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\usepackage{multicol}           % Allows multicols in tables
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\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{ts3414}
\pdfinfo{
  /Title (ranchos-levels-only.pdf)
  /Creator (Cheatography)
  /Author (ts3414)
  /Subject (ranchos levels only Cheat Sheet)
}

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% Commands
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% Header and Footer
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\fancyhead{} % Set header to blank
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{ranchos levels only Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{ts3414} via \textcolor{DarkBackground}{\uline{cheatography.com/195341/cs/40973/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}ts3414 \\
  \uline{cheatography.com/ts3414} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 21st October, 2023.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
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\columnbreak
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
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\raggedcolumns

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% www.emerson.emory.edu/services/latex/latex_169.html
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\begin{multicols*}{2}

\begin{tabularx}{8.4cm}{x{1.872 cm} x{1.728 cm} x{1.8 cm} x{1.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{8.4cm}}{\bf\textcolor{white}{comprehensive}}  \tn
% Row 0
\SetRowColor{LightBackground}
level & amt of \seqsplit{assistance} & function & ot tx \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
1- no response & total \seqsplit{assistance} & No response to any kind of stimuli, including visual, auditory or tactile input or movement. & -Passive range of motion \seqsplit{-Splinting} and \seqsplit{positioning} to manage \seqsplit{contractures}  -Sensory \seqsplit{stimulation} \tn 
% Row Count 12 (+ 10)
% Row 2
\SetRowColor{LightBackground}
II - \seqsplit{generalized} response & total \seqsplit{assistance} & Begins to respond to sensory stimuli, including visual, auditory or tactile input or movement \seqsplit{-Responses} are \seqsplit{inconsistent}  \seqsplit{-Responses} are the same to all types of stimuli  \seqsplit{-Responses} are not \seqsplit{purposeful}  \seqsplit{-Responses} may include chewing, sweating, changes in \seqsplit{respiration} rate, increased blood pressure, or others. & -Passive range of motion \seqsplit{-Splinting} and \seqsplit{positioning} to manage \seqsplit{contractures}  -Sensory \seqsplit{stimulation} \tn 
% Row Count 43 (+ 31)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{1.872 cm} x{1.728 cm} x{1.8 cm} x{1.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{8.4cm}}{\bf\textcolor{white}{comprehensive (cont)}}  \tn
% Row 3
\SetRowColor{LightBackground}
III - localized response & total \seqsplit{assistance} & 1. Awake on and off 2. Displays more movement  3. Starts reacting more \seqsplit{specifically} to different types of stimuli -jumps at loud noise or withdraws from pain -turns head to look at specific people or objects -turns head in the direction of noise {\emph{ }}reactions are slow and \seqsplit{inconsistent}  4. Begins to respond to family and friends.  5. Responds to simple \seqsplit{instructions}  6. Begins to answer simple yes and no questions & -Passive range of motion -Sensory \seqsplit{stimulation}  -Visual and auditory tracking \seqsplit{activities}  \seqsplit{-Adaptations} for safety and restraint reduction \tn 
% Row Count 42 (+ 42)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{1.872 cm} x{1.728 cm} x{1.8 cm} x{1.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{8.4cm}}{\bf\textcolor{white}{comprehensive (cont)}}  \tn
% Row 4
\SetRowColor{LightBackground}
