Question

Of the patients described below, which would you NOT want to use GRoC as an outcome measure?

1) 62-year old male 4 days post-op of a right THA
2) 50- year old female with type 1 DM who "twisted her ankle funny" one week ago
3) 75-year old male with dementia who fell at his home yesterday
4) 34-year old female with a history of drug and alcohol abuse who complains of wrist pain

Answer 1

GRoC would not be appropriate for the 75-year old male with dementia who fell at his home.

Step-by-step explanation:

Of the patients described, the one you would not want to use GRoC (Global Rating of Change) as an outcome measure is the 75-year old male with dementia who fell at his home yesterday. GRoC is a subjective measure that relies on the patient's perception of their own condition and change over time. In this case, because the patient has dementia, their ability to accurately assess and report their own condition may be compromised.

The other patients described, such as the 62-year old male 4 days post-op of a right THA, the 50-year old female with type 1 DM who twisted her ankle funny one week ago, and the 34-year old female with a history of drug and alcohol abuse who complains of wrist pain, do not have the same cognitive impairment as the 75-year old male with dementia.