A RLA level is determined based on behavioral observations. The individual reacts inconsistently and non-purposefully to stimuli. Responses are limited in nature and often the same regardless of the stimuli presented. Responses may include gross motor movements, vocalization and physiologic changes. Response time is likely to be delayed.
Deep pain evokes the earliest response.
The individual responds specifically but inconsistently to stimulus. Responses are directly related to the type of stimuli presented. The individual is in a heightened state of activity with severely decreased ability to process information. Behavior is non-purposeful relative to the immediate environment. Attempts to climb out of bed, remove restraints and hostility are common.