The functional independence measure fim instrument, which includes an assessment of bladder function, is the industry standard and used by the u. Fim is used to track the changes in the functional ability of a patient during an episode of hospital. Needs partial assistance for eating andor drinking, or for wearing adaptive devices. The majority of measurement scales used to evaluate outcome in rehabilitation are ordinal in nature and consequently statistically valid assessments of change are.
The functional independence measure fim is an assessment tool that is widely used in rehabilitation worldwide 36. Function in sitting test fist results fist test item date. Center for medicare and medicaid services see figure 6. Fimmotor and cognitive raw scores of each patient group are shown in table ii. The functional independence measure fim is an 18item global measure of disability. The weefim was originally designed to be used in children from 6 months to 7 years of age without disabilities and older children and adolescents with developmental disabilities. Terms in this set 18 fim basicsmeasures ones ability to function. 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 the fim was developed in 1983 by a task force created by the american congress of rehabilitation medicine and the american academy of.
Assessing bladder function on admission to shortterm rehabilitation and discharge provides some insight into patient outcomes. The fim can be used for measuring disability in a wide range of. Jul 01, 2011 the fim can be used as a functional status outcome measure in people for whom weaning from mechanical ventilation is difficult. Functional independence measure fim in 2011 pdf free. Functional independence measure an overview sciencedirect. 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. Specific components of these instruments collect parallel information and items on.
Functional independence measure for children weefim a prel. Irfpai training manual revised 011602 the process of taking a wellknown clinical tool and making it the basis of a national prospective payment system. Welcome to the updated function page, current as of august 2018. 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 is a global measure of disability and can be scored alone or with the. The functional independence measure fim instrument is a basic indicator of patient disability. Fim scale fill out and sign printable pdf template signnow. Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. Function in 2014, the improving medicare postacute care transformation act of 2014 impact act pub. The functional independence measure fim is an 18item measurement tool that explores an individuals physical, psychological and social function.
The scoring considers the use of adaptive equipment andor the extent of. The functional assessment measure does not stand alone but adds 12 fam items to the fim. To examine whether functional independence measure fim scores on admission can predict the future care levels of patients after acute stroke. The structure and stability of the functional independence measure.
Comparing the functional independence measure and the. Treatment units to predict discharge fim score among a stroke population. 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. Function in sitting test fist results fist test item. Feeding cutting, opening containers, pouring, bringing food to mouth, holding cup with fluid 0. The fim score on admission and discharge significantly predicted the pittsburgh rehabilitation participation scale prps 0.
Patient function is assessed using the fim instrument at the start of a. Functional independence measure weefim for chinese. The weefim is an adaptation of the functional independence measure fim used in adults. The functional independence measure in spinal cord injured patients. May 2003 functional independence measurement fim installation guide, version 1. Our healthcare professionals motivate and challenge each individual to continually reach higher. The fim is applied at the patient level to measure change throughout rehabilitation, at the institutional level to measure outcome quality, and at the national level for performance reporting or quality monitoring. The fim can be used for measuring disability in a wide range of conditions. Functional independence home care home health care memphis. Functional independence measure for children springerlink. Fim is used to track the changes in the functional ability of a patient during an episode of. A longitudinal prospective study design involved functional status measurements using the pediatric functional independence measure weefim and the adult fim.
Constantmurley shoulder outcome score, dash outcome measure. Functional independence measure rehabmeasures database. The functional independence measure fim records the severity of disability of. Functional independence measure fim assessment overview assessment area icf domain. A validation of the functional independence measurement and its performance among rehabilitation inpatients. The functional independence measure fim is an 18item measurement tool that. Aug 01, 2018 functional change is a key outcome measure of rehabilitation episodes. Measuring change in disability after inpatient rehabilitation. The functional independence measure fim is an 18item global measure of.
The higher the score, the more independent the patient is in performing the task associated with that item. Functional independence measurement fim installation guide. Pdf on oct 2, 2018, ladislav valach and others published the dimensionality of functional independence measure fim find, read and cite. In recent years the functional independence measure has emerged as a standard assessment instrument for use in rehabilitation and therapy programmes for disabled persons, including those with. Functional independence measurement fim user manual. 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. Functional independence measure fim in 2011 pdf free download. Fim functional independence measure flashcards quizlet.
The functional independence measure based on the barthel index was developed in the early 1980s as the central disability scale of the uniform data system for medical rehabilitation in the usa to. Use of the functional independence measure in people for. Nov 29, 2009 both the functional independence measure fim 11 and the interraiminimum data set mds 12, are instruments designed to measure functional ability, and both have been used widely with older persons and are mandated in multiple health care settings. 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. The functional independence measure fim scale assesses physical and cognitive disability. The fim is applied at the patient level to measure change. Functional independence measure tm and functional assessment measure brain injury scale. It is very important to evaluate the degree of disability in subjects with rf who are characterized by high dependency rate. Ability of functional independence measure to accurately. Functional independence measure scores of patients with. 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. 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. This measure was developed to track disability in children who are between the ages of 6 months and 7 years. Functional independence measure fim spinal cord injury.
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. The functional independence measure weefim for children is a simpletoadminister scale for assessing independence across 3 domains in american children. Tenet irfs shall utilize the functional independence measure fim instrument to assist in classifying a patient into a case mix group cmg. Needs parenteral, gastrostomy, or fully assisted oral feeding 1.
The functional independence measure fim was developed to be a more comprehensive and sensitive measure of disability than the barthel index bi. Functional independence measure and functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and. It is an 18item performance measurement system that documents selfcare, functional mobility, and cognitive abilities. A joint effort led by assistant secretary for planning and evaluation aspe with support from cms, focused on measure development in the area of functional outcomes. The functional independence measure 18item version can be. Functional skills complete independence fim 7 modified independence fim 6. Each item is scored on a 7 point ordinal scale ranging from 1 total dependence to a score of 7 total independence. Pdf the dimensionality of functional independence measure fim. In this multicenter retrospective cohort study, we enrolled postacute stroke patients and assessed stroke subtypes, selfcare abilities using fim scores, and discharge destination. Although a selfreport of disability type was obtained, disability severity and functional impairment were assessed through the use of the functional independence measure fim which has been. Functional independence measure scores predict level of long.
The weefim instrument is potentially an internationally useful instrument. The ability to quantify the functional ability of poststroke patients engaged in a rehabilitation program may assist in prediction of their functional outco me. The scoring considers the use of adaptive equipment andor the extent of personal assistance or supervision required to complete the task. Although the fim is widely used and has been shown to be reliable and valid, there is limited information about its responsiveness, particularly in comparison with the bi. Reliability and validity of the fim instrument are generally reported to be good, with very good interrater reliability to the total score 0. 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. 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. Mar 2017 functional independence measurement fim user manual, version 1. The functional independence measure fim can be weighted to possess interval properties, potentially allowing more accurate analysis of change.
The weefim can be administered to children over the age of 7 if their functional abilities are below those expected of children aged 7 who do not have disabilities. Functional skills complete independence fim 7 modified independence fim 6 supervision or setup fim 5 standby assistance contact guarding minimal contact assistance. Scimspinal cord independence measure selfcare date \ \ \ \ \ \ \ 1. Functional independence measure scores predict level of. 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. The analysis of admission and discharge fim ratings of 14,799 patients shows. Functional independence measure fimz instrument admission discharge followup selfcare a. 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 for children weefim.
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