Integrated Summary
Mr. VM aged 68 years, approached AyurVAID: Hospitals with following complaints:
| Presenting Complaints | Severity | Chronicity |
|---|---|---|
|
Tremors over both hands associated with difficulty in writing, slowness in movements, imbalance, and short shuffling gait and hallucinations |
High |
5 years |
Physician Outcome Scale:
| Outcome Parameter | Metrics / Scale | Before Treatment on 20.9.2019 | After Treatment on 3.10.2019 |
|---|---|---|---|
|
Tremors of B/L Hands |
Present/Absent |
Absent |
Absent |
|
Bowel |
Clear/ Not clear |
Not clear |
Not clear |
|
Shuffling Gait |
High/Medium/Low |
High |
Medium |
|
Hallucination |
Present/Absent |
Present |
Present |
|
Loss of balance |
High/Medium/Low |
High |
Medium |
|
Bradykinesia |
High/Medium/Low |
High |
Medium |
|
Dryness of mouth |
High/Medium/Low |
High |
Low |
|
Swinging of arms |
Present/Absent |
Absent |
Present |
|
Buttoning shirt |
Present/Absent |
Absent |
present |
|
Difficulty in speech articulation |
High/Medium/Low |
High |
Low |
|
Volume of speech |
P/F/G |
P |
F |
Standard Outcome Scale:
| Scale with Min-Max Score | Before Treatment 20.9.2019 | After Treatment 3.10.2019 | Interpretation |
|---|---|---|---|
|
Lindop Parkinson's Assessment Scale (0-30) |
24/30 (80%) |
29/30 (96.6%) |
Higher the score lower the disability |
|
Unified Parkinson's Disease Rating Scale (0-199) |
41/199 (20.6%) |
16/199 (8%) |
Higher the score higher the severity |
|
Schwab and England Activities of Daily Living Scale (0-100%) |
Not Completely independent. More difficulty with some chores. Must spend large part of day with chores (70%) |
Completely independent. Able to do all chores with some degree of slowness, Difficulty and impairment.(90%) |
0% denotes bedridden, affecting vegetative functions.100% denotes completely independent. Essentially normal Higher the score, higher the normalcy |
Patient Outcome Scale:
| Presenting Complaints | Weightage | Before Treatment 20.9.2019 | After Treatment 3.10.2019 |
|---|---|---|---|
|
Constipation |
10% |
Poor |
Good |
|
Hallucinations |
30% |
Poor |
Fair |
|
Involuntary movements |
20% |
Poor |
Good |
|
Loss of balance |
40% |
Poor |
Very Good |