IV- \seqsplit{confused/agitated} & max \seqsplit{assistance} & 1. Displays confusion and fear 2. Does not \seqsplit{understand} feelings or what is happening in \seqsplit{surroundings} -may not \seqsplit{understand} that other people are providing help  3. Responds to stimuli by acting out – hitting, yelling or screaming, using abusive language -extreme behavior due to confusion -may need \seqsplit{restraints} to avoid self injury  4. Overly focused on basic needs, such as eating, going to the bathroom, etc.  5. Displays \seqsplit{difficulty} attending for more than a few seconds  6. Has \seqsplit{difficulty} following \seqsplit{directions}  7. \seqsplit{Recognizes} family and friends \seqsplit{inconsistently}  8. Completes simple, routine tasks with \seqsplit{assistance} & Active or active assistive range of motion as person will tolerate -Simple reaching \seqsplit{activities}  -Simple cognitive \seqsplit{activities} such as picture or object \seqsplit{identification}  \seqsplit{-Participate} in simple \seqsplit{activities} of daily living with \seqsplit{assistance}, i.e. washing face, brushing hair, self feeding \tn 
% Row Count 62 (+ 62)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{1.872 cm} x{1.728 cm} x{1.8 cm} x{1.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{8.4cm}}{\bf\textcolor{white}{comprehensive (cont)}}  \tn
% Row 5
\SetRowColor{LightBackground}
V - confused, \seqsplit{inappropriate}, non agitated & max \seqsplit{assistance} & 1. Pays attention for a few minutes at a time 2. Confused, \seqsplit{difficulty} making sense of anything beyond self  3. \seqsplit{Disoriented}  4. Needs step by step \seqsplit{instructions} to complete simple, everyday tasks  5. May become restless when \seqsplit{overwhelmed} or when too many people are around  6. Poor short term memory -May remember events prior to injury better than daily routine -May try to fill in gaps in memory by making things up -May become \seqsplit{frustrated} as elements of memory start to return  7. May get stuck on a thought or activity and may need \seqsplit{assistance} \seqsplit{transitioning} to the next activity or step  8. Continues to focus on basic needs & -Active or active assistive range of motion -Simple reaching and single step fine motor tasks  -Simple cognitive \seqsplit{activities} including \seqsplit{orientation} to self, place, locating own room, etc.  -Basic hygiene, grooming and dressing tasks with step by step cues  \seqsplit{-Adaptations} for safety, such as a bed alarm \tn 
% Row Count 63 (+ 63)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{1.872 cm} x{1.728 cm} x{1.8 cm} x{1.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{8.4cm}}{\bf\textcolor{white}{comprehensive (cont)}}  \tn
% Row 6
\SetRowColor{LightBackground}
VI - confused, \seqsplit{appropriate} & moderate \seqsplit{assistance} & 1. Some confusion due to memory problems. -may remember main events or main points, but will forget the details2. Ability to follow a schedule with \seqsplit{assistance-may} become confused by changes in routine 3. \seqsplit{Orientation} to month and year  4. Attend to task for about 30 minutes. -may be \seqsplit{distracted} by noisy \seqsplit{environments} -may be confused by tasks with too many steps  5. Will complete basic self care tasks with help -will be aware of need to use the toilet  6. May be impulsive, do or say things without thinking first  7. Will be aware of \seqsplit{hospitalization} due to injury but may not have insight into existing problems -will be more aware of physical problems than cognitive problems -may associate problems with being in the hospital and may have the \seqsplit{expectation} that problems will go away upon return home  8. Able to make sense when speaking & \seqsplit{-Therapeutic} exercise and activity as \seqsplit{appropriate} for physical condition with direct \seqsplit{supervision} and cuing \seqsplit{-Cognitive} \seqsplit{activities} including short term memory exercises, simple \seqsplit{sequencing}, \seqsplit{structured} single step problem solving  -Basic hygiene, grooming and dressing tasks with \seqsplit{supervision} and periodic cues  -Simple cold food \seqsplit{preparation}  -Simple, familiar \seqsplit{housekeeping} tasks  \seqsplit{-Adaptations} to immediate \seqsplit{surroundings}, including labels on drawers and closets for clothing and personal items \tn 
