It consists of 18 individual items arranged in four dimensions stineman et. It is an 18item performance measurement system that documents selfcare, functional mobility, and cognitive abilities. Ability of functional independence measure to accurately. 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 notes for consideration it has been tested for use in patients with stroke, traumatic brain injury, spinal cord injury, multiple sclerosis, elderly individuals undergoing. The fim instrument is an 18item tool that measures functional disability of individuals in terms of their need for assistance.
Functional independence measure tm and functional assessment measure brain injury scale. The functional assessment measure does not stand alone but adds 12 fam items to the fim. 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. Data from the fim are used to examine patient outcomes for several purposes. 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. Our objective was to determine whether discharge fim score at acute phase phase i cr can predict subsequent patient discharge to. Functional independence measure description general description. Functional independence measurement fim user manual. Functional independence measure fimz instrument admission discharge followup selfcare a. Dec 05, 2019 new users of the fim or weefim instrument are required to attend a training workshop prior to attempting a credentialing exam. A validation of the functional independence measurement and its performance among rehabilitation inpatients. Relationship between hospital ranking based on functional.
Functional independence measure scores of patients with. Functional independence measurement fim installation guide. Psychology definition of functional independence measure fim. 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 for outcomes. Functional independence measure fim assessment overview assessment area icf domain. Fim stands for functional independence measure, an assessment tool doctors, therapists, and nurses use during rehabilitation and physical therapy. Functional independence measure fim in 2011 request pdf.
Functional independence measure for children weefim a prel. Functional independence measure fim in 2011 pdf free download. Workshops provide education in how to score the instrument. The weefim instrument is potentially an internationally useful instrument.
Irfpai training manual revised 011602 the process of taking a wellknown clinical tool and making it the basis of a national prospective payment system. Functional independence measure fim the fim is an 18item, seven level ordinal scale. 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 is an 18item global measure of disability. Center for medicare and medicaid services see figure 6. It rates 18 activities of daily living on a 7 point scale ranging from fully dependent 1 to independent with no aids 7. Functional assessment tools have been created to meet this need.
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. Activities of daily living what types of clients can the tool be used for. 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. Functional independence measure fim spinal cord injury. Functional independence measure weefim for chinese. Interinstitutional agreement of individual functional independence measure fim. The functional independence measure fim is an 18item measurement tool that. Aroc functional independence measure fim audit tool.
Functional independence measure an overview sciencedirect. If there is disagreement amongst the team when scoring any item the lower score is taken. The fim can be used for measuring disability in a wide range of conditions. Assessing bladder function on admission to shortterm rehabilitation and discharge provides some insight into patient outcomes. Measure of functional independence dominates discharge. The functional independence measure fim is a global measure of disability and can be scored alone or with the. The functional independence measure fim scale assesses physical and cognitive disability. Functional independence measure rehabmeasures database.
Applicability, validation and reproducibility of the spinal cord independence measure version iii scim iii in patients with nontraumatic spinal cord lesions. The fim can be used as a functional status outcome measure in people for whom weaning from mechanical ventilation is difficult. Can be used with children as young as 7 years continue reading evaluation summaryfim. Functional independence measure fim evaluation summary what does the tool measure. 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 functional independence measure fim was developed in 1983 in a collaboration between the american congress of rehabilitation medicine and the american academy of physical. Usefulness of the functional independence measure fim. The total score for the fim motor subscale the sum of the individual motor subscale items will be a value between and 91. Functional independence measure for children springerlink.
Fim is used to track the changes in the functional ability of a patient during an episode of hospital. The functional independence measure weefim for children is a simpletoadminister scale for assessing independence across 3 domains in american children. Apr 16, 20 the weefim instrument consists of a minimal data set of 18 items that measure functional performance in three domains. The functional independence measure fim scale is a basic indicator of patient disability. One of the most widely used tools is the functional independence measure fim. Functional skills complete independence fim 7 modified independence fim 6 supervision or setup fim 5. Fim scale fill out and sign printable pdf template signnow. The functional independence measure fim is one of the most widely used disability and dependence assessment instruments in rehabilitation medicine. Training and credentialing for fim weefim australasian.
Functional independence measure analysis in patients. The functional independence measure fim can be weighted to possess interval properties, potentially allowing more accurate analysis of change. Functional assessment measure rehabmeasures database. The functional independence measure fim instrument, which includes an assessment of bladder function, is the industry standard and used by the u. Reliability and validity of the fim instrument are generally reported to be good, with very good interrater reliability to the total score 0. Patients with stroke, traumatic brain injury, spinal cord injury, multiple sclerosis, and elderly individuals undergoing inpatient rehabilitation. 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 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. Use of the functional independence measure in people for. Its reliability and validity have been studied, and normative data are available for american children.
The patient adjusts his clothing before and after bowel and bladder management. Mar 2017 functional independence measurement fim user manual, version 1. 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. Functional independence measure fim in 2011 pdf free. The functional independence measure fim instrument is a basic indicator of patient disability. 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 the primary functional metric embedded in the inpatient rehabilitation facility patient assessment instrument. The functional independence measure fim is an outcome measure of the severity of disability for an inpatient rehabilitation setting. 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. He wipes himself after the helper passes him toilet tissue.
Assessment of functional status is a major responsibility for professionals practicing in rehabilitation facilities. Use of the functional independence measure in people for whom. The fim score on admission and discharge significantly predicted the. 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 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. 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. Interrater reliability of the functional assessment measure in a brain injury rehabilitation. Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation. The tool has been designed to be administered quickly and uniformly and has proved to be a valid and reliable measure. 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 functional independence measure fim instrument is a minimal data set designed to assess functional independence. Patient function is assessed using the fim instrument at the start of a. 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. Oct 30, 2018 fim stands for functional independence measure, an assessment tool doctors, therapists, and nurses use during rehabilitation and physical therapy. Constantmurley shoulder outcome score, dash outcome measure.
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