Not at bedside, some of you might wonder how Kathy's mental recovery is progressing. A good tool is the "Rancho Levels of Cognitive Functioning" scale reported earlier in my blog. After review (1 to 10 highest) , I would guess Kathy tonight is a strong level 6.
After reading the scale closer, a lot of people I have run into over the years do not even meet level 9 or 10 ! My gut feeling is Kathy is much more on top of things than she lets on and is sometimes masking her progress with emotional duress and fatigue. The biggest road blocks lies ahead is not her mental recovery but probably getting her strength back and balancing her right and left side. We all know one thing about Kathy, this probably is the easiest road block ahead!
My Conclusion: READ BELOW
Level 6 Confused-appropriate Assistance
Inconsistently oriented to person, and place. Able to attend to highly familiar tasks in non-distracting environment 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 maximal assistance. Emerging awareness of appropriate response to self, family and basic needs. Emerging goal directed behavior related to meeting basic personal needs. Moderate assistance to problem solve barriers to task completion. Supervised for old learning (e.g. self care). Shows carry over for relearned familiar tasks (e.g. self care). Maximal assistance 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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