensive eight-level assessment scale used to evaluate and track cognitive recovery in patients following traumatic brain injury. Developed at Rancho Los Amigos National Rehabilitation Center, the scale progresses from Level I (No Response) through Level VIII (Purposeful, Appropriate). Each level describes characteristic behaviors, cognitive abilities, and functional capacities, providing a framework for treatment planning and family education. The scale is widely used in rehabilitation settings to communicate patient status, set appropriate goals, and determine suitable therapeutic interventions and environmental modifications.
Usage
Usage note: Commonly abbreviated as RLAS; specify level number when documenting.
In Context
- "The patient progressed from Rancho Level IV to Level VI over the course of acute rehabilitation." — Discharge summary
- "Current Ranchos Los Amigos level indicates readiness for community re-entry training." — Team conference notes