% Row Count 84 (+ 84)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{1.872 cm} x{1.728 cm} x{1.8 cm} x{1.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{8.4cm}}{\bf\textcolor{white}{comprehensive (cont)}}  \tn
% Row 7
\SetRowColor{LightBackground}
VII - automatic, \seqsplit{appropriate} & min \seqsplit{assistance} for daily living skills & 1. Will be able to follow a schedule. 2. Will complete basic self care tasks \seqsplit{independently}  3. May have problems in new \seqsplit{situations}  4. May have problems planning, \seqsplit{initiating}, and \seqsplit{completing} \seqsplit{activities}  5. May have trouble paying attention in noisy, crowded settings or stressful \seqsplit{situations}, such as sporting events or family \seqsplit{gatherings} -may \seqsplit{demonstrate} slower \seqsplit{processing} speed in stressful \seqsplit{situations}  6. May not be aware of how changes in memory and cognitive skills affect the future -may expect to return to previous job or roles  7. Will \seqsplit{demonstrate} impaired safety awareness and judgment  8. May be \seqsplit{inflexible}, rigid in thinking, stubborn  9. May express interest in \seqsplit{completing} an activity, but may require \seqsplit{assistance} actually \seqsplit{completing} it & \seqsplit{-Therapeutic} exercise and activity as \seqsplit{appropriate} for physical condition with initial \seqsplit{instruction} and general in-clinic \seqsplit{supervision} \seqsplit{–Cognitive} \seqsplit{activities} including short term memory exercises, simple problem solving, decision making, basic executive function tasks  -Hygiene, grooming and dressing tasks with set-up and periodic \seqsplit{supervision}  -Simple cooking tasks with \seqsplit{assistance} and direct \seqsplit{supervision}, \seqsplit{instruction} in use of microwave oven, toaster  -Basic \seqsplit{housekeeping} tasks  -Basic home \seqsplit{maintenance} or tool use  \seqsplit{-Adaptations} including labels on kitchen cupboards, closets \tn 
% Row Count 75 (+ 75)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{1.872 cm} x{1.728 cm} x{1.8 cm} x{1.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{8.4cm}}{\bf\textcolor{white}{comprehensive (cont)}}  \tn
% Row 8
\SetRowColor{LightBackground}
VIII - \seqsplit{purposeful}, \seqsplit{appropriate}, & stand by \seqsplit{assistance} & 1. Will realize that there is a problem with memory and cognitive skills 2. Will start to be more flexible and less rigid in thinking  3. Will begin to \seqsplit{compensate} for problems  4. Will be able to learn new \seqsplit{information} at a slower rate  5. May be ready to resume driving or undergo a return to work \seqsplit{evaluation}  6. Continues to display \seqsplit{difficulty} dealing with stressful \seqsplit{situations}  7. Will display poor judgment in new \seqsplit{situations} and may require \seqsplit{assistance}  8. May need guidance when making decisions  9. Cognitive problems may not be obvious to people who do not know the person & \seqsplit{-Therapeutic} exercise and activity as \seqsplit{appropriate} for physical condition -Home exercise program with repeated \seqsplit{instruction} in clinic and \seqsplit{supervision} in follow through from staff or a family member  -Higher level cognitive \seqsplit{activities} including problem solving, decision making, judgment, executive function  -Hygiene, grooming, dressing tasks completed \seqsplit{independently}, monitor for \seqsplit{thoroughness}  \seqsplit{-Housekeeping} tasks and food \seqsplit{preparation} with set-up help, \seqsplit{supervision}, cuing to problem solve  \seqsplit{-Instruction} in the use of memory aids including calendars, planners, pill \seqsplit{organizers}, timers, and other devices  \seqsplit{-Instruction} and practice in energy \seqsplit{conservation} and work \seqsplit{simplification} \seqsplit{techniques} \tn 
% Row Count 69 (+ 69)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{1.872 cm} x{1.728 cm} x{1.8 cm} x{1.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{8.4cm}}{\bf\textcolor{white}{comprehensive (cont)}}  \tn
% Row 9
\SetRowColor{LightBackground}
