Development and validation of the italian version of the spinal. The scoring key is meant to be a general guideline. The fimtm is an 18item ordinal scale, used with all diagnoses within a rehabilitation population. Personlevel of functional independence, functional. It rates 18 activities of daily living on a 7 point scale ranging from fully dependent 1 to independent with no aids 7. Functional independence measure tm and functional assessment measure brain injury scale. 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. The abilities of a patient change during rehabilitation and the functional independence measure fim instrument is used to track those changes. Interrater reliability of the functional assessment measure in a brain injury rehabilitation.
When this measure was compared to the measure at 30 days after discharge, there was improvement across the functional independence variables except for that concerned with sphincter control. Pre and postintervention factor structure of functional. To evaluate the factor structure of functional independence measure fim. Source for information on functional independence measure. The functional independence measure fim is a global measure of disability and. The patients exhibited an functional independence measure of 84. Evaluation of functional independence after discharge from. Patient function is assessed using the fim instrument at the start of a. The selfcare domain includes 8 items eating, grooming. The scoring considers the use of adaptive equipment andor the extent of personal assistance or supervision required to complete the task. May 2003 functional independence measurement fim installation guide, version 1. 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. Functional independence measure definition of functional.
The functional independence measure fim is an 18item global measure of disability. Ability of functional independence measure to accurately. The functional assessment measure does not stand alone but adds 12 fam items to the fim. Functional independence measurement fim installation guide. The majority of measurement scales used to evaluate outcome in rehabilitation are ordinal in nature and consequently statistically valid assessments of change are difficult to make. Functional independence specializes in providing quality health clinicians for all settings. The fimtm guide for the uniform data set for medical rehabilitation, 1996 is the most widely accepted functional assessment measure in use in the rehabilitation community. In this study the fim was compared to the barthel index bi to. 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. Her global perspective, clarity of thought, and emphasis on the importance of the research findings has ensured that the system will be.
Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. It is very important to evaluate the degree of disability in subjects with rf who are. Graded with a 7 point scale system composed of 18 graded skills 6. Functional independence measure rehabmeasures database. The gmfm is a standardized observational instrument designed and validated to measure change in gross motor function over time in children with cerebral palsy. The functional independence measure fim is one of the most widely used disability and dependence assessment instruments in rehabilitation medicine. Brain