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REVISED PATIENT SPECIFIC FUNCTIONAL SCALE (PSFS) Patient Last Name Patient First Name FAX (888) 5654225 Date of Birth (MM/DD/YYYY) Patient ID / Provider Last Name Provider First Name / Provider Phone.

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How to fill out the Revised Patient Specific Functional Scale online

The Revised Patient Specific Functional Scale is a valuable tool used by healthcare providers to assess patient limitations due to their conditions. This guide provides clear, step-by-step instructions for completing the form online, ensuring your input is accurate and helpful.

Follow the steps to successfully complete the Revised Patient Specific Functional Scale online.

  1. Press the ‘Get Form’ button to access the Revised Patient Specific Functional Scale. This will allow you to open the form in an editable format.
  2. Begin by entering the patient’s last name and first name in the designated fields.
  3. Fill in the patient’s date of birth in the specified MM/DD/YYYY format.
  4. Input the unique patient ID number for reference.
  5. Provide the provider's last name and first name as well.
  6. In the provider phone section, enter the area code followed by the phone number.
  7. Complete the initial assessment by asking the patient to list at least three activities they struggle with due to their chief complaint. These activities will be crucial for the scoring.
  8. In the scoring scheme section, enter a number from 0 to 10 for each activity based on the patient’s ability, where 0 indicates the patient can perform the activity at the same level as before an injury and 10 denotes they are unable to perform the activity.
  9. Repeat the scoring for the same activities during the follow-up or discharge assessment.
  10. Ensure all scoring for each activity is filled accurately for the specified dates.
  11. Once completed, review the form for any errors or missing information.
  12. Finally, save your changes, and you will have the option to download, print, or share the form as needed.

Take the next step in enhancing patient care by completing the Revised Patient Specific Functional Scale online today.

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To calculate the Revised Patient Specific Functional Scale, have the patient identify up to three activities they struggle with and rate their ability to perform each on a scale from 0 to 10. A score of 0 indicates they cannot perform the activity, while a score of 10 indicates they can perform it without difficulty. After gathering these scores, you can average them to determine the overall functional ability. This comprehensive assessment allows healthcare providers to track changes over time and adjust treatment accordingly.

The Patient Specific Functional Scale (PSFS) is a tool designed to measure an individual's functional abilities related to specific activities. Patients select up to three activities they find challenging, and then rate their ability to perform each activity. This personalized approach allows for a more tailored assessment of functional limitations compared to standardized measures. Integrating the Revised Patient Specific Functional Scale into your practice can yield deeper insights into patient progress.

The Minimal Detectable Change (MDC) for the Revised Patient Specific Functional Scale indicates the smallest amount of change that can be considered significant. This metric helps clinicians determine whether improvements in a patient's scores are meaningful or just due to measurement error. Knowing the MDC is crucial for tracking progress and making informed treatment decisions. By utilizing this scale, practitioners can enhance the accuracy of their assessments.

To calculate the score on the Lower Extremity Functional Scale (LEFS), ask the patient to rate their ability to perform specific activities that require lower limb function. Each activity is scored from 0 to 4, with 0 indicating extreme difficulty and 4 indicating no difficulty at all. The total score is then obtained by summing the individual activity scores, providing a clear indication of the patient's functional status. Using the Revised Patient Specific Functional Scale can help contextualize these scores and improve treatment planning.

To score the Upper Extremity Functional Scale (UEFS), start by having the patient evaluate their performance on various tasks related to upper extremity function. Each task is rated from 0 to 10, with 0 indicating no ability to perform the task and 10 indicating complete independence. After collecting the scores for each task, add them together to get a total score that reflects the patient’s upper extremity function. The Revised Patient Specific Functional Scale can be a valuable tool in this process, allowing you to tailor interventions based on specific patient needs.

Interpreting the Upper Extremity Functional Scale (UEFS) score involves analyzing the total score within the context of the patient’s functional status. A higher score generally indicates better upper extremity function, while a lower score suggests more significant limitations. It is crucial to compare these scores over time to assess progress or decline in the patient’s condition. By incorporating the Revised Patient Specific Functional Scale into your evaluations, you can gain deeper insights into how specific activities impact your patients' lives.

To score the lower extremity functional scale, first, you need to gather the patient’s responses to specific activities they might struggle with due to lower extremity issues. Each activity is rated on a scale from 0 to 10, where 0 means unable to perform the activity and 10 means able to perform it without any difficulty. The total score is the sum of all the individual scores, providing a clear picture of the patient's functional ability. Utilizing the Revised Patient Specific Functional Scale can enhance your understanding of the patient's limitations and needs.

A good Upper Extremity Functionality Index (UEFI) score suggests that you can perform most daily tasks with ease. Scores approaching 100 indicate optimal upper extremity function, while scores below that may point to challenges. By integrating your UEFI score with insights from the Revised Patient Specific Functional Scale, you can better assess your functional capabilities and discuss potential improvements with your healthcare provider.

The Lower Extremity Functional Scale (LEFS) score ranges from 0 to 80, with higher scores reflecting better functional abilities. When interpreting your LEFS score, think about how it relates to your daily activities and overall quality of life. Utilizing the Revised Patient Specific Functional Scale alongside the LEFS can enhance your understanding of your condition and help direct your rehabilitation efforts.

To interpret the Upper Extremity Functional Index, consider the total score out of 80. Higher scores indicate better function and less difficulty with upper extremity tasks. By comparing these results with the Revised Patient Specific Functional Scale findings, you can gain a comprehensive understanding of your functional status and areas that may need additional attention.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232