Kwaliteitsstandaard atypische parkinsonismen

Pagina 223 B IJLAGE 7: UMSARS UNIFIED MSA RATING SCALE (UMSARS) Part I: Historical Review Rate the average functional situation for the past 2 weeks (unless specified) according to the patient and caregiver interview. Indicate the score that best fits with the patient status. Rate the function independently from the nature of the signs. 1. Speech 0 Not affected. 1 Mildly affected. No difficulties being understood. 2 Moderately affected. Sometimes (less than half of the time) asked to repeat statements. 3 Severely affected. Frequently (more than half of the time) asked to repeat statements. 4 Unintelligible most of the time. 2. Swallowing 0 Normal. 1 Mild impairment. Choking less than once a week. 2 Moderate impairment. Occasional food aspiration with choking more than once a week. 3 Marked impairment. Frequent food aspiration. 4 Nasogastric tube or gastrostomy feeding. 3. Handwriting 0 Normal 1 Mildly impaired, all words are legible. 2 Moderately impaired, up to half of the words are not legible. 3 Markedly impaired, the majority of words are not legible. 4 Unable to write. 4. Cutting food and handling utensils 0 Normal. 1 Somewhat slow and/or clumsy, but no help needed. 2 Can cut most foods, although clumsy and slow; some help needed. 3 Food must be cut by someone, but can still feed slowly. 4 Needs to be fed. 5. Dressing 0 Normal. 1 Somewhat slow and/or clumsy, but no help needed. 2 Occasional assistance with buttoning, getting arms in sleeves. 3 Considerable help required, but can do some things alone. 4 Completely helpless. 6. Hygiene 0 Normal.