RESUMO
Functional independence measure (FIM) scores are frequently used as if the various sections are of equal importance and as if the interval between each score is equal. We tested this hypothesis by using marketing research techniques to assess the value to rehabilitation nurses and therapists of four of the six sections. Communication was valued more highly than continence, mobility and self care in that order. The interval between the scores is not equal, with difference between a FIM 2 and 3 being greater than between a FIM 5 and 6. However, when the other difficulties such as interexaminer reliability are considered, these score differences are not great. We concluded that for practical purposes FIM scores may be used as if they were of equal interval spacing, and the scores of the various sections may be added together.
Assuntos
Atividades Cotidianas , Pessoas com Deficiência , Reabilitação/métodos , Comunicação , Teoria da Decisão , Humanos , Locomoção , Enfermeiras e Enfermeiros , Avaliação de Resultados em Cuidados de Saúde , Modalidades de Fisioterapia , Autocuidado , Incontinência Urinária/psicologiaRESUMO
Questionnaires submitted to children subsequent to school screening for scoliosis reveal that 13% of respondents recall being referred to a physician. This rate is considerably higher than the 3% referral rate reported by school health officials. The discrepancy points to misperceptions by students and their parents as a likely cause of "schooliosis, " a condition which brings a flood of normal children into the offices of orthopaedists and pediatricians. Correcting possible communications problems, rather than blaming the screening program, should ease the over-referral phenomenon and allow screening to continue at its present efficient levels.
Assuntos
Mau Uso de Serviços de Saúde , Serviços de Saúde , Programas de Rastreamento/normas , Serviços de Saúde Escolar/organização & administração , Escoliose/epidemiologia , Adolescente , Atitude Frente a Saúde , Humanos , Illinois , Pais/psicologia , Encaminhamento e Consulta , Escoliose/prevenção & controle , Inquéritos e QuestionáriosRESUMO
Nonoperative treatment protocols in adolescent scoliosis require that growth is still occurring. The open iliac apophyses and vertebral ring apophyses are usually considered evidence that growth remains. Studies of adolescent skeletons are not consistent with this view, and one such example is presented. Of clinical importance is that determinant of immaturity should be based on the secondary sexual characteristics, not roentgenographic shadows.