PULSES Profile: Revised

PULSES Profile: Revised
Eugene Moskowitz and Cairbre B. McCann‚ 1957 and Granger‚ 1979
نیمرخ پالسس (ارزیابی بیمار)
P - Physical condition: Includes diseases of the viscera (cardiovascular‚ gastrointestinal‚ urologic‚ and endocrine) and neurologic disorders:
1.    Medical problems sufficiently stable that medical or nursing monitoring is not required more often than 3-month intervals.
2.    Medical or nurse monitoring is needed more often than 3-month intervals but not each week.
3.    Medical problems are sufficiently unstable as to require regular medical and/or nursing attention at least weekly.
4.    Medical problems require intensive medical and/or nursing attention at least daily (excluding personal care assistance only).
U - Upper limb functions: Self-care activities (drink/feed‚ dress upper/lower‚ brace/prosthesis‚ groom‚ wash‚ perineal care) dependent mainly upon upper limb function:
1.    Independent in self-care without impairment of upper limbs.
2.    Independent in self-care with some impairment of upper limbs.
3.    Dependent upon assistance or supervision in self-care with or without impairment of upper limbs.
4.    Dependent totally in self-care with marked impairment of upper limbs.
L - Lower limb functions: Mobility (transfer chair/toilet/tub or shower‚ walk‚ stairs‚ wheelchair) dependent mainly upon lower limb function:
1.    Independent in mobility without impairment of lower limbs.
2.    Independent in mobility with some impairment in lower limbs; such as needing ambulatory aids‚ a brace or prosthesis‚ or else fully independent in a wheelchair without significant architectural or environmental barriers.
3.    Dependent upon assistance or supervision in mobility with or without impairment of lower limbs‚ or partly independent in a wheelchair‚ or there are significant architectural or environmental barriers.
4.    Dependent totally in mobility with marked impairment of lower limbs.
S - Sensory components: Relating to communication (speech and hearing) and vision:
1.    Independent in communication and vision without impairment.
2.    Independent in communication and vision with some impairment such as mild dysarthria‚ mild aphasia‚ or need for eyeglasses or hearing aid‚ or needing regular eye medication.
3.    Dependent upon assistance‚ an interpreter‚ or supervision in communication or vision.
4.    Dependent totally in communication or vision.
E - Excretory functions: (bladder and bowel):
1.    Complete voluntary control of bladder and bowel sphincters.
2.    Control of sphincters allows normal social activities despite urgency or need for catheter‚ appliance‚ suppositories‚ etc. Able to care for needs without assistance.
3.    Dependent upon assistance in sphincter management or else has accidents occasionally.
4.    Frequent wetting or soiling from incontinence of bladder or bowel sphincters.
S - Support factors: Consider intellectual and emotional adaptability‚ support from family unit‚ and financial ability:
1.    Able to fulfill usual roles and perform customary tasks.
2.    Must make some modification in usual roles and performance of customary tasks.
3.    Dependent upon assistance‚ supervision‚ encouragement or assistance from a public or private agency due to any of the above considerations.
4.    Dependent upon long-term institutional care (chronic hospitalization‚ nursing home‚ etc.) excluding time limited hospital for specific evaluation‚ treatment‚ or active rehabilitation.
شرح سایت روان سنجی: در سال 1943 در کانادا نیاز به ارزیابی آمادگی جسمانی تازه سربازان در جنگ جهانی دوم، نخستین پروفایل پدیدآمد، سپس در ارتش آمریکا تغییراتی در آن ایجاد شد، تا در سال 1957 نسخه فوق ارائه گردید.
P = physical condition‚ U= upper limb functions‚ L= lower limb functions‚ S = sensory components (speech‚ vision‚ hearing)‚ E= excretory functions‚ S =mental and emotional status
اعتبار: "گرنجر و همکاران 1979" اعتبار بازآزمایی را 0.87 و پایایی ارزیابها 0.95، و ضریب آلفا نزد بیماران سکته مغزی 0.74 و نزد ترخیص شده ها 0.78 گزارش کرده اند.
اجرا: این نیمرخ می تواند به صورت گذشته نگر از سوابق پزشکی یا مصاحبه و مشاهده بیمار تکمیل شود. بیمار در چهار رده عادی تا نیازمند خدمات کامل رده بندی می شود.
چگونگی دستیابی
This instrument can be found at: http://dl.icdst.org/pdfs/files3/8c0318d9be7ee1707543f1daca6510fd.pdf & www.a4ebm.org/sites/default/files/Measuring%20Health.pdf
منبع برای آگاهی بیشتر
Moskowitz E‚ McCann CB. (1957). Classification of disability in the chronically ill and aging. J Chronic Dis;5:342–346.
Moskowitz E‚ Fuhn ER‚ Peters ME‚ et al. (1959). Aged infirm residents in a custodial institution: two-year medical and social study. JAMA;169:2009–2012.
Granger CV‚ Greer DS. (1976). Functional status measurement and medical rehabilitation outcomes. Arch Phys Med Rehabil ;57:103–109.
Granger CV‚ Albrecht GL‚ Hamilton BB. (1979). Outcome of comprehensive medical rehabilitation: measurement by PULSES Profile and the Barthel Index. Arch Phys Med Rehabil; 60:145–154.
Moskowitz E. (1985). PULSES Profile in retrospect. Arch Phys Med Rehabil ;66:647–648.
McDowell‚ Ian. (2006). Measuring Health: A Guide to Rating Scales and Questionnaires‚ Third Edition. Oxford University Press
   
آذر 1402
خرداد 1396
اسفند 1395
فروردین 1394
خرداد 1393
فروردین 1393
اسفند 1392
بهمن 1392
آذر 1390
تیر 1390
خرداد 1390
اردیبهشت 1390
اردیبهشت 1390
بهمن 1389
اردیبهشت 1389
اردیبهشت 1389
آبان 1388
شهریور 1388
مرداد 1388
تیر 1388
خرداد 1388
   
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