Shoulson and Fahn described several stages to the progressive decline in a patient with Huntington's chorea. The authors are from the University of Rochester and Columbia University.
Parameters:
(1) engagement in occupation (ability to work)
(2) capacity to handle financial matters
(3) capacity to manage domestic responsibilities
(4) capacity to perform activities of daily living
(5) location of care
|
ability to work |
managing financial affairs |
managing domestic affairs |
dependency in ADL |
lives at |
Stage |
|
usual |
no help needed |
no help needed |
none |
home |
1 |
|
reduced demands |
needs minor help |
needs minor help |
none |
home |
2 |
|
marginal |
needs major help |
needs major help |
mild |
home |
3 |
|
unable |
unable |
unable |
moderate |
home or extended care |
4 |
|
unable |
unable |
unable |
severe |
total care facility |
5 |
Purpose: To determine the level of disability for a patient with Huntington's disease using the stages of Shoulson and Fahn.
Specialty: Sports Medicine & Rehabilitation, Neurology
Objective: severity, prognosis, stage, disability and performance
ICD-10: G10,
