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Escalas en Neurología - Sociedade Galega de Neuroloxia

Escalas en Neurología - Sociedade Galega de Neuroloxia

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11-ESCALAS (183-224) 3/6/08 11:40 Página 213<br />

TRASTORNOS DEL MOVIMIENTO. I. ENFERMEDAD DE PARKINSON Y PARKINSONISMOS<br />

Escala 66. SHORT PARKINSON'S EVALUATION SCALE (Cont.)<br />

� 213 �<br />

Valoración<br />

C. Depression<br />

Not pres<strong>en</strong>t 0<br />

Periods of sadness greater than «normal» 1<br />

Sustained <strong>de</strong>pression 2<br />

Severe <strong>de</strong>pression affecting activities of daily life 3<br />

Score . . . . . . .<br />

Total m<strong>en</strong>tal score . . . . . . .<br />

IV. Activities of daily living<br />

A. Speech<br />

Normal 0<br />

Midly affected; no difficulty being un<strong>de</strong>rstood 1<br />

Mo<strong>de</strong>rately affected; asked to repeat s<strong>en</strong>t<strong>en</strong>ces 2<br />

Unintelligible most of the time 3<br />

Score . . . . . . .<br />

B. Eating (chewing and swallowing; pati<strong>en</strong>ts should be asked if choking<br />

constitutes a problem)<br />

Normal 0<br />

Normal diet: chewing and swallowing are slow and labored 1<br />

Occasional choking 2<br />

Frequ<strong>en</strong>t choking; may require soft food or substitute methods for<br />

food intake (nasogastric tube or gastronomy) 3<br />

Score . . . . . . .<br />

C. Feeding (cutting, filling cups, and so on)<br />

Normal 0<br />

Some difficulties, but does not need help 1<br />

Help required to carry out feeding tasks 2<br />

Needs to be fed 3<br />

Score . . . . . . .<br />

D. Dressing<br />

Normal 0<br />

Somewhat slow, but no help nee<strong>de</strong>d 1<br />

Some help nee<strong>de</strong>d (for example, in buttoning and in getting arms into sleeves) 2<br />

Almost totally or totally <strong>de</strong>p<strong>en</strong>d<strong>en</strong>t 3<br />

Score . . . . . . .<br />

E. Hygi<strong>en</strong>e (washing, combing hair, shaving, brushing teeth, and using toilet)<br />

Normal 0<br />

Slightly slow, but in<strong>de</strong>p<strong>en</strong>d<strong>en</strong>t 1<br />

Requires some assistance to perform fine motor activities 2<br />

Requires complete assistance and/or special <strong>de</strong>vices 3<br />

Score . . . . . . .<br />

Continúa

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