The different perspective of frailty leads to the difference in the operational definition, structural domain, scale and scoring to evaluate frailty. In orthopedic, there are currently 8 frailty instruments have been applied to assess the dynamic of frailty and stratify risk of postoperative complication in clinical settings including the Edmonton Frail Scale (EFS), Frailty Index (FI), the Simplified Frailty Index/ or the Modified Frailty Index (mFI), Fried’s Frailty Phenotype (CHS), Modified Fried Criteria (MFC), Reported Edmonton Frail Scale (REFS), Hip-Multidimensional Frailty Score (Hip-MFS), and Maastricht Frailty Screening Tool for Hospitalized Patients (MFST-HP). The structural, clinical outcomes and psychometric properties of each frailty …show more content…
This FI assesses the individual deficit as a proportion of the number of deficits presented and the number of potential deficits. For instance, if 51 items are considered as maximum potential deficits, and we found 10 deficits shown in that person. Then the FI scores could be 0.19 (10/51). However, the major domains of the FI (51 deficits) are self-rated health, cognitive assessments, clock face drawing, co-morbidities, continence, mobility, and functional independence (Krishnan et al., 2014). The FI score ranges from 0-1 and the score cut point is 0.25; the classification of frailty is: low-frailty (FI ≤ 0.25), intermediate-frailty (FI 0.25-0.4), and high-frailty (FI>0.4). However, many FI reporting different major domains and cut points are found in other clinical …show more content…
The mFI evaluates eleven domains: dependent functional status, diabetic mellitus, congestive heart failure, cardiac problems, impaired sensorium (acute confused/or delirious), hypertension, lung problems, myocardial infarction, prior transient ischemic attack, stroke history, and peripheral vascular disease. The mFI needs information from the standard health care assessment and medical record for scoring frailty status. The score is calculated from the presented deficit numbers divided by eleven; ranging from 0-1. The frail classification is: not frail (mFI score=0), pre-frail (0< mFI score< 0.21), and frail (mFI score ≥0.21) (Velanovich et al., 2013). The vairation of cut points values are commonly found in mFI scoring (Bellamy et al., 2017; Runner et al., 2017; Shin, Keswani, Lovy, & Moucha,
FOP occurs randomly and is not inherited. Experts believe that one cause of fibrodysplasia ossificans progressiva is born with mutations in the ACVR gene what provides the body with instructio...
Noticeable indications of deterioration have been shown in numerous patients few hours prior to a critical condition (Jeroen Ludikhuize, et al.2012). Critical condition can be prevented by recognizing and responding to early indications of clinical and physiological deterioration ( kyriacosu, jelsma,&jordan (2011). According to NPSA (2007) delay in responding to deteriorating vital signs have been defined as an complication resulting in prolonged length of stay, disability or death, not attributed to the patient's underlying illness procedure along but by their health-care management ( Baba-Akbari Sari et al. 2006; Helling, Martin, Martin, & Mitchell, 2014). A number of studies demonstrate that changes or alterations in a patient’s
Considering the conflicting findings amongst the different EWS, it remains unknown whether these scoring systems are effective in identifying and responding to deteriorating patient in acute hospital settings. This essay intends to establish how successful, if at all, the EWS in particular SHEWS is in identifying deteriorating patients in acute surgical hospital settings. In order to do this we will be returning to patient X, a 22-year-old Asian female with a diagnosis of acute pancreatitis. By comparing the evidence base to reality I hope to get a better understanding of how effective this tool is in identifying deteriorating patients.
Sellbom, M., Bagby, R. M., Kushner, S., Quilty, L. C., & Ayearst, L. E. (2012). Diagnostic construct validity of MMPI-2 restructured form (MMPI-2-RF) scale scores. Assessment,19(2), 176-186. doi:10.1177/1073191111428763
Developed by Linda Brown, Rita Sherbenou, and Susan Johnsen and published by pro.ed The Test of Nonverbal Intelligence-Fourth Edition (TONI-4) is an assessment that uses abstract reasoning and figural problem solving to estimate general intellectual ability. The Test of Nonverbal Intelligence, Fourth Edition (TONI-4) is a measure of general intelligence relying heavily on a nonverbal format and limited motor responses. The TONI-4 is designed to assess abstract/figural problem-solving skills of children and adults varying from ages 6 to 89 who have language, hearing, and motor difficulties. The TONI-4 has two equivalent versions, Form A and Form B, each of which consists of 60 items listed in
The composite score is objective and calculated through a weighted formula designed to provide an equal contribution from each item while the severity rating is subjective and indicates the need for additional treatment in specific areas (Haraguchi et al., 2009). The SR ranges from 0 to 9 points and the CS ranges from 0 to 1 with anything higher than the normal 9 SR or 1 CS indicating greater problem severities (Haraguchi et al., 2009). Although some problems still exist, the ASI has been reported to have nearly achieved both reliability and validity (Haraguchi et al.,
Räsänen, P., Paavolainen, P., Sintonen, H., Koivisto, A., Blom, M., Ryynänen, O., & Roine, R. P. (2007). Effectiveness of hip or knee replacement surgery in terms of quality-adjusted life years and costs. Acta Orthopaedica, 78(1), 108-115.
