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Georgetown University Hospital Modified Fatigue Impact Scale 5-Item Version (MFIS-5) 2011-2025 free printable template

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Patient s Name Date // month ID Test 1 day year MODIFIED FATIGUE IMPACT SCALE 5-ITEM VERSION MFIS-5 Following is a list of statements that describe how fatigue may affect a person. Fatigue is a feeling of physical tiredness and lack of energy that many people experience from time to time. In medical conditions like MS feelings of fatigue can occur more often and have a greater impact that usual* Please read each statement carefully and then circle the one number that best indicates how often...
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How to fill out modified impact fatigue scale form

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To fill out the Modified Fatigue Impact Scale (MFIS), start by obtaining a copy of the questionnaire. It can often be found online or through healthcare providers who use this assessment tool.
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Once you have the MFIS questionnaire, find a quiet and comfortable place where you can concentrate and answer the questions without distractions.
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Carefully read each question on the MFIS and consider your own experiences. The questionnaire asks about the impact of fatigue on various aspects of your life, such as physical, cognitive, and psychosocial domains.
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Respond to each question honestly and to the best of your ability. Use a scale from 0 to 4 to rate the extent to which fatigue has affected each specific area of your life. A score of 0 represents no impact, while a score of 4 indicates a significant impact.
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Take your time to consider your responses and make sure you understand each question before answering. It is important to provide accurate information to get the most reliable results from the MFIS.
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After completing the questionnaire, review your answers to ensure they accurately reflect your experiences with fatigue. Make any necessary adjustments if needed.
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Finally, tally up your scores for each domain (physical, cognitive, and psychosocial) and calculate the total score. Higher scores on the MFIS indicate a greater impact of fatigue on your daily life.

Who needs the Modified Fatigue Impact Scale?

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Individuals who experience chronic fatigue or debilitating fatigue due to medical conditions may benefit from using the Modified Fatigue Impact Scale.
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Healthcare professionals, such as doctors, nurses, and researchers, may use the MFIS to assess the impact of fatigue on their patients' lives. It can help identify the severity of fatigue, track changes over time, and guide treatment decisions.
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People with conditions such as multiple sclerosis, fibromyalgia, chronic fatigue syndrome, and other chronic illnesses often use the MFIS as a tool to measure the impact of fatigue on their daily functioning.
Overall, the Modified Fatigue Impact Scale is a valuable tool for both individuals experiencing fatigue and healthcare professionals seeking to assess and manage fatigue-related issues.
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People Also Ask about

