The functional independence measure fim scale is a basic indicator of patient disability. The selfcare domain includes 8 items eating, grooming. Both the amount and intensity of the cueing must be considered in scoring an fcm. The functional independence measure fim is a global measure of disability and can be. The katz index of independence in activities of daily living, commonly referred to as the katz adl, is the most appropriate instrument to assess functional status as a measurement of the clients ability to perform activities of daily living independently. Functional communication measures fcms speechlanguage.
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. Nepnag, the fim functional independence measure scale, the functional. Katz index of independence in activities of daily living. Pdf on oct 2, 2018, ladislav valach and others published the dimensionality of functional independence. Since january 1, 2002, items from the fim are recorded in the irf patient assessment instrument pai and, in combination with information on impairment, age, and. Thus, a locally validated weefim instrument should be adopted for chinese children. Functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. Katz index of independence in activities of daily living adl. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Comparing the functional independence measure and the.
Each of the 18 items are scored on a seven point scale, ranging from independent to 7independent. Welcome to the updated function page, current as of august 2018. Psychology definition of functional independence measure fim. Patient function is assessed using the fim instrument at the start of a. Ability of functional independence measure to accurately. Measuring function for medicare inpatient rehabilitation. The scoring considers the use of adaptive equipment andor the extent of personal assistance or supervision required to complete the task. One self report questionnaire that has been validated for use with older adults is.
The functional independence measure fim has historically been used for care planning and quality measurement in many u. The functional independence measure fimr is an outcome measure of the severity of disability for an inpatient rehabilitation setting. The functional independence measure fim is an 18item measurement tool. Results for functional independence measure 1 10 of 84 sorted by relevance date. Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. It consists of 18 items, divided over 2 dimensions. A manual for using the functional assessment rating scale fars florida version 199899, with text revisions 2004 introduction. Short forms development and precision comparison in veterans, archives of physical medicine and. This scale is useful in clinical settings of rehabilitation. 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.
The functional independence measure for children weefim is an 18item, sevenlevel ordinal scale instrument used to assess a childs typical and consistent performance. The current form structure represents the version of fim developed between 1984 and 1987 by a national task force sponsored by the american academy of physical medicine and. The fim was also developed to offer a uniform system of measurement for disability based on the international classification of impairment. May 2003 functional independence measurement fim installation guide, version 1. Our study demonstrated that weefim could be used as a functional independence measure for chinese children.
Nov 29, 2009 the functional independence measure is widely used in rehabilitation settings in canada this is used as the central component of the national rehabilitation reporting system of the canadian institute of health information. For a variety of economic, political, and humanitarian reasons, it is important to ensure the quality and. Personlevel of functional independence, functional. Fim scale fill out and sign printable pdf template signnow. Functional independence measure fim spinal cord injury. The weefim instrument is potentially an internationally useful instrument. The functional independence measure archives of physical.
The functional independence measure fim is an 18item measurement tool that explores an individuals physical, psychological and social function. Functional independence measure rehabmeasures database. Factor analysis of fim on admission, vascular brain damage patients n75. Functional communication measures introduction the functional communication measures fcms are a series of sevenpoint rating scales, ranging from least functional level 1 to most functional level 7. They have been developed by asha to describe the different aspects of a patients functional. Pdf the dimensionality of functional independence measure fim. Functional independence measure fim assessment overview assessment area icf domain. Functional independence measure minimum data set motor item bank.
Irfpai training manual revised 011602 the process of taking a wellknown clinical tool and making it the basis of a national prospective payment system. Measuring function for medicare inpatient rehabilitation payment. 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. Children 0 to 4 years both in america and hong kong. The fim can be used for measuring disability in a wide range of conditions. The fim instrument comprises 18 items, each of which is assessed against a seven point ordinal scale, where the higher the score for an item, the more independently the patient is able to perform the tasks assessed by that item. Each item is scored on a 7 point ordinal scale ranging from 1 total dependence to a score of 7 total independence. For example, none of the current measures assesses fine motor functioning apart from that which may be implied. The functional independence measure fim is an instrument which indicates a patients disability level. Prudent consumers generally seek this type of information to select providers who meet standards of. Short versions of the telephone motor functional independence. The functional independence measure fim is an 18item global measure of disability. It is an 18item performance measurement system that documents selfcare, functional mobility, and cognitive abilities. An alternative system has been developed by the interrai consortium.