The peer-reviewed article that I chose was about heart disease. Heart disease needs particular attention from health care administrators, since “Chronic heart failure (CHF) is a progressive syndrome that results in a poor quality of life for the patient and places an economic burden on the health care system”. (Ramani, Uber, & Mehra, 2010). There is no one test to diagnose heart failure.
After reading the lived experience, the KELS and the COTE scale are great assessments to determine each living skill that might be hindering her independent living. The KELS assessment would be utilized to evaluate or determine her ability to function in basic living skills. The COTE scale would be used to evaluate behaviors that give information about her overall performance patterns. This woman has been through a lot in her life but is still motivated to work and live independently. She has been homeless 23 times due to family problems, marriages, unemployment, and abuse. She has also been sent to a Mental Health Facility and a state mental hospital because she kept physically injuring herself.
The RLT model is holistic, as it identifies five components, including the activities of Daily living (ADL), life span, dependence/independence, factors influencing AL and individuality in living, which are interrelated (Healy & Timmins, 2003; Holland et al, 2004; Roper et al, 1996). Roper et al (2000) view the patient as an individual that lives through the life span, with changing levels of dependence and independence, depending on age, circumstances and the environment (Healy & Timmins, 2003). The twelve ADL are influenced by five factors, namely; biological, psychological, sociocultural, and environmental and politico economic (Healy & Timmins, 2003; Holland et al, 2004; Roper et al, 1996).
Interpreting The MMPI-2-RF included a vast amount of information about the reliability data in the MMPI-2-RF. For example, the scores on the Somatic/Cognitive Scales, Internalizing Specific Problems Scales, Externalizing Specific Problems Scales, and Interpersonal Scales amongst others were reliable based on test-retest correlations and internal consistency estimates in clinical studies. The empirical data offered by the Technical Manual shows strong and distinctive correlational findings, and consistent measures of the constructs the scales target. These findings provide strong evidence supporting the construct validity and reliability of the 51 Scales found in the MMPI-2...
This Preusser (2008) case study involves a 75 year old female, S.P., who fell at home and is admitted to the orthopedic ward for an intracapsular fracture of the hip at the femoral neck (p. 183). Assessment data includes her height is 5’3”, weight is 118 lbs, blood pressure...
The test under analysis is the Stanford-Binet Intelligence Scales, Fifth Edition (SB5) which is thoroughly explained through the technical manual of the intelligence assessment (Roid, 2003). The Stanford-Binet Intelligence Scales, Fifth Edition, Technical Manual and the SB5 test in general was authored by Gale H. Roid (Roid, 2003). The manual was published by Riverside Publishing in the year 2003 after enduring many years of development (Roid, 2003). The SB5 is an assessment of both cognitive abilities and intelligence (Roid, 2003). The SB5 complete kit is provided via the publisher for the total price of $1...
.4 HOW TO PREVENT FUNCTIONAL DECLINE The hazards caused by functional decline can be prevented and minimised during hospitalization of the elderly by implementing effective strategies to minimise it. • Addressing functional assessment (baseline and current) in the interdisciplinary rounds by evaluating potentially restrictive devices and agents and provide a plan for progressive motility • Commitment by leadership to rehabilitative values that support a social climate conducive to the promotion of function • Function focused care intervention of the elderly 2.4 FACTORS CONTRIBUTING TO HOSPITAL-ACQUIRED DISABILITY • Pre-illness determinant of functional reserve like cognitive function, depression, or poor mobility • Severity of acute illness
A quality-adjusted life year (QALYs) is one of the most widely used measures for measuring the quality of life and is used for the assessment of health outcomes. Health is a function of length of life and quality of life (Prieto and Sacristán, 2003) and this measure serves as composite indicator which allows quantity and quality of life in a single ind...