Discuss Energy-Boosting Medication With Your Doctor Provigil (modafanil) is a wakefulness-promoting medication that works for some people with MS. The antiviral medication Symmetrel (amantadine) can also be helpful. Ampyra (dalfampridine) is a drug approved to help with walking in people with MS.
Article Highlight: Fatigue is one of the most common problems among patients living with multiple sclerosis (MS). Three drugs—amantadine, modafinil, and methylphenidate—are commonly prescribed for reducing fatigue in patients with MS, but conclusive evidence for their effectiveness is lacking.
It can be acute (lasting a month or less) or chronic (lasting from 1 to 6 months or longer). Fatigue can prevent you from functioning normally and affects your quality of life. ing to the National Multiple Sclerosis Society, 80% of people with MS have fatigue.
The total score of the MFIS ranges from 0 to 84. The ranges of scores for each subscale are as follows: physical, 0 to 36; cognitive, 0 to 40; and psychosocial, 0 to 8. No data have so far been published regarding population norms for the MFIS and its subscales.
There are no medical tests to measure fatigue. But a good way to describe fatigue is on a scale of 1 to 10. Where 1 means you don't feel tired at all and 10 means the worst tiredness you can imagine. Some may use a questionnaire to help them work out how it's affecting you.
"Other MS symptoms may come and go, but fatigue seems to be a constant, no matter what stage of MS they're in," says neurologist Jeffrey Cohen, MD, director of the Cleveland Clinic's Mellen Center for Multiple Sclerosis Treatment and Research in Ohio.
Medications That May Help MS Fatigue Symmetrel (amantadine) Provigil (modafinil) Prozac (fluoxetine) Ritalin (Methylphenidate) Next Steps.
The Fatigue Scale, developed by Chalder et al. (1993), is an 11 item scale intended to measure the severity of fatigue-related symptoms experienced by individuals with ME/CFS.
It is computed by adding raw scores on the following items: 4+6+7+10+13+14+17+20+21. This scale can range from 0 to 40. It is computed by adding raw scores on the following items: 1+2+3+5+11+12+15+16+18+19. This scale can range from 0 to 8.
Depending on what's causing your MS fatigue, a doctor may prescribe: anti-inflammatory pain medications, like aspirin. amantadine (Gocovri), an antiviral drug that may help with MS fatigue. armodafinil (Nuvigil) or modafinil (Provigil), which are medications typically used to treat narcolepsy.
The FSS examines 6 domains of functioning, and each domain receives a score of 1 (normal), 2 (mild dysfunction), 3 (moderate dysfunction), 4 (severe dysfunction), or 5 (very severe dysfunction). Final scores range from 6 to 30. With training, nurses, therapists, or physicians can collect FSS data.
Primary fatigue is caused by MS damage in the brain and spinal cord. And lots of processes might be involved. One idea from researchers is that passing messages around nerve damage takes extra energy. Secondary fatigue is caused by living with MS symptoms like pain, or disturbed sleep.
The FACIT-fatigue scale is a 13-item patient-reported measure of fatigue with a 7-day recall period. Items are scored on a 0 – 4 response scale with anchors ranging from “Not at all” to “Very much so”. To score the FACIT-fatigue, all items are summed to create a single fatigue score with a range from 0 to 52.
Purpose The FIS was developed to assess the symptom of fatigue as part of an underlying chronic disease or condition. Consisting of 40 items, the instrument evaluates the effect of fatigue on three domains of daily life: cognitive functioning, physical functioning, and psychoso- cial functioning [ 1] .
"Other MS symptoms may come and go, but fatigue seems to be a constant, no matter what stage of MS they're in," says neurologist Jeffrey Cohen, MD, director of the Cleveland Clinic's Mellen Center for Multiple Sclerosis Treatment and Research in Ohio.
Taurine may increase the remyelination effects of multiple sclerosis treatments. Taurine—an amino acid commonly found in energy drinks and supplements—may increase the efficacy of current multiple sclerosis (MS) treatments, ing to a study published by Nature Chemical Biology.
The MFIS is a modified form of the Fatigue Impact Scale (Fisk et al, 1994b) based on items derived from interviews with MS patients concerning how fatigue impacts their lives. This instrument provides an assessment of the effects of fatigue in terms of physical, cognitive, and psychosocial functioning.
The items are scored on a 7 point scale with 1 = strongly disagree and 7= strongly agree. The minimum score = 9 and maximum score possible = 63. Higher the score = greater fatigue severity. Another way of scoring: mean of all the scores with minimum score being 1 and maximum score being 7.
A number of studies have shown that regular exercise, usually with some aerobic (cardiovascular) component, helps with MS-related fatigue. Regular exercise is also good for balance, endurance, weight loss, and well-being. It is important to use the principle of energy conservation.
The Modified Fatigue Impact Scale – 5 item (MFIS-5)—also known as the MFIS abbreviated version—is one of over 50 available questionnaires for assessing fatigue in clinical and research practice. It is a short version of the 21-item MFIS. The MFIS derives from the Fatigue Impact Scale (FIS) [2].

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The Georgetown University Hospital Modified Fatigue Impact Scale is a questionnaire designed to assess the impact of fatigue on daily functioning and quality of life. It helps healthcare providers measure fatigue levels in patients.
Patients who experience fatigue, particularly those with chronic illnesses or conditions that affect energy levels, are required to fill out the Georgetown University Hospital Modified Fatigue Impact Scale as part of their assessment.
To fill out the Georgetown University Hospital Modified Fatigue Impact Scale, patients should read each statement carefully and rate how much fatigue has affected their ability to perform daily activities over the past week. They typically use a numerical scale to indicate their level of impairment.
The purpose of the Georgetown University Hospital Modified Fatigue Impact Scale is to quantify the extent to which fatigue affects a patient's day-to-day activities and overall quality of life, facilitating better clinical decisions and treatment plans.
On the Georgetown University Hospital Modified Fatigue Impact Scale, patients must report their levels of fatigue in relation to various areas such as physical, cognitive, and social functioning, as well as restrictions they've experienced due to fatigue.
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