Functional independence measure fimz instrument admission discharge followup selfcare a. Thus, data from 340 patients involved in post stroke rehabilitation. Functional independence measure form free pdf file sharing. The patientspecific functional scale this useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any orthopaedic condition. Some of the items scored include selfcare, sphincter control, mobility, locomotion. The functional independent measurement fim is a scale which assesses patients level of disability at admission, during rehabilitation, and upon discharge. The fim is an 18item, clinicianreported scale that assesses function in six areas. The aim of our study was to evaluate the efficacy of pr in patients with severe rf using fim scale that measures the degree of disability experienced. It rates 18 activities of daily living on a 7 point scale ranging from fully dependent 1 to independent with no aids 7. The functional independence measure fim instrument is a basic indicator of patient disability. Fim is comprised of 18 items, grouped into 2 subscales motor and cognition.
The functional independence measure fim is widely used and accepted as a functionallevel assessment tool that. Pdf functional independence measure minimum data set. Pdf functional independence measure minimum data set motor. Its reliability and validity have been studied, and normative data are available for american children. For example, do not assume that a level 5 on one scale is comparable to a level 5 on a different scale. Functional independence measure fim flashcards quizlet. Fssicu categories were rated using the functional independence measure rating scale of 0 to 7. Functional independence measure tm and functional assessment measure brain injury scale. Functional independence measure for children weefim a prel. Results for functional independence measure 1 10 of 84 sorted by relevance date click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. The functional independence measure fim scale assesses physical and.
Functional independence measurement fim installation guide. The fim was carefully designed and developed with the consensus of the us national. Sign, fax and printable from pc, ipad, tablet or mobile with pdffiller. In 2014, the improving medicare postacute care transformation act of 2014 impact act pub. Complete at the end of the history and prior to physical examination. Functional independence measure an overview sciencedirect.
The weefim is a measure of functional ability that can be used for typically developing children, aged 6 months through 7 years, as well as children over 7 years with disabilities and delays in functional development. Questions on the unidimensionality of the fim motor scale have been raised. Short forms development and precision comparison in veterans, archives of physical medicine and rehabilita tion 2017, doi. Copyright 1997 uniform data system for medical rehabilitation, a division of ub foundation activities. Fim as a summated rating scale within context of the 20 impairment categories of the fimfunction. Npds nursing dependency scalenpcna care needs assessment. 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. Functional independence measurement fim user manual. Functional independence measure weefim for chinese children. Click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. Feb 29, 2016 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.
The spinal cord independence measure scimiii14 and functional independence measure fim4 focus on a greater breadth of physical functioning, but this breadth does not necessarily cover all aspects of physical functioning. Children 0 to aug 01, 2018 functional change is a key outcome measure of rehabilitation episodes. For a variety of economic, political, and humanitarian reasons, it is important to ensure the quality and effectiveness of our full range of healthcare services. The functional independence measure fim was developed to address the issues of sensitivity and comprehensiveness that were criticized as being problematic with the barthel index another measure of functional independence. The functional assessment measure does not stand alone but adds 12 fam items to the fim. The functional independence measure fim is often considered the gold standard for assessing basic activities of daily living ex. Functional independence measure scores of patients with. Start studying functional independence measure fim. To improve the practical use of the short forms sfs. Functional independence measure fim the fim is an 18item, seven level ordinal scale. Functional independence measure synonyms, functional independence measure pronunciation, functional independence measure translation, english dictionary definition of functional independence measure.
Fim scale pdf fill online, printable, fillable, blank pdffiller. Its area of use can include skilled nursing facilities and hospitals aimed at acute, subacute and rehabilitation care. The functional independence measure fim scale assesses. 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. Scoring items are scored on the level of assistance required for an individual to perform activities. Functional independence measure definition of functional. The functional independence measure fim is widely used and accepted as a functional level assessment tool that evaluates the functional status of patients. Functional independence measure for children springerlink. Mar 2017 functional independence measurement fim user manual, version 1. Hentschel 2015 can we forget the minimental state examination. 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. The fim was also developed to offer a uniform system of measurement for disability based on the international. Clinical utility of the functional status score for the.
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