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EDSS steps 1.0 to 4.5 refer to people with MS who are fully ambulatory. EDSS steps 5.0 to 9.5 are defined by the impairment to ambulation. The clinical meaning of each possible result is the following: 0.0: Normal Neurological Exam; 1.0: No disability, minimal signs in 1 FS; 1.5: No disability, minimal signs in more than 1 FS; 2.0: Minimal ...
The Kawa model (kawa ), named after the Japanese word for river, is a culturally responsive conceptual framework used in occupational therapy to understand and guide the therapeutic process. [1] Developed by Japanese occupational therapists (OTs), the model draws upon the metaphor of a river to describe human occupation, which according to OTs ...
It was initially inspired by occupational performance frameworks proposed by the American Occupational Therapy Association [5] and Reed and Sanderson. [6] However, calls to develop a national quality assurance system lead to its forerunner in 1983 - 'Client-Centred Guidelines for the Practice of Occupational Therapy'. [ 7 ]
Functional capacity can also be expressed as "METs" and can be used as a reliable predictor of future cardiac events. [5] One MET is defined as the amount of oxygen consumed while sitting at rest, and is equal to 3.5 ml oxygen per kilogram body weight per minute.
The medical model of disability, or medical model, is based in a biomedical perception of disability. This model links a disability diagnosis to an individual's physical body. The model supposes that a disability may reduce the individual's quality of life and aims to correct or diminish the disability with medical intervention. [1]
The mental status examination (MSE) is an important part of the clinical assessment process in neurological and psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and ...
Sociopolitical definitions of disability, the independent living movement, improved media and social messages, observation and consideration of situational and environmental barriers, passage of the Americans with Disabilities Act of 1990 have all come together to help a person with disability define their acceptance of what living with a ...
Often clinical settings use a list of the activities of daily living as an assessment document, without any reference to the other elements of the model; Roper herself rejected the use of the list of ADLs as a "checklist" as she stated that it was essential not simply to read the title of the ADL, but to base assessment on knowledge of the ...