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hey guys welcome back this is Mary and today were going to talk about the Alan cognitive levels to help you prepare for the NVC ot exam if you see behind me here youll see that I have every level with drawings and with key words to help you remember and learn each level so follow along and I will get out of your way so we can get started alright so lets start with Alan cognitive level 1 awareness and automatic actions at this level the patients cognition is profoundly impaired what does that mean they have fleeting non-selected very brief attention maybe lasting just seconds which is why I have a stopwatch here and they require total assistance and 24-hour around-the-clock care just enlisted or produce automatic actions what does that include things like swallowing locating student lie rolling in bed or raising body parts and as you can see here I have a person laying in bed who appears to be asleep because at this level not much is happening so what kind of treatment activity migh