The functional assessment measure does not stand alone but adds 12 fam items to the fim. Functional independence measure weefim for chinese. The functional independence measure fim is an 18item measurement tool that. Fim scale fill out and sign printable pdf template signnow. Use of the functional independence measure for outcomes. Functional independence measure fim in 2011 pdf free download.
Functional independence measurement fim installation guide. 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. Training and credentialing for fim weefim australasian. Oct 30, 2018 fim stands for functional independence measure, an assessment tool doctors, therapists, and nurses use during rehabilitation and physical therapy.
It is an 18item performance measurement system that documents selfcare, functional mobility, and cognitive abilities. Functional independence measure rehabmeasures database. Fim stands for functional independence measure, an assessment tool doctors, therapists, and nurses use during rehabilitation and physical therapy. 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 measurement fim user manual. Activities of daily living what types of clients can the tool be used for. The total score for the fim motor subscale the sum of the individual motor subscale items will be a value between and 91. The weefim instrument is potentially an internationally useful instrument. Previous analysis of the functional independence measure fim scale in patients with chronic heart disease have given little consideration to scores during the acute phase of cardiac rehabilitation cr. Use of the functional independence measure in people for. The functional independence measure fim instrument, which includes an assessment of bladder function, is the industry standard and used by the u. Use of the functional independence measure in people for whom.
The functional independence measure fimtm guide for the uniform data set for medical rehabilitation, 1996 is the most widely accepted functional assessment measure in use in the. Reliability and validity of the fim instrument are generally reported to be good, with very good interrater reliability to the total score 0. Functional independence measure for children springerlink. In recent years the functional independence measure has emerged as a standard assessment instrument for use in rehabilitation and therapy programmes for disabled persons. The functional independence measure weefim for children is a simpletoadminister scale for assessing independence across 3 domains in american children. Functional independence measure fim notes for consideration it has been tested for use in patients with stroke, traumatic brain injury, spinal cord injury, multiple sclerosis, elderly individuals undergoing.
If there is disagreement amongst the team when scoring any item the lower score is taken. The functional independence measure fim is a global measure of disability and can be scored alone or with the additional 12 items that formulate the functional assessment measure fam. Jul 01, 2011 the fim can be used as a functional status outcome measure in people for whom weaning from mechanical ventilation is difficult. Usefulness of the functional independence measure fim. Mar 2017 functional independence measurement fim user manual, version 1. Functional independence measure fim the fim is an 18item, seven level ordinal scale. Functional independence measure scores of patients with.
Functional independence measure fim in 2011 request pdf. The functional independence measure fim is an outcome measure of the severity of disability for an inpatient rehabilitation setting. In this study the fim was compared to the barthel index bi to determine its validity, reliability and ease of use in two groups of 25 patients undergoing neurorehabilitation. The functional independence measure fim instrument is the primary functional metric embedded in the inpatient rehabilitation facility patient assessment instrument. The functional independence measure fim is one of the most widely used disability and dependence assessment instruments in rehabilitation medicine. Center for medicare and medicaid services see figure 6. Chronic respiratory diseases are associated with symptoms such as dyspnea, fatigue, and reduced exercise capacity, which can lead to a reduced ability to perform the activities of daily living and poor healthrelated. The functional independence measure fim is a global measure of disability and can be scored alone or with the. Functional skills complete independence fim 7 modified independence fim 6 supervision or setup fim 5 standby assistance contact guarding minimal contact assistance fim 4 moderate assistance fim 3 maximal assistance fim 2 total assistance fim 1 evaluation criteria. Functional assessment tools have been created to meet this need. Functional independence measure fim evaluation summary what does the tool measure. Patient function is assessed using the fim instrument at the start of a. Constantmurley shoulder outcome score, dash outcome measure. If the score noted in the file does not align with written documentation by rehabilitation staff, the auditor should identify an alternate correct fim score.
Aroc functional independence measure fim audit tool. 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. 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 tool has been designed to be administered quickly and uniformly and has proved to be a valid and reliable measure. Functional independence measure tm and functional assessment measure brain injury scale. Measure of functional independence dominates discharge. Applicability, validation and reproducibility of the spinal cord independence measure version iii scim iii in patients with nontraumatic spinal cord lesions. 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. Interinstitutional agreement of individual functional independence measure fim. Functional independence measure description general description. 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.
The functional independence measure fim instrument is a basic indicator of patient disability. Fim is used to track the changes in the functional ability of a patient during an episode of hospital. Functional independence measure fim in 2011 pdf free. Interrater reliability of the functional assessment measure in a brain injury 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. One of the most widely used tools is the functional independence measure fim. The patient adjusts his clothing before and after bowel and bladder management.
It consists of 18 individual items arranged in four dimensions stineman et. It is the product of an effort to resolve the long standing problem of lack of uniform measurement and data on. He wipes himself after the helper passes him toilet tissue. 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.
Functional independence measure for children weefim a prel. Psychology definition of functional independence measure fim. 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. Functional independence measure analysis in patients. The fim can be used as a functional status outcome measure in people for whom weaning from mechanical ventilation is difficult. The functional independence measure fim instrument is a minimal data set designed to assess functional independence. 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 an overview sciencedirect. The functional independence measure fim is widely used and accepted as a functional level assessment tool that evaluates the functional status of patients. The functional independence measure fim scale is a basic indicator of patient disability. A validation of the functional independence measurement and its performance among rehabilitation inpatients. Measurement scales used in elderly care 60 functional independence measure and functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. Assessment of functional status is a major responsibility for professionals practicing in rehabilitation facilities. The fim can be used for measuring disability in a wide range of conditions. Data from the fim are used to examine patient outcomes for several purposes. Dec 05, 2019 new users of the fim or weefim instrument are required to attend a training workshop prior to attempting a credentialing exam. Functional independence measure fimz instrument admission discharge followup selfcare a. Functional independence measure fim spinal cord injury.
Ability of functional independence measure to accurately. Tenet irfs shall utilize the functional independence measure fim instrument to assist in classifying a patient into a case mix group cmg. Patients with stroke, traumatic brain injury, spinal cord injury, multiple sclerosis, and elderly individuals undergoing inpatient rehabilitation. The ability to quantify the functional ability of poststroke patients engaged in a rehabilitation program may assist in prediction of their functional outco me. Workshops provide education in how to score the instrument. The functional independence measure fim can be weighted to possess interval properties, potentially allowing more accurate analysis of change. Can be used with children as young as 7 years continue reading evaluation summaryfim. Chronic respiratory diseases are associated with symptoms. Functional independence measure fim assessment overview assessment area icf domain. Assessing bladder function on admission to shortterm rehabilitation and discharge provides some insight into patient outcomes. The functional independence measure fim is an 18item global measure of disability. The functional independence measure fim is an 18item measurement tool that explores an individuals physical, psychological and social function. Functional assessment measure rehabmeasures database. The fim score on admission and discharge significantly predicted the.
Relationship between hospital ranking based on functional. 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. Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. Functional skills complete independence fim 7 modified independence fim 6 supervision or setup fim 5.
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