The applicability of the patientspecific functional scale psfs in. Full text the applicability of the patientspecific functional scale. A numerical pain scale 010, the 24item and 2 modified 18item versions of the roland morris questionnaire, the patient specific functional scale, and physical impairment measures were. Pts may perform an evaluation to develop an individualized treatment plan that addresses the patient s pain and activity limitations. A manual for using the functional assessment rating scale fars florida version 199899, with text revisions 2004 introduction. For example, if housework bothers you, be specific such as. The patientspecific functional scale psfs is widely investigated and among the most commonly used selfreport, patient specific outcome measures. The use of the patientspecific functional scale to measure. Once the participants demonstrated an understanding of the psfs, they were asked to specify a minimum of 3 activities of. Work productivity and activity impairment questionnaire wpai. Patient specific functional scale psfs patientspecific functional scale1 psfs read at initial assessment im going to ask you to identify 3 to 5 important activities that you are unable to do or are having difficulties with as a result of your injury.
Patient specific functional scale the patient specific functional scale psfs is a brief, interviewformat questionnaire that is used to assess functional disability and any changes in performance of activities of daily living. The reliability and construct validity of the neck disability. Patientspecific functional scale please identify at least three important activities that you are unable to do or have difficulty doing as a result of your current problem. Introduction the patient specific functional scale psfs is widely investigated and among the most commonly used selfreport, patient specific outcome measures. This documentation is required in order to establish the medical necessity of ongoing massage therapy treatment.
The patient specific functional scale psfs is a patient reported outcome assessment that is easy and appropriate for massage therapists to use. Patient specific functional scale psfs page 2 patient specific functional scale this questionnaire can be used to quantify activity limitation and measure functional outcome for patients with an orthopaedic condition. Today, are there any activities that you are unable to do or have difficulties with because. Revised patient specific functional scale psfs fax 888 5654225 patient last name patient first name patient id date of birth mmddyyyy provider last name provider first name provider phone area code first clinician instructions. Whn, a subsidiary of tivity health support, llc hm 2017 patient specific functional scale description. Activity patient rating 010 patient rating 010 reeval 1. This allows the patient to determine where they fall on the scale based on evaluating their current activity limitations, in hopes to spark positive conversation between patient and clinician in order to determine an individualized treatment plan with patient specific goals of therapy. These questionnaires can be classified as being generic, condition or disease specific, or patient specific. Patient specific functional scale please identify activities that you are unable to do or are have difficulty performing as a result of the problems you are being treated for at this office. Please identify at least three important activities that you are unable to do or are having difficulty with as a result of your problem. Psfs can be applied across a variety of conditions and age groups. Patients are asked to nominate up to five activities with which they have difficulty due to their condition and then rate the functional limitation.
Patient specific functional scale patient determines functional ability with 5 activities determined by therapist or patient on a 10point scale. However, effective july 1, 20, healthways will replace the functional rating index fri for manipulation services with the patient specific functional scale psfs as its preferred outcomes measure tool for all physical medicine services. The patient specific functional scale psfs is widely investigated and among the most commonly used selfreport, patient specific outcome measures. The patientspecific functional scale psfs has received. The patientspecific functional scale is designed to measure disability in people with an orthopaedic condition. The reliability and construct validity of the neck disability index and patient specific functional scale in patients with cervical radiculopathy. The assessment tool quickly identifies where outcomes are needed so clinicians can address those functional. Activities of daily living index interview and observation to determine ability with basic adl and mobility tasks. This version of the patient specific functional scale differs slightly from the one reported previ ously in that patients are requested to provide only three activities. The way to complete the the patientspecific functional scale msu rehabilitation form on the internet. Patient specific activity scoring scheme score one number for each activity for each da. If you fax your treatment plans, include the psfs with your. The most secure digital platform to get legally binding, electronically signed documents in just a few seconds.
It is commonly used to track a variety of musculoskeletal conditions and has also. Please identify up to three important activities that you are unable to do or are having difficulty with as a result of your current problemdiagnosis i. Om type of om description scoring psfs patient specific patients nominate 3 to 5 activities that they are unable to do or having difficulty doing because of their injury or problem. Assessing the patientspecific functional scales ability to detect. The patient specific functional scale psfs is a selfreported, patient specific measure, designed to assess functional change, primarily in patients presenting with musculoskeletal disorders.
Write the activities you are unable to do or are having difficulty with in the box below. The reliability and construct validity of the neck. Patientspecific functional scale this useful questionnaire can be used to help us tailor your care to your specific needs. The patient specific functional scale and neck disability index were applied at the initial visit, within 72 hours of the initial visit, and following 14 weeks of treatment in 31 patients with cervical dysfunction. The daily living activities dla functional assessment is a functional assessment, proven to be reliable and valid, designed to assess what daily living areas are impacted by mental illness or disability. Start a free trial now to save yourself time and money. This process quality measure requires the collection of admission and discharge functional status data by clinicians using standardized patient assessment data elements or items that assess specific functional activities, that is, selfcare and mobility activities. The patientspecific functional scale oxford academic journals.
