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Assessment Scales for SCRN

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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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  
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A high number on the mRS means...?   More deficits  
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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.  
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Where is the Functional Independence Measure (FIM) predominantly used?   Inpatient rehab progress  
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A high number on the FIM means...?   More dependence (i.e. more deficits)  
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What does the Barthel Index (BI) measure?   Self care and mobility; 100 is normal, points 'deducted' for deficits  
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A high number on the Barthel Index (BI) means...?   Higher independence (LESS deficits)  
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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  
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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)  
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What does a high score on the ABCD2 scale mean?   Higher chance of stroke after a TIA  
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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)  
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A high score on the FOUR Score scale means...?   Patient completely alert  
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What does the Hunt and Hess Scale measure/do?   predicts outcomes of SAH; graded on clinical presentation (1-5)  
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A high score on the Hunt & Hess Scale means...?   Poorer outcome in SAH patient  
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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  
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A high score on the Fisher Grade Scale means...?   Increased risk for vasospasm?  
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What does the ICH score measure/do?   Predicts 30 day mortality following ICH; 0-6, greater the number, increased risk of mortality  
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A high score on the ICH scale means...?   High probability of 30 day mortality  
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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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