Primary contrasting colors are noticed in ACL 1 Low when their vision is intact. A PDF of a yellow smiley face is available here: https://acdmweb.com/downloads.

Busier pictures maybe ignored as the information is not processed.

A person's sense of touch may vary and may be affected by their medical diagnosis. If they have had a cerebral vascular accident or an acquired brain injury, their sensation maybe affected. One side maybe more affected than the other. Approach the person from their better side first and then alternate to their affected side. Note their response. Did the person's facial expression change as a result of the sensation. Do they appear more relaxed after the sensation?

Different textures produce various touch sensations like smooth, rough, slippery, furry, fluffy, bumpy, squishy, etc.

Without sensory stimulation, the signs of sensory deprivation are screaming and hollering at odd hours. Circadian rhythms are lost with sensory deprivation. With prolonged sensory deprivation, people are quiet, but they curl-up into a fetal position and acquire muscle contractions and bed sores.

A trickle of movement information occurs in ACL 1.4 in the form of tracking. The person pays attention to moving visual or sound information. When sound or visual information is moving, this captures the person's attention and they will move their head to follow the source of this information.

In ACL 1 Low, their response time will be slow. Be prepared to wait at least 20 seconds otherwise you may miss their response. Although their reaction is slow, be prepared for startle reactions which may be fast and can cause injuries. Strong sensory information is what they pay attention to.

The person's immediate state of being surrounded by comfortable sensations makes sense to the person. They can express their dislike when they are uncomfortable by crying out. Being too hot or cold, hungry or thirsty, or being in pain results in the person crying out. When they are comfortable, they settle down and fall asleep or look around for moving objects or sources of sound when they are functioning in ACL 1.4.

Use the sensing activity to see if the person responds to sensory information.

To Verify

Does the person respond to strong negative intact sensory information? If they do pay attention to this information, this confirms that they can function in ACL 1 Low.

To Rule Out

Does the person try to roll over with gravity to assist with self-care activities? If they cannot pay attention to changes in their posture, this rules out ACL 1 High.

What Makes Sense

• I like or dislike a sensation.

Expected Task Performance

• The person can pay attention to positive or negative cues.
• Sensory stimulation activities captures and sustains the person's attention.

Assistance Required

• Full assistance is required with self-care tasks.

Note: See the modes to understand task analysis and modification to suit individuals.

Bold strong sensory cues are what captures the person's attention when they are functioning in ACL 1 Low. A sense of comfort or the absence of strong negative cues is also appreciated by the person. When the person is relaxed and resting comfortably, we know that we are caring for them.

Providing positive sensory stimulation rather than only experiencing painful medical necessities will let them know that living is still worthwhile. Educating family members on what they can still do lets them still interact with the person in a meaningful way.