The psfs is a subjective outcome measure that is administered by the clinician with the client. The patientspecific functional scale msu rehabilitation. Patient specific functional scale this useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any orthopaedic condition. Application of the patient specific functional scale to an. Enter your official identification and contact details. Reference guide outcomes research committee resource created by boundless biomechanical bracing. This provides the patient the opportunity to type in their own functional activity that challenges them. Apr 04, 20 a comparison of correlation coefficients determined good convergent validity of the patient specific functional scale psfs with global rating of change scale grc, better than with the generic 36item short form health survey 36sf, possibly because both psfs and grc ask patients to selfidentify areas of disability while a more generic measure would include items not relevant to the. Since the psfs is generic in nature, we plan to conduct. The patient specific functional scale is designed to measure disability in people with an orthopaedic condition. The patient specific functional scale pdf in a recent study, the patient specific functional scale was the most responsive disability measure in a trail comparing a variety of oa tools. The purpose of this study was to determine testretest reliability, construct validity, and sensitivity to change of the patientspecific functional scale psfs when applied to patients with knee dysfunction. The psfs is a selfreported, patient specific measure, designed to assess functional change primarily in patients presenting with musculoskeletal disorders. Information on surgery, prognosis, and expectations 2.
Patient specific functional scale summary description. The patient rates difficulty on an 11point numerical scale 0. Assessing disability and change on individual patients. The patient specific functional scale the patient specific functional scale psfs asks the patient to specify three important activities they are unable to do or have difficulty with as a result of their condition. Establishes what treatments may be required while planning treatment. Complete after the history and before the exam initial assessment ask the patient to list and score at. Psychometrics, clinimetrics, and application as a clinical outcome measure on the patient and the patient s quality of life, has been described by several authors. Patientspecific activity scoring scheme point to one number 0.
The patient specific functional scale psfs this is a patient specific questionnaire that requires patients to identify up to five important activities that they are having difficulty with as a result of their condition. Cohort study of patients with cervical radiculopathy undergoing physical therapy. Pts may perform an evaluation to develop an individualized treatment plan that addresses the patient s pain and activity. Patient specific functional scale a copy of the patientspecific functional scale is provided in fig ure 1. The patient specific functional scale psfs has received. When submitting care authorization requests for physical therapy, occupational therapy and manipulation. The patient specific functional scale psfs is a patient specific outcome measure which investigates functional status stratford et al 1995. The patientspecific functional scale archives of physical.
The psfs assesses functional ability to complete specific activities. Patient specific functional scale connecting repositories. Patientspecific activity scoring scheme point to one number. Outcome measures tac transport accident commission.
The patient specific functional scale psfs is a brief, interviewformat questionnaire that is used to assess functional disability and any changes in performance of activities of daily living. Functional scale fill out and sign printable pdf template. For a variety of economic, political, and humanitarian reasons, it is important to ensure the quality and. Complete after the history and before the exam initial assessment. One recommended assessment tool, the patient specific functional scale psfs. Measurement properties in patients with knee dysfunction. Examine the testretest reliability, construct validity, and minimum levels of detectable and clinically important change for the neck disability index ndi and patient specific functional scale psfs in cohort of patients with cervical radiculopathy. Patient specific functional scale psfs chatman et al. The patient rates difficulty on an 11point numerical scale 0 unable to perform the activity.
Patients rate their ability to complete an activity on an 11point scale at a. Patient wearing comfortable clothing and supportive shoes uses usual walking aid during test usual medical regimen should be continued a light meal is acceptable before early morning or early afternoon test. The neck disability index ndi the patient specific functional scale oswestry disability questionnaire odq orebro musculoskeletal pain. The patient specific functional scale psfs outcomes assessment is required for. Please identify up to three important activities that you are unable to do or are having difficulty with as a result of your current problem diagnosis i. Patientspecific activity scoring scheme circle one number or provide a range 1. Evaluation of treatment outcome using the patient specific. Psychometrics, clinimetrics, and application as a clinical outcome measure systematic. Please use these examples as a starting point but be very specific in your response. Patient specific functional scale pdf lower extremity. Prudent consumers generally seek this type of information to select providers who meet standards of. The patientspecific functional scale this useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any orthopaedic condition. The patient specific functional scale this useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any orthopaedic condition.
At the time of the initial visit, the clinician made an estimate of patients prognoses on a fivepoint scale. Outpatient rehab therapy clinic appointment policy pdf lower extremity functional scale pdf neurological rehabilitation. Patient specific functional scale psfs patient specific. The psfs is a clinician assisted and patient determined questionnaire that assesses functional limitations and disabilities. Patientspecific functional scale ergoterapeutforeningen. The patient specific functional scale psfs and the numeric pain rating. It will be used to measure a workers improved function from msk poc admission to discharge.
The applicability of the patient specific functional scale psfs in rehabilitation for patients with acquired brain injury abi a cohort study. The patientspecific functional scale touchstone columbia. Patient specific functional scale rehabmeasures database. They are required to rate their ability to perform each activity on a scale of 010. In the psfs, the patients rate their problems in functioning on a scale from 0. Documentation of a patient s level of function is an important aspect of patient care. Guide to outcome measure reporting patient specific functional.
Functional assessment scale checklisttype rating scale of selfcare function. Complete at the end of the history and prior to physical examination. Patient specific activity scoring scheme point to one number. The patientspecific functional scale is a widely used measure of physical function. These activities are rated on an 11point scale, where 0 is unable to perform the. The advanced tools of the editor will lead you through the editable pdf template. Then rate your ability to do the activities in the last week by circling the appropriate number. For a variety of economic, political, and humanitarian reasons, it is important to ensure the quality and effectiveness of our full range of healthcare services. Creation of a written care plan, including initial plans to address any neuropsychiatric symptoms, neurocognitive symptoms, functional limitations, and referral to community resources as needed eg, rehabilitation services, adult day programs, support groups shared with the patient andor caregiver with initial education and support. Fill out, securely sign, print or email your the patient specific functional scale msu rehabilitation instantly with signnow. This outcome tool is the patient specific functional scale1 psfs.
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