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Clinical measurement instruments (E)

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EAPC - Algorithm for Evaluating Episodic (Breakthrough) Cancer Pain

The Working Group of the European Association for Palliative Care (EAPC) used an algorithm to help identify the different types of breakthrough pain that can occur in a patient with terminal cancer. The type and intensity of pain being experienced can help direct palliative interventions.

 

EATS 2D

 

This scale, which is developed to be used in addition to the Euroqol, describes changes (caused by the provision of AT) on the impact on disability in daily life. It is a tool for making general comparisons, for example between services and technologies in different areas.

 

EDSS - Kurtzke Expanded Disability Status Scale

 

Edinburgh Coma Scales
The Edinburgh Coma Scales were developed in Japan to evaluate patients with impaired consciousness. An initial coma scale developed in 1973 reportedly has been used by the Department of Surgical Neurology at the University of Edinburgh. This was modified in 1978 (Edinburgh-2 Coma Scale) to improve its usefulness. The Edinburgh-2 scale reportedly correlates well with the Glasgow Coma Scale and may complement it for better accuracy

Edinburgh Rehabilitation Status Scale (ERSS)

Staff-completed scale measuring 4 dimensions likely to change during rehabilitation: independence / dependence, activity / inactivity, social integration / isolation, and effect of symptoms on lifestyle. Each dimension is scored on an 8-point scale. Summation gives the overall level of performance of individuals or groups

 

Edmonton Staging System for Cancer Pain

The Edmonton Staging System can be used to evaluate a patient with cancer-related pain. This can identify patients who may require greater efforts to achieve pain control or who may have poor pain control despite all interventions. The authors are from Edmonton in Alberta Canada.

Elderly Mobility Scale (EMS)
Staff-completed ordinal scale measuring locomotion, balance (functional reach) and key position changes (sit to stand, lie to sit, sit to lie, stand with/without support) as prerequisites to more complex activities of daily living. Individual items are stated scores. Maximum score, representing independent mobility, is 20, minimum score is 0

Engagement Levels

Staff-completed observation of levels of patient social integration behaviour within 3 classifications (position, activity and location). 3 classifications and a score based on 5 seconds? observation stated; score is tabulated into percentage. Aims to assess patient?s routine use of their time and what activities they engage in

 

Environmental Status Scale 

The Environmental Status Scale (ESS) can be used to quickly evaluate a patient for handicap both initially and for monitoring over time. It was derived from a measure of socio-economic status

 

Equation of Moore and Garb for Predicting the Incidence Rate of Distal Upper Extremity Disorders form Occupational Exposure
Moore and Garb developed an equation to predict the incidence rate of distal upper extremity disorders in workers based on work conditions. This can help identify those workers who may benefit from occupational interventions to reduce risk. The authors are from the Medical College and University of Wisconsin


EQ5D (Euroqol)

Patient-completed instrument for describing and valuing health-related quality of life, giving a single index score for each health state measured. A 2 part questionnaire, respondents report on their health status as measured by mobility, self care, main activity (i.e. work), leisure activity, pain and anxiety. Part 2 is a visual analogue scale - 0 being worst imaginable and 100 being best imaginable health status. EQ-5D was originally designed to complement other instruments such as the SF-36, NHP, SIP or disease-specific questionnaires but is now increasingly used as a 'stand alone' measure. 

European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ)

Patient-completed cancer-specific quality of life measure. A 30-item questionnaire incorporating 9 multi-item scales: 5 functional (physical, role, cognitive, emotional, social); 3 symptoms (fatigue, pain, nausea and vomiting); one global health and quality of life scale. Single item questions assess additional commonly reported symptoms. Scores are linearly transformed to a 0-100 scale

Evaluation of Functional Abilities (EFA)

Staff-rated ability of spinal cord injured subjects in transfers, bed mobility, wheelchair function and ambulation. 8-12 specific tasks graded in each section from Complete Independence (CI) through to Dependent (DE). 5 intermediate levels defined according to assistance required, with 2 additional grades - Able to Instruct (AI) and Patient Declines (DC). Provision to record Gait (pattern, device, distance) and Other (sitting time, driving skills). No numerical score

Expanded Disability Status Scale (EDSS)
The FSS and EDSS constitute one of the oldest and probably the most widely utilized assessment instruments in MS (Kurtzke, 1983). Based on a standard neurological examination, the 7 functional systems (plus "other") are rated. These ratings are then used in conjunction with observations and information concerning gait and use of assistive devices to rate the EDSS. Each of the FSS is an ordinal clinical rating scale ranging from 0 to 5 or 6. The EDSS is an ordinal clinical rating scale ranging from 0 (normal neurologic examination) to 10 (death due to MS) in half-point increments. The FSS and EDSS have been used in virtually every major clinical trial that has been conducted in MS during the last four decades and in numerous other clinical studies

 

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