SLUMS Screening Toolbox: A Case Study

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Introduction Screening tools are an important part of the physical therapy toolbox. It is the first step needed, to identify patients that are at risk for a particular medical condition. For the screening examination to be valid, it has to follows important guidelines to ensure its precision. Screening inquisitions can be arranged in a variety of frameworks, for instance, an individual answer a series of standardizing questions or a dynamic pattern; a person is engaged in selected form of simple movements to screen for various issues with positional changes (i.e. supine to sitting, sit to stand), balance and conditioning. (U.S. Department of Health and Human Services, 2009, p. 58) Defines screening as a process for …show more content…
(Tariq, Tumosa, Chibnail, Perry 3rd, & Morley, 2006, p.900) Reported that it has a 30-point screening questionnaire that check for orientation, memory, attention, and executive functions. This screening test was compared to the popular Mini-Mental State Examination (MMSE), which only identify dementia. VAMC and SLU researchers examined the sensitivity and specificity of both cognitive screening test, and the results revealed acceptable receiver operator curves (ROCs) on both test. (Park, Goo, & Jo, 2004, p. 11) Defined ROC as an effective method of evaluating the quality or performance of a diagnostic tests. However, only the SLUMS test is able to identify the mild neurocognitive disorder (MNCD). I have not used the SLUMS screening tool however I am receptive to apply it to some of my geriatric acute care patients since it is quick and easy to administer; in addition, the screening test is similar to the orientation questions in the general physical therapy initial evaluation form except for the math computation and brief storytelling …show more content…
DVT Probability: Wells Score System. It is a tool used in screening for the likelihood of deep vein thrombosis (DVT) for inpatient population. It uses a nine-elemental clinical prediction rule. Each item is scored 1 point and -2 points if there is an alternative diagnosis identified. (Silveira et al., 2015, p. 1112) Conducted a prospective study in a 793-bed quaternary care using the Wells score screening tool and found out that the tool failed to classify patients, and the receiver operating characteristic curve accuracy is insufficient. (Silveira et al., 2015, p. 1112) Concluded that the Wells score performed somewhat better than a chance for discerning the risk for DVT in hospitalized patients. I have not used the Wells score. As a result of the Silveira et al. research study, I will not be using this screening tool to assess my acute care patients for DVT due to unsatisfactory result from the recent literature reviewed. Instead, I will communicate my suspicion of DVT to the primary care physician, to consider a more sensitive test such as Doppler ultrasound in detecting a

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