The Disability Rating Scale (DRS) was developed as a way of tracking traumatic brain injury (TBI) patients from 'Coma to Community'. This scale is used to assess the effects of injuries and decide how long it takes for recovery. Ratings provide insights into the cognitive impairment of individuals suffering from TBI.
DRS idea is similar to Glasgow Outcome Scale (GOS). However, the scale point is to track the patient's progress over time while GOS is used only to determine the extent of brain injury. In many ways, DRS overcomes many shortcomings of GOS.
Training is not required to be able to manage DRS. However, there are video presentations and an optional powerpoint. The test itself takes 1 minute to 30 minutes to do. These can be managed on their own or done through interviews.
Video Disability Rating Scale
Histori
M. Rappaport introduced DRS in 1982 to address the poor accuracy of the Glasgow Outcome Scale. Initially developed to assess individuals with TBI in the rehabilitation phase of recovery. After the development was tested with older adolescents and adults suffering from severe TBI. All tests were performed in an inpatient rehabilitation setting. The purpose of the scale is to measure the general functional changes of patients during the recovery process.
Maps Disability Rating Scale
Usage and Effectiveness
Disability Stage Scale (DRS) is primarily used to assess an individual's disability, disability, and disability. Rating drops are based on the Glascow Outcome Scale, such as "Eye Opening," "Communication Capability," and "Motor Response." Disability assesses individual cognitive abilities. Handicap assesses the individual's ability to function in society.
Based on a single assessment, the DRS "is used to predict the ability to return to work based on acceptance and exemption." Eliason and Topp have successfully used DRS for their predictive abilities at length of stay and discharge in hospital patients with acute brain dysfunction.
The main advantage of DRS comes from its ability to track patient rehabilitation progress. First, the flexibility and ease in assessing the patient makes progress tracking very accommodating. Valuers need a bit of training for an accurate settlement and about fifteen minutes to score. Patients may conduct a retrospective assessment or may be performed using a medical history. Secondly, the scale allows effective tracking of progress. This scale is most powerful and most sensitive on a general behavioral disability scale. DRS becomes more accurate when used in conjunction with Functional Independence Measurement (FIM), more detailed functional measurement.
DRS has several disadvantages. Some sources claim that inter-rater reliability will be well established, while others report high variability. Its implementation also requires more specialized training by assessors. Due to its strength in general assessment, the DRS has difficulty in certain functional assessments and consequently has difficulty in assessing mild to severe functional disturbances; This defect can easily be overcome by following an assessment with FIM, which measures functionality in more detail.
Rating Scale
- Score 0 - Normal
- Score 1 - Lightweight
- Scores of 2 to 3.5 - Partial
- Scores of 4 to 6 - Moderate
- Scores of 7 to 11 - Simply Severe
- Scores of 12 to 16 - Severe
- Scores 17 to 21 - Extremely Severe
- Scores of 22 to 24 - Vegetative Country
- Scores of 25 to 29 - Extreme Vegetative State (or, if the person has a score of 29, the likelihood of death)
Note
References
- Eliason & amp; Topp (1984) Predictive Validity of the Rappaport Disability Rating Scale in Subjects with Acute Brain Dysfunction. Journal of the American Physical Therapy Association , 64: 1357-1360
- Nichol, et al. (2011) Measuring Functional and Quality Outcomes After Head Injury Main Head: General Scales and Lists. Injury, Int J. 42: 281-287
- Rappaport, et al. (1982) Rating Scale Defect for Patients Severe Head Trauma: Coma to Community. Archives of Physical Treatment and Rehabilitation , 63: 118-123.
- Shulka, Devi & amp; Agrawal (2011) Outcome Size for Traumatic Brain Injury. Clinical Neurology and Neurosurgery, 113: 435-441
- Wright (2000) Disability Rating Scale. Measurement Center for Results in Brain Injury. http://www.tbims.org/cmbi/drs.
Source of the article : Wikipedia
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