Kwaliteitsstandaard atypische parkinsonismen

Pagina 224 1 Somewhat slow and/or clumsy, but no help needed. 2 Needs help to shower or bathe; or very slow in hygienic care. 3 Requires assistance for washing, brushing teeth, combing hair, using the toilet. 4 Completely helpless. 7. Walking 0 Normal. 1 Mildly impaired. No assistance needed. No walking aid required (except for unrelated disorders). 2 Moderately impaired. Assistance and/or walking aid needed occasionally. 3 Severely impaired. Assistance and/or walking aid needed frequently. 4 Cannot walk at all even with assistance. 8. Falling (rate the past month) 0 None. 1 Rare falling (less than once a month). 2 Occasional falling (less than once a week). 3 Falls more than once a week. 4 Falls at least once a day (if the patient cannot walk at all, rate 4). 9. Orthostatic symptoms 0 No orthostatic symptoms.* 1 Orthostatic symptoms are infrequent and do not restrict activities of daily living. 2 Frequent orthostatic symptoms developing at least once a week. Some limitation in activities of daily living. 3 Orthostatic symptoms develop on most occasions. Able to stand ˃1 min on most occasions. Limitation in most of activities of daily living. 4 Symptoms consistently develop on orthostasis. Able to stand ˂1 min on most occasions. Syncope/presyncope is common if patiënt attempts to stand. *Syncope, dizziness, visual disturbances or neck pain, relieved on lying flat. 10. Urinary function* 0 Normal. 1 Urgency and/or frequency, no drug treatment required. 2 Urgency and/or frequency, drug treatment required. 3 Urge incontinence and/or incomplete bladder emptying needing intermittent catheterization. 4 Incontinence needing indwelling catheter. *Urinary symptoms should not be due to other causes. 11. Sexual function 0 No problems. 1 Minor impairment compared to healthy days. 2 Moderate impairment compared to healthy days. 3 Severe impairment compared to healthy days. 4 No sexual activity possible. 12. Bowel function