Functional independence measure fim the fim was developed in 1983 by a task force created by the american congress of rehabilitation medicine and the american academy of physical medicine and rehabilitation headed by carl granger and byron hamilton. The tool is used to assess a patients level of disability as well as change in patient status in response to rehabilitation or medical intervention. General background information 1 1 uniform client data instrument ucdi 1 2 colorado client assessment record ccar 3 section 2. The functional independence measure fimr is an outcome measure of the severity of disability for an inpatient rehabilitation setting. Functional assessment 7 3 independent living skills survey ilss 8 4 community competence scale ccssf 9 5. Sleepiness had a moderate to large negative effect effect size range 0. Functional independence measure rehabmeasures database. Functional independence measurement fim user manual. The functional independent measurement fim is a scale which assesses patients level of disability at admission, during rehabilitation, and upon discharge. Ability of functional independence measure to accurately. It is a composite of many functional tests, the cornerstone of which at least for pediatrics is the fresno.
Functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. The scoring considers the use of adaptive equipment andor the extent of personal assistance or supervision required to complete the task. It rates 18 activities of daily living on a 7 point scale ranging from fully dependent 1 to independent with no aids 7. The physical mobility scale pms is used to evalu ate the functional ability of aged adults. The functional assessment measure does not stand alone but adds 12 fam items to the fim. The functional independence measure fim is an assessment tool that aims to evaluate the functional status of patients throughout the rehabilitation process following a stroke, traumatic brain injury, spinal cord injury or cancer. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Functional independence measure for children springerlink. The reliable and valid test typically takes less than. Results for functional independence measure 1 10 of 88 sorted by relevance date.
Acrobat can size the pages of a pdf to fit the selected paper size. Adls cognition motor mostly used in inpatient settings. Graded with a 7 point scale system composed of 18 graded skills 6. Has been superseded by personlevel of functional independence, functional independence measure score code n health, superseded 18122019, tasmanian health, endorsed 19012018. Source for information on functional independence measure. The fim can be used for measuring disability in a wide range of conditions. Prudent consumers generally seek this type of information to select.
It has been shown to be reliable and has evidence to support its validity. When this measure was compared to the measure at 30 days after discharge, there was improvement across the functional independence variables except for that concerned with sphincter control. Both programs are very expensive and require an annual subscription to the national database, without which the tests are useless. Functional independence measure fim assessment overview assessment area icf domain. The patients exhibited an functional independence measure of 84. Functional independence measure fim flashcards quizlet. A manual for using the functional assessment rating scale fars florida version 199899, with text revisions 2004 introduction. Functional independence measurement fim installation guide. Functional independence measure tm and functional assessment measure brain injury scale. The functional independence measure fim was developed in 1983 in a collaboration between the american congress of rehabilitation medicine and the american academy of physical medicine and rehabilitation headed by carl granger and byron hamilton 7. Her global perspective, clarity of thought, and emphasis on the importance of the research findings has ensured that the system will be of the highest quality. Functional independence measure fim spinal cord injury. The purpose of this study was to determine if the functional independence measure fim is as useful as the morse fall scale in determining which patients admitted to an inpatient rehabilitation facility irf are at highest risk for fall.
Clicking the box or pressing the spacebar toggles the check box setting. The participants were examined using the berg balance scale bbs and the functional independence measure fim. Click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. Each of the 18 items are scored on a seven point scale, ranging from independent to 7independent. Brain injury australia is the central clearinghouse of information and gateway to nationwide referral for optimising the social and economic participation of all australians living with brain injury.
Functional independence measure fim the fim is an 18item, seven level ordinal scale. The functional independence measure fim is an 18item global measure of disability. Fit to printable area scales small pages up and large pages down to fit the paper. Enter your official contact and identification details. Shrink to printable area resizes only large pages to fit the paper and prints small pages as they are. Checkboxes are usually a square box containing a check mark or an x.