IX - \seqsplit{purposeful} \seqsplit{appropriate} & stand by \seqsplit{assistance} & 1. Will be able to pay attention for long, sustained periods of time. 2. Aware of \seqsplit{limitations} -may need some \seqsplit{assistance} to problem solve during tasks -may become depressed or have low \seqsplit{frustration} tolerance  3. Will complete all familiar tasks -may ask for help problem solving  4. Will \seqsplit{compensate} for memory loss by using memory aids  5. Will consider the point of view of others during \seqsplit{conversation}  6. May return to work or daily routine with some \seqsplit{assistance} & \seqsplit{-Therapeutic} exercise and activity as \seqsplit{appropriate} for physical condition -Home exercise program, may complete \seqsplit{independently} after repeat in-clinic \seqsplit{instruction}  -Able to complete hygiene, grooming and dressing tasks \seqsplit{independently}  \seqsplit{-Housekeeping} and food \seqsplit{preparation} tasks with \seqsplit{supervision}, assist with problem solving as needed  \seqsplit{-Continued} \seqsplit{instruction} in the use of memory aids  \seqsplit{-Instruction} and \seqsplit{assistance} with higher level \seqsplit{instrumental} \seqsplit{activities} of daily living (IADLs), including money \seqsplit{management}, taking \seqsplit{medications}, making and keeping \seqsplit{appointments}  \seqsplit{-Assessment} to determine potential to resume driving  \seqsplit{-Instruction} in \seqsplit{relaxation} \seqsplit{techniques} \tn 
% Row Count 65 (+ 65)
\end{tabularx}
\par\addvspace{1.3em}

\vfill
\columnbreak
\begin{tabularx}{8.4cm}{x{1.872 cm} x{1.728 cm} x{1.8 cm} x{1.8 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{8.4cm}}{\bf\textcolor{white}{comprehensive (cont)}}  \tn
% Row 10
\SetRowColor{LightBackground}
X - \seqsplit{purposeful} \seqsplit{appropriate} & mod \seqsplit{independence} & 1. Will complete all daily \seqsplit{activities} with \seqsplit{adaptations} or extra time 2. May need rest breaks  3. Will \seqsplit{compensate} for memory loss, using adaptive aids or methods  4. Will problem solve and make decisions with extra time or \seqsplit{adaptations}  5. May become depressed or display low \seqsplit{frustration} tolerance when sick or tired  6. Will return to work or daily routine with \seqsplit{adaptations} & Home exercise and activity programs with follow up \seqsplit{monitoring} -Instruct in use of and monitor follow through with memory aids, including calendars, pill boxes, alarms and timers, assistive \seqsplit{technology}  -Follow up checks to insure \seqsplit{independence} with \seqsplit{housekeeping}, food \seqsplit{preparation}, safety at home  -Periodic \seqsplit{monitoring} of \seqsplit{medications}, money \seqsplit{management}, \seqsplit{appointments}  -Driving \seqsplit{instruction} to regain drivers license if \seqsplit{appropriate} \tn 
% Row Count 43 (+ 43)
\hhline{>{\arrayrulecolor{DarkBackground}}----}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{p{0.8 cm} x{7.2 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{simple}}  \tn
% Row 0
\SetRowColor{LightBackground}
I & no response, total assistance \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
II & generalized response, total assistance \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
III & localized response, total assistance \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
IV & confused, agitated, max assistance \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
V & confused, inappropriate non agitated, max assistance \tn 
% Row Count 7 (+ 2)
% Row 5
\SetRowColor{white}
VI & confused appropriate moderate assistance \tn 
% Row Count 9 (+ 2)
% Row 6
\SetRowColor{LightBackground}
VII & automatic appropriate minimal assistance for daily living skills \tn 
% Row Count 11 (+ 2)
% Row 7
\SetRowColor{white}
VIII & purposeful appropriate stand by assistance \tn 
% Row Count 13 (+ 2)
% Row 8
\SetRowColor{LightBackground}
IX & purposeful appropriate standby assistance on request \tn 
% Row Count 15 (+ 2)
% Row 9
\SetRowColor{white}
X & purposeful appropriate modified independent \tn 
% Row Count 17 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}