Confused, Inappropriate but not Agitated (Rancho Level 5)
During this phase of recovery, the person is alert but still confused however, the agitation has subsided some. The
person is usually not oriented to person place, or time. There may be times when they can begin to sustain their
attention. They are still unable to learn new behavior. They may confabulate (state information that is not true) or
become inappropriate with their language at times.
• Give one step simple instructions.
• Do not encourage inappropriate behavior or language.
• Do not use phrases with a double meaning or sarcastic humor: try to use language that is simple and direct.
• Try to keep a consistent and routine schedule.
• Gently orient the patient to the present.
Higher Level Responses
(Rancho Level 6-8)
During these phases the patient will show
remarkable recovery. The patient will
begin to make new memories and attend
to the environment. They will start having
more goal directed behaviors but will still
require some assistance to complete tasks.
They may begin to work with Vocational
Rehabilitation or return to a work setting.
• The person may still make some poor
Phil Fackler, Owner of Fackler Homes
“
Transitioning a loved one
from their home or from a
medical facility is often life
changing ... not just for the
patient but for the family with
whom they are going to live.
”
What can I do to stay
in my home?
Aging safely in your home is possible.
Stay in your home. Be independent.
Living an independent lifestyle is every adult’s right.
Adapting your home to your lifestyle will allow you to
stay safely in your home for as long as you wish, while
having peace of mind. Remain independent and
comfortable in your Life Management Home.
Your home can now be fully accessible to you and
be ready for a caregiver for down the road.
Designed Around Your Life
Ramps
Elevators
Stair lifts
Transfer chairs
Handicap kitchens
Wheelchair accessible closets
Custom handicap features
Caregiver quarters
Please contact us for a personal consultation.
Phil Fackler 502.648.2650
Collin Fackler 502.548.0750
facklerhomes.com
8013 Lakeside Quarry Drive
Louisville, KY 40245
National Association of Home Builders
Aging-in-Place
Specialist
decisions due to their inability to
recognize their deficits so help provide
a safe environment. Speak calmly when
providing information and praise them
for safe and appropriate decisions.
• Encourage the person to use memory
aides, such as lists, alarms, and
calendars.
• It is important for the person to get
enough sleep. A person with a brain
injury fatigues easily and this will
make it harder for them to process
information.
• Encourage independence, allowing the
person to take more responsibilities and
make decisions.
• Do not expect the person to be back to
normal. It is rare that a person who has
suffered a brain injury returns to the
exact level of functioning they were at
before the injury.
When a person suffers a brain injury life
changes for both the caregivers and the
person with the injury. Both parties need
support and encouragement to continue
down the path of recovery.
14 2020-2022 BIAK Resource Journal
/facklerhomes.com