The functional independence measure fim has historically been used for care planning and quality measurement in many u. The functional independence measure fim is widely used and accepted as a functionallevel assessment tool that evaluates the functional status of patients. The action research arm test arat is a commonly used standardized and reliable measure for stroke rehabilitation. Irfpai training manual revised 011602 the process of taking a wellknown clinical tool and making it the basis of a national prospective payment system. Nepnag, the fim functional independence measure scale, the functional motor capacity assessment scale for elderly people fmcasep. Page scaling lets you shrink or enlarge pages when you print. Hentschel 2015 can we forget the minimental state examination. Mar 2017 functional independence measurement fim user manual, version 1. Start studying functional independence measure fim locomotion.
In 2008, eight of the 15 functional communication measures fcm from the adult. It is an observational performance measure used to assess a patients level of independance in various adls studies have shown what is fim. A comparison of the functional independence measure and. In recent years the functional independence measure has emerged as a standard. Lefley, phd xxi acknowledgments xxiii introduction xxv section 1. The ratings are based on performance rather than capacity and can be acquired by observation, patient interview, telephone interview or. The advanced tools of the editor will lead you through the editable pdf template. The majority of measurement scales used to evaluate outcome in rehabilitation are ordinal in nature and consequently statistically valid assessments of change are difficult to make. Scoring items are scored on the level of assistance required for an individual to perform activities. Stroke assessment using the action research arm test arat. Each item is scored on a 7 point ordinal scale ranging from 1 total dependence to a score of 7 total independence. Start studying functional independence measure fim. Its area of use can include skilled nursing facilities and hospitals aimed at acute, subacute and rehabilitation care.
Evaluation of functional independence after discharge from. Evaluating functional independence in older adults using. Please use the scale below to rate the patients functional independence. Functional independence measure definition of functional. Functional outcomes of sleep questionnaire fosq results. Those with significant functional dependence, psychiatric disorders, cognitive impairment, uncorrected visual problems, and postural hypotension were excluded. Some of the items scored include selfcare, sphincter control, mobility, locomotion. Functional independence measure synonyms, functional independence measure pronunciation, functional independence measure translation, english dictionary definition of functional independence measure. Review of the charts of all patients admitted to an irf in calendar year 2010. The functional communication measures fcms are a series of sevenpoint rating scales, ranging from least functional level 1 to most functional level 7. Each item on the fim is scored on a 7point likert scale, and the score indicates the amount of assistance required to perform each item.
A checkbox toggles between a yes or no, on or off setting. It is the product of an effort to resolve the long standing problem of lack of uniform measurement and data on disability and rehabilitation outcomes. The ability to quantify the functional ability of poststroke patients engaged in a rehabilitation program may assist in prediction of their functional outco me. Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care.
It is an 18item performance measurement system that documents selfcare, functional mobility, and cognitive abilities. Functional independence measure fim toileting scale scale to rate self care items s as part of the functional independence measures toileting fimtoiletingind. Scale or resize pdf pages in acrobat or reader for printing. Functional communication measures fcms speechlanguage.
Functional status information is used for care planning, to measure quality of care, and to adjust payments for case mix under various medicare ppss. Personlevel of functional independence, functional. Functional independence measure weefim for chinese. Quality assessment of the fim functional independence. Functional independence measure scores of patients with.
The functional independence measure fim instrument is a basic indicator of patient disability. Fim scale fill out and sign printable pdf template signnow. It has five grades, ranging from 0 fully independent to 4 completely dependent. The functional independence measure fim is an 18item measurement tool that explores an individuals physical, psychological and social function. Functional independence measure fim by amanda capitell. Patient function is assessed using the fim instrument at the start of a. The arat is a proven standardized evaluative measure to assess specific changes in upper limb function among individuals who sustained cortical damage resulting in hemiplegia. Measuring function for medicare inpatient rehabilitation. The way to fill out the fim scale pdf form on the internet. Comparing the functional independence measure and the. Functional independence measure peak rehabcare, llc.
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