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SCRN-Scales
Assessment Scales for SCRN
| Question | Answer |
|---|---|
| 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). |
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DZLJAD
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