Unified Parkinson's Disease Rating Scale - Medscape

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Unified Parkinson’s Disease Rating ScaleV. Modified Hoehn and Yahr StagingSTAGE 0 = No signs of disease.STAGE 1 = Unilateral disease.STAGE 1.5 = Unilateral plus axial involvement.TO RESTLESS LEG SYNDROMESTAGE 2 = Bilateral disease, without impairment of balance.pssmSTAGE 2.5 = Mild bilateral disease, with recovery on pull test.dpdSTAGE 3 = Mild to moderate bilateral disease; some postural instability; physically independent.TO POST-STROKE SPASTICITY MANAGEMENTSTAGE 4 = Severe disability; still able to walk or stand unassisted.TO DYSKINESIA IN PARKINSON’S DISEASESTAGE 5 = Wheelchair bound or bedridden unless aided.dThank you very much.Feel free to bill your time under a spasticity code #8302.dyskinesiaVI. Schwab and England Activities of Daily Living ScaleAlso, the billing code for the entire PSS project is 8305.TO DYSKINESIA MANAGEMENT100% = Completely independent. Able to do all chores without slowness, difficulty or impairment. Essentially normal.We need to get Unaware a graphic of going any difficulty.for the onlineversion of the Dyskinesia monograph.Let’s 90% try two = Completely versions. One independent. that says “Dyskinesia” Able to and do one all that chores says with “Dyskinesia some Workbook,” degree of slowness, difficulty dyskinesiaand impairment.both ala thePD Workbook. Might The tag take line twice should as read long. Beginning to be aware of difficulty.TO DYSKINESIA MANAGEMENT IN PDThe 80% Clinicians’ = Completely Guide to Management independent of Dyskinesia most chores. in PD Takes twice as long. Conscious of difficulty and slowness.Billing 70% code = Not for Dyskinesia completely is #8304. independent. More difficulty with some chores. Three to four times as long in some.Must spend a large part of the day with chores.60% = Some dependency. Can do most chores, but exceedingly slowly and with much effort. Errors; some impossible.50% = More dependent. Help with half, slower, etc. Difficulty with everything.pssm40% = Very dependent. Can assist with all chores, but few alone.TO POST-STROKE SPASTICITY MANAGEMENTpss30% = With effort, now and then does a few chores alone or begins alone. Much help needed.20% = Nothing alone. Can be a slight help with some chores. Severe invalid.10% = Totally dependent, helpless. Complete invalid.0% = Vegetative functions such as swallowing, bladder and bowel functions are not functioning. Bedridden.Fahn S, Elton R, Members of the updrs Development Committee. In: Fahn S, Marsden CD, Calne DB, Goldstein M, eds. Recent Developments in Parkinson’s Disease, Vol 2. FlorhamPark, NJ. Macmillan Health Care Information 1987, 153-163, 293-304.28 PD WORKBOOK — THE WE MOVE CLINICIANS’ GUIDE TO PARKINSON’S DISEASE | UNIFIED PD RATING SCALE | ©WE MOVE 2006
TO POST-STROKE SPASTICITY MANAGEMENTUnified Parkinson’sDisease Data FormName __________________________________________________________________________________ Unit Number ______________________________________________________4. Motivation/Initiativepssmr a spasticity code #8302.tire PSS project is 8305.TO POST-STROKE SPASTICITY MANAGEMENTg for the online 20. Tremor at rest: face,lips,chinograph.Hands: rightt says “Dyskinesia” and one that says “Dyskinesia Workbook,”uld readement of Dyskinesia in PD8304.dopa mg/day|Datehrs dopa lasts. Mentation2. Thought Disorder3. DepressionSubtotal 1 – 4 (maximum = 16)5. Speech6. Salivation. Swallowing. Handwriting. Cutting food0. Dressing. Hygiene2. Turning in bed3. Falling4. Freezing5. Walking6. Tremor17. Sensory symptomsSubtotal 5 – 17 (maximum = 52) Speech. Facial expressionleftFeet: rightleft21. Action tremor: rightleft22. Rigidity: neckUpper extremity: rightleftLower extremity: rightlefton off on off on off on off on off on off on off on offdpddyskinesiaTO RESTLESS LEG SYNDROMETO DYSKINESIA IN PARKINSON’S DISEASETO DYSKINESIA MANAGEMENTdyskinesiaTO DYSKINESIA MANAGEMENT IN PDpssm psPD WORKBOOK — THE WE MOVE CLINICIANS’ GUIDE TO PARKINSON’S DISEASE | UNIFIED PD DATA FORM | ©WE MOVE 2006 29d
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Unified Parkinson's Disease Rating Scale - Medscape

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