Functional independence measure scores of patients with. The functional independence measure fimr is an outcome measure of the severity of disability for an inpatient rehabilitation setting. Functional independence measure fim spinal cord injury. 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. This scale is useful in clinical settings of rehabilitation. Fim is comprised of 18 items, grouped into 2 subscales motor and cognition.
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. To improve the practical use of the short forms sfs. Functional communication measures fcms speechlanguage. Short forms development and precision comparison in veterans, archives of physical medicine and rehabilita tion 2017, doi. The scoring considers the use of adaptive equipment andor the extent of personal assistance or supervision required to complete the task. The fim is an 18item, clinicianreported scale that assesses function in six areas. Patient function is assessed using the fim instrument at the start of a. Questions on the unidimensionality of the fim motor scale have been raised. The functional independence measure fim scale is a basic indicator of patient disability. Functional independence measure for children springerlink.
Ability of functional independence measure to accurately. The functional independence measure fim is widely used and accepted as a functional level assessment tool that evaluates the functional status of patients. Npds nursing dependency scalenpcna care needs assessment. Sign, fax and printable from pc, ipad, tablet or mobile with pdffiller. The selfcare domain includes 8 items eating, grooming. Each item is scored on a 7 point ordinal scale ranging from 1 total dependence to a score of 7 total independence. Results for functional independence measure 1 10 of 84 sorted by relevance date. The fim was carefully designed and developed with the consensus of the us national.
The functional independence measure fim scale assesses physical and. Functional independence measure definition of functional. The functional independent measurement fim is a scale which assesses patients level of disability at admission, during rehabilitation, and upon discharge. Pdf functional independence measure minimum data set motor. Functional independence measure the functional independence measure fim scale assesses physical and cognitive disability.
Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. 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. It consists of 18 items, divided over 2 dimensions. Clinical utility of the functional status score for the. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The functional independence measure fim is often considered the gold standard for assessing basic activities of daily living ex.
Short versions of the telephone motor functional independence. The functional independence measure archives of physical. Functional independence measure an overview sciencedirect. The functional independence measure fim is an 18item global measure of disability. The functional independence measure fim is a global measure of disability and can be. Functional independence measure fim flashcards quizlet. Nepnag, the fim functional independence measure scale, the functional. Thus, data from 340 patients involved in post stroke rehabilitation. Each of the 18 items are scored on a seven point scale, ranging from independent to 7independent. Start studying functional independence measure fim. The functional independence measure fim is an 18item measurement tool.
Fssicu categories were rated using the functional independence measure rating scale of 0 to 7. For a variety of economic, political, and humanitarian reasons, it is important to ensure the quality and. Scoring items are scored on the level of assistance required for an individual to perform activities. 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.
Thus, a locally validated weefim instrument should be adopted for chinese children. 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. Fim as a summated rating scale within context of the 20 impairment categories of the fimfunction. Factor analysis of fim on admission, vascular brain damage patients n75. Functional independence measure for children weefim a prel. The ability to quantify the functional ability of poststroke patients engaged in a rehabilitation program may assist in prediction of their functional outco me. Pdf on oct 2, 2018, ladislav valach and others published the dimensionality of functional independence. An alternative system has been developed by the interrai consortium. The fim was also developed to offer a uniform system of measurement for disability based on the international classification of impairment. Functional independence measurement fim user manual.
Measuring function for medicare inpatient rehabilitation. 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. For example, do not assume that a level 5 on one scale is comparable to a level 5 on a different scale. Hentschel 2015 can we forget the minimental state examination. A manual for using the functional assessment rating scale fars florida version 199899, with text revisions 2004 introduction. The functional assessment measure does not stand alone but adds 12 fam items to the fim. The functional independence measure fim is an instrument which indicates a patients disability level. Measuring function for medicare inpatient rehabilitation payment. Children 0 to 4 years both in america and hong kong.
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. 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 fim can be used for measuring disability in a wide range of conditions. Fim scale pdf fill online, printable, fillable, blank pdffiller.
Pdf the dimensionality of functional independence measure fim. Welcome to the updated function page, current as of august 2018. They have been developed by asha to describe the different aspects of a patients functional. 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. Functional independence measure weefim for chinese children. Both the amount and intensity of the cueing must be considered in scoring an fcm. 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 is widely used and accepted as a functionallevel assessment tool that. In 2014, the improving medicare postacute care transformation act of 2014 impact act pub. Mar 2017 functional independence measurement fim user manual, version 1. 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. Katz index of independence in activities of daily living adl.
Complete at the end of the history and prior to physical examination. Our study demonstrated that weefim could be used as a functional independence measure for chinese children. 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. Click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. Fim scale fill out and sign printable pdf template signnow.
Katz index of independence in activities of daily living. Functional independence measure fim assessment overview assessment area icf domain. The patientspecific functional scale this useful questionnaire can be used to quantify activity limitation and measure functional outcome for patients with any orthopaedic condition. Functional independence measurement fim installation guide. Functional independence measure minimum data set motor item bank.
Copyright 1997 uniform data system for medical rehabilitation, a division of ub foundation activities. The weefim instrument is potentially an internationally useful instrument. 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. Functional independence measure rehabmeasures database. For example, none of the current measures assesses fine motor functioning apart from that which may be implied. Its reliability and validity have been studied, and normative data are available for american children. May 2003 functional independence measurement fim installation guide, version 1. It is an 18item performance measurement system that documents selfcare, functional mobility, and cognitive abilities. The fim was also developed to offer a uniform system of measurement for disability based on the international.
Children 0 to aug 01, 2018 functional change is a key outcome measure of rehabilitation episodes. 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 for children weefim was developed based on the fimsm instrument to assess disability in children aged six months to seven years. One self report questionnaire that has been validated for use with older adults is. Personlevel of functional independence, functional. Psychology definition of functional independence measure fim.
Pdf functional independence measure minimum data set. Prudent consumers generally seek this type of information to select providers who meet standards of. 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. Comparing the functional independence measure and the. The functional independence measure fim has historically been used for care planning and quality measurement in many u. Some of the items scored include selfcare, sphincter control, mobility, locomotion. The functional independence measure for children weefim is an 18item, sevenlevel ordinal scale instrument used to assess a childs typical and consistent performance.
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. Functional independence measure fim the fim is an 18item, seven level ordinal scale. The functional independence measure fim scale assesses. Short forms development and precision comparison in veterans, archives of physical medicine and. 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. Functional independence measure synonyms, functional independence measure pronunciation, functional independence measure translation, english dictionary definition of functional independence measure. 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. The functional independence measure fim is an 18item measurement tool that explores an individuals physical, psychological and social function. Its area of use can include skilled nursing facilities and hospitals aimed at acute, subacute and rehabilitation care. Irfpai training manual revised 011602 the process of taking a wellknown clinical tool and making it the basis of a national prospective payment system. 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. Functional independence measure form free pdf file sharing. Functional independence measure fimz instrument admission discharge followup selfcare a.
452 1648 1432 1472 967 392 1570 522 263 1411 1200 10 431 750 989 747 1622 1242 853 11 1109 1191 407 975 237 888 1267 1193 928