Ranchos Los Amigos Scale
Pronunciation: RAN-chos lohs ah-MEE-gohs
An eight-level cognitive assessment scale used to track recovery progression in traumatic brain injury patients.
Full Definition
The Ranchos Los Amigos Scale of Cognitive Functioning is a behavioral rating scale that describes eight levels of cognitive and behavioral recovery following traumatic brain injury. Levels range from I (no response) to VIII (purposeful and appropriate functioning). This scale provides a common language for rehabilitation teams to communicate about patient progress and guide treatment planning. Each level describes characteristic behaviors, responses to stimuli, and functional capabilities, allowing for appropriate goal setting and intervention strategies tailored to the patient's current cognitive status.
Usage
Usage note: Always capitalize the proper noun portions; levels are typically written with Roman numerals.
In Context
- "The patient currently functions at Ranchos Los Amigos Scale Level V, demonstrating confused-inappropriate responses." — neuropsychology evaluation
- "Progression from Ranchos Los Amigos Scale Level III to IV indicates emerging purposeful responses to stimulation." — rehabilitation progress note