Konstantinos Kalliamvakos

konstantinos.kalliamvakos@cambio.se

Cambio CDS

To calculate the total sum for the EMS.

<p>Use to evaluate the functional ability of geriatric patients to perform daily activities. The patient is required to perform 7 actions which are awarded points, varying from 0 to 4. The EMS is calculated by adding the points of all 7 functional tests as described bellow:</p><table><thead><tr style="text-align: left;"><th>EMS action</th><th>Evaluation</th><th>Points</th></tr></thead><tbody><tr style="text-align: left;"><td>Lying To Sitting</td><td>Needs help of two or more people</td><td>0</td></tr><tr style="text-align: left;"><td></td><td>Needs help of one person</td><td>1</td></tr><tr style="text-align: left;"><td></td><td>Independent</td><td>2</td></tr><tr style="text-align: left;"><td>Sitting To Lying</td><td>Needs help of two or more people</td><td>0</td></tr><tr style="text-align: left;"><td></td><td>Needs help of one person</td><td>1</td></tr><tr style="text-align: left;"><td></td><td>Independent</td><td>2</td></tr><tr style="text-align: left;"><td>Sitting To Standing</td><td>Needs help of two or more people</td><td>0</td></tr><tr style="text-align: left;"><td></td><td>Needs help of one person</td><td>1</td></tr><tr style="text-align: left;"><td></td><td>Independent in over 3 seconds</td><td>2</td></tr><tr style="text-align: left;"><td></td><td>Independent in under 3 seconds</td><td>3</td></tr><tr style="text-align: left;"><td>Standing</td><td>Stands only with physical support of another person</td><td>0</td></tr><tr style="text-align: left;"><td></td><td>Stands but needs support</td><td>1</td></tr><tr style="text-align: left;"><td></td><td>Stands without support but needs support to reach</td><td>2</td></tr><tr style="text-align: left;"><td></td><td>Stands without support and able to reach</td><td>3</td></tr><tr style="text-align: left;"><td>Gait</td><td>Needs physical help to walk or constant supervision</td><td>0</td></tr><tr style="text-align: left;"><td></td><td>Mobile with walking aid but erratic/unsafe</td><td>1</td></tr><tr style="text-align: left;"><td></td><td>Independent with frame</td><td>2</td></tr><tr style="text-align: left;"><td></td><td>Independent (with/without stick)</td><td>3</td></tr><tr style="text-align: left;"><td>Timed Walk (6 metres)</td><td>Unable to cover 6 meters</td><td>0</td></tr><tr style="text-align: left;"><td></td><td>Over 30 seconds</td><td>1</td></tr><tr style="text-align: left;"><td></td><td>16 - 30 seconds</td><td>2</td></tr><tr style="text-align: left;"><td></td><td>Under 15 seconds</td><td>3</td></tr><tr style="text-align: left;"><td>Functional Reach</td><td>Under 10 cm</td><td>0</td></tr><tr style="text-align: left;"><td></td><td>10 - 20 cm</td><td>2</td></tr><tr style="text-align: left;"><td></td><td>Over 20 cm</td><td>4</td></tr></tbody></table><p>EMS score interpretation:</p><table><thead><tr style="text-align: left;"><th>EMS score</th><th>Interpretation</th></tr></thead><tbody><tr style="text-align: left;"><td>0 - 9</td><td>Patient requires help with basic activities of daily life and is dependent of long term care.</td></tr><tr style="text-align: left;"><td>10 - 13</td><td>Patient scores borderline independence in activities of daily life. He/she requires some degree of help with mobility related manoeuvres.</td></tr><tr style="text-align: left;"><td>14 - 20</td><td>Patient is independent in basic activities of daily life. He/she may require some help but is generally safe alone at home.</td></tr></tbody></table>

1. Smith R. Validation and Reliability of the Elderly Mobility Scale. Physiotherapy. 1994;80(11):744–7. doi: https://doi.org/10.1016/S0031-9406(10)60612-8.

openEHR-EHR-OBSERVATION.ems, openEHR-EHR-EVALUATION.ems_assessment