Instructions Scale Definition Score
Patient Identification. ___ ___-___ ___ ___-___ ___ ___ Pt. Date of Birth ___ ___/___ ___/___ ___ Hospital ________________________(___ ___-___ ___) Date of Exam ___ ___/___ ___/___ ___ Interval: [ ] Baseline [ ] 2 hours post treatment [ ] 24 hours post onset of symptoms 20 minutes [ ] 7-10 days [ ] 3 months [ ] Other ________________________________(___ ___) Time: ___ ___:___ ___ [ ]am [ ]pm Person Administering Scale _____________________________________ Administer stroke Scale items in the order listed. Record performance in each category after each subscale exam. Do not go back and change scores. Follow directions provided for each exam technique. Scores should reflect what the patient does, not what the clinician thinks the patient can do.
Oct 01, 2003 · Person Administering Scale _____ Administer stroke scale items in the order listed. ... 2 = Partial paralysis (total or near-total paralysis of lower face). 3 = Complete paralysis of one or both sides (absence of ... The patient in a coma (item 1a=3) will automatically score 3 on this item. The examiner must choose a
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