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UW Health Patient-Specific Functional Scale 2016-2025 free printable template

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Name Patient-Specific 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. Write these down. Then rate your ability to do the activities in the last week by circling the appropriate number. Activity 1 unable to able to perform at perform pre-injury level SCORE Sum of individual s divided by the total of activities Function Scale 7-8 5-6 3-4 1-2 Patient Does 70-80 50-60 30-40 10-20 G Code 0...
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How to fill out UW Health Patient-Specific Functional Scale

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How to fill out UW Health Patient-Specific Functional Scale

01
Obtain the UW Health Patient-Specific Functional Scale form.
02
Identify the specific activities that are important to the patient.
03
Ask the patient to list 3 activities that they find difficult or unable to perform.
04
For each activity, ask the patient to rate their level of difficulty on a scale of 0 to 10, where 0 is unable to perform and 10 is able to perform at the same level as before.
05
Encourage the patient to be honest and provide as much detail as possible for each activity.
06
Review the completed scale with the patient to ensure accuracy and understanding.

Who needs UW Health Patient-Specific Functional Scale?

01
Patients recovering from surgery or injury who are experiencing functional limitations.
02
Individuals undergoing rehabilitation for musculoskeletal or neurological conditions.
03
Healthcare providers looking to assess and track patient-specific functional improvement over time.
04
Patients seeking personalized treatment plans based on their specific functional challenges.
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People Also Ask about

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.
Minimum clinically important difference (MCID) for the PSFS has been investigated in individuals with knee dysfunction, cervical radiculopathy, and chronic low back pain, and was found to be between 2.0 and 3.0 points.
The Patient-Specific Functional Scale (PSFS) was designed. to provide clinicians with a valid, reliable, responsive, and. efficient outcome measure that would be easy to use and. applicable to a large number of clinical presentations.29 As a. clinical outcome measure, the PSFS allows patients to report on their.
Philadelphia Saving Fund Society, known as PSFS, was the first savings bank in the United States, founded in 1816.
The PSFS is a self-reported valid, reliable, and responsive outcome measure for patients with back, neck, knee and upper extremity problems. It has also been shown to have a high test-retest reliability in both generic lower back pain and knee dysfunction issues.
The Patient-Specific Functional Scale (PSFS) is a self-reported, patient-specific measure, designed to assess functional change, primarily in patients presenting with musculoskeletal disorders.

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The UW Health Patient-Specific Functional Scale is a tool used to assess a patient's functional ability in relation to specific activities that are important to them.
Healthcare providers, particularly physical and occupational therapists, are required to file the UW Health Patient-Specific Functional Scale for their patients to evaluate functional progress.
To fill out the UW Health Patient-Specific Functional Scale, identify 3-5 activities the patient has difficulty with, rate each activity's difficulty on a scale of 0 to 10, where 0 means unable to perform the activity, and 10 means able to perform it without difficulty.
The purpose of the UW Health Patient-Specific Functional Scale is to measure the patient's perception of their functional limitations and to track changes over time, which helps in tailoring rehabilitation efforts.
The information that must be reported includes the specific activities that the patient has difficulty with and the difficulty rating for each activity using the defined scale.
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