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After a Brain Injury

Rancho Los Amigos Scale

Level 7

When someone is level 7, they act a lot like their usual self. They:

can do everyday tasks without getting confused (or only getting a bit confused)
know and recognize staff, family, where they are, and what’s going on around them
know they’ve had a brain injury but may not know the details
can learn new things, but not as fast as they could before the injury
have a better memory, but there are still gaps
still have some problems with making good decisions (judgment), problem solving, and planning
may start doing activities they like without someone suggesting it
can do their own self-care (like brushing their teeth and bathing)

How to help during level 7

You can do the following to help your loved one during level 7:

Talk about things in the home that could be dangerous. Ask them to tell you what they have to do to stay safe.
Encourage them to write in their journal every day. You can also have them set up a reminder on a phone.
When you talk with them, make sure that your words, actions, and body language are clear. Use the same words, actions, and body language (rather than a mix of different ones) so they begin to understand what you mean more quickly. They may not understand teasing and sarcasm.
Support them as needed when they make decisions.
Be patient and creative. They may still be slow to answer questions, start conversations, or do an activity.
Help them think of other things to do (especially if they’re spending a lot time watching TV, for example).
Encourage them to keep having therapy or to go for counselling.

Current as of: June 4, 2021

Author: Calgary Brain Injury Program, AHS

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This material is not a substitute for the advice of a qualified health professional. This material is intended for general information only and is provided on an "as is", "where is" basis. Although reasonable efforts were made to confirm the accuracy of the information, Alberta Health Services does not make any representation or warranty, express, implied or statutory, as to the accuracy, reliability, completeness, applicability or fitness for a particular purpose of such information. Alberta Health Services expressly disclaims all liability for the use of these materials, and for any claims, actions, demands or suits arising from such use.

Rancho Los Amigos Scale

Level 7

When someone is level 7, they act a lot like their usual self. They:

can do everyday tasks without getting confused (or only getting a bit confused)
know and recognize staff, family, where they are, and what’s going on around them
know they’ve had a brain injury but may not know the details
can learn new things, but not as fast as they could before the injury
have a better memory, but there are still gaps
still have some problems with making good decisions (judgment), problem solving, and planning
may start doing activities they like without someone suggesting it
can do their own self-care (like brushing their teeth and bathing)

How to help during level 7

You can do the following to help your loved one during level 7:

Talk about things in the home that could be dangerous. Ask them to tell you what they have to do to stay safe.
Encourage them to write in their journal every day. You can also have them set up a reminder on a phone.
When you talk with them, make sure that your words, actions, and body language are clear. Use the same words, actions, and body language (rather than a mix of different ones) so they begin to understand what you mean more quickly. They may not understand teasing and sarcasm.
Support them as needed when they make decisions.
Be patient and creative. They may still be slow to answer questions, start conversations, or do an activity.
Help them think of other things to do (especially if they’re spending a lot time watching TV, for example).
Encourage them to keep having therapy or to go for counselling.

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