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COT-03 EVALUATING FUNCTIONING AND DISABILITY OF A PATIENT WITH BRAIN TUMOR BY WHODAS
BACKGROUND: The WHO Disability Assessment Schedule (WHODAS) is a practical assessment instrument which measures level of functioning in the following six domains of life. Here we report a case of brain tumor who was evaluated with the 36-item full version of WHODAS 2.0 (self-administered mode), and...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7213447/ http://dx.doi.org/10.1093/noajnl/vdz039.186 |
Sumario: | BACKGROUND: The WHO Disability Assessment Schedule (WHODAS) is a practical assessment instrument which measures level of functioning in the following six domains of life. Here we report a case of brain tumor who was evaluated with the 36-item full version of WHODAS 2.0 (self-administered mode), and discuss usefulness of the WHODAS. CASE PRESENTATION: A 69-year-old man was referred to our hospital with cognitive problems because of which he needed assistance for his ADLs at home. He was diagnosed as having primary central nervous system lymphoma (PCNSL) following open brain biopsy, and was transferred to our hospital for chemotherapy at 23 days after the biopsy. He showed no sign of motor or sensory impairments, but initial evaluation revealed that he had troubles in judgment in his ADLs mainly because of marked memory deficits. Motor, cognitive and total FIM score was 65/91, 22/35, and 87/126, respectively and MMSE score was 24/30. After 48 days of chemotherapy (3 courses of initial DeVIC and following R-MPV regimens), he was temporally discharged home before readmission for another chemotherapy. According to him and his family, he was then basically independent in ADLs at home. We implemented WHODAS 2.0 to demonstrate minute ADL problems of this patient at home so that we might focus on rehabilitation for specific problems at home. Sub-scores of the WHODAS were 15/30 for Cognition, 10/25 for Mobility, 4/20 for Self-care, 14/25 for Getting along, 12/20 for Life activities, and 27/40 for participation. In fact, he felt difficulty in the areas of “activity and participation”. DISCUSSION: The WHODAS is useful to identify various problems in their daily livings even though patients were independent in ADLs. Patients with brain tumors often repeat hospitalization for medical treatment. We have to be alert to not only objective but subjective changes in ADLs at home. |
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