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The Rancho Los Amigos Scale (RLAS), 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]
Rancho is licensed for 207 beds. [2] It cares for approximately 4,000 inpatients and conducts 78,000 outpatient visits annually. [15] The hospital provides rehabilitation services in stroke, spinal cord injury, brain injury, pediatrics, orthopedics and diabetes care, pressure ulcer management, limb preservation and post- amputation care. [16]
The Rancho Los Amigos Scale is used to assess individuals after a closed head injury based on cognitive and behavioural presentations as they emerge from coma. It is named after the Rancho Los Amigos National Rehabilitation Center , located in Downey, California, United States.
The scale is administered once each day, until the patient scores 12/12 on three consecutive days. The WPTAS is suitable for patients with moderate-to-severe traumatic brain injury. An abbreviated version of the WPTAS, the Abbreviated Westmead PTA Scale (AWPTAS) assesses patients with mild traumatic brain injury. [33]
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In each case, the symptom is compared with how severe it was before the injury occurred . [4] These symptoms are reported by severity on a scale from 0 to 4: not experienced, no more of a problem, mild problem, moderate problem, and severe problem. [7] The questionnaire asks the sufferer to assess the following symptoms: [7] Headaches
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