Leisure activity? 3. Do you have shoulder pain at night? 4) Do you take pain killers such as paracetamol (acetaminophen), diclofenac,. Yes. Yes. No. No. 5) Do you take strong pain killers such as codeine, tramadol, or morphine? 6) How many pills do
PATIENT SELF EVALUATION (ASES FORM). Name: Age: Date: Hand Dominance: R L Ambidextrous. Gender: Male Female. Diagnosis: Which shoulder is painful? RIGHT. LEFT. SHOULDER SELF EVALUATION. Do you have pain in your shoulder at night? YES. NO. Do you take pain medication? YES. NO. Do you take Rx
ASES Patient Survey. 1. Which is your dominant arm? Right Left. Ambidextrous. 2. Are you having pain in your shoulder? Yes. No. 3. Please mark the diagram below to indicate where your shoulder pain is. 4. Do you have pain in your shoulder at night. Yes. No. 5. Do you take pain medication (Aspirin, Advil, Tylenol, ect.)?.
Patient's name. Date. Physician___. ASES Function Questionnaire. Circle the number in the box that indicates your ability to do the following activities: 0 = Unable to do; 1 = Very difficult; 2 = Somewhat difficult; 3 = Not difficult. Activity.
The purpose of this study was to examine the psychomet- ric properties of the American Shoulder and Elbow Sur- geons Standardized Shoulder Assessment Form (ASES), patient self-report section. Patients with shoulder dysfunc- tion (n. 63) completed the ASES, The University of. Pennsylvania Shoulder Score, and the
? ASES : Alliance Supplier Evaluation Standard. ? Evaluation of supplier Quality Management System. ? ASES result is shared between Renault and Nissan.

Annons

The photo has no tags

March 2018