Risk Factors of Larsen et al for Preventable Harm to a Pediatric Patient in the Intensive Care Unit

Description

List et al developed a performance scale that could be used to evaluate how well a patient with cancer of the head or neck can do common functions affected by the cancer. The scale can be used to monitor progression of disease and response to treatment. The authors are from the University of Chicago.

NOTE: The performance scale can be used in other diseases affecting the head and neck such as trauma or neurologic diseases.

Common functions evaluated:

(1) eating in public

(2) understandability of speech

(3) normalcy of diet

Parameter	Performance	Points
eating in public	no restriction of place, food or companion (can eat out at any opportunity)	100
	no restriction of place, but restricts diet when in public (eats anywhere but limits diet to foods that can be handled easily like liquids)	75
	eats only in the presence of selected persons in selected places	50
	eats only at home in the presence of selected persons	25
	always eats alone	0
understandability of speech	always understandable	100
	understandable most of the time; occasional repetition necessary	75
	usually understandable; face-to-face contact necessary	50
	difficult to understand	25
	never understandable; may use written communication	0
normalcy of diet	full diet with no restrictions	100
	peanuts	90
	all meats	80
	carrots, celery	70
	dry bread and crackers	60
	soft, chewable foods	50
	soft foods requiring no chewing	40
	pureed foods	30
	warm liquids	20
	cold liquids	10
	nonoral feeding (tube feeding, etc.)	0

The higher the score, the better the ability of the patient to function.

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Risk Factors of Larsen et al for Preventable Harm to a Pediatric Patient in the Intensive Care Unit

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