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Assessment Scales for SCRN

What does the modified Rankin Scale (mRS) measure? measures functional independence in areas of body function, activity, and participation; lacks in that it does NOT grade aphasia, visual changes, and cognitive impairments. Scored 0-6, '6' being clinically DEAD
A high number on the mRS means...? More deficits
What does the Functional Independence Measure (FIM) aim to assess? measures independence in 18 ADL's (such as self care, sphincter control, transfers, locomotion, cognition); ranked 1-7, '1' being no help needed, and '7' being total care.
Where is the Functional Independence Measure (FIM) predominantly used? Inpatient rehab progress
A high number on the FIM means...? More dependence (i.e. more deficits)
What does the Barthel Index (BI) measure? Self care and mobility; 100 is normal, points 'deducted' for deficits
A high number on the Barthel Index (BI) means...? Higher independence (LESS deficits)
What is a commonly cited issue with the Barthel Index (BI)? Not as accurate for hemorrhagic strokes, does not adequately quantify disability in high functioning stroke survivors
What is the ABCD2 scale used for? Helps predict 2 day stroke risk for TIA patients; scored 0-7 (Age, BP, clinical features, duration [of s/s], diabetes)
What does a high score on the ABCD2 scale mean? Higher chance of stroke after a TIA
What is the FOUR score used for? Assesses unresponsiveness; grade 0-4 on 4 categories (eye response, motor response, brain stem [reflex], and respirations); best is 16 (alert)
A high score on the FOUR Score scale means...? Patient completely alert
What does the Hunt and Hess Scale measure/do? predicts outcomes of SAH; graded on clinical presentation (1-5)
A high score on the Hunt & Hess Scale means...? Poorer outcome in SAH patient
What does the Fisher Grade Scale measure/do? Predicts relative risk of vasospasm following SAH; graded 1-4 on size/presence of blood on CT
A high score on the Fisher Grade Scale means...? Increased risk for vasospasm?
What does the ICH score measure/do? Predicts 30 day mortality following ICH; 0-6, greater the number, increased risk of mortality
A high score on the ICH scale means...? High probability of 30 day mortality
What is the CHADS2 scale used for and what does it 'grade' on? Used to predict stroke risk; grades for CHF, Hypertension, Age, DM, stroke or TIA (2 points).
Created by: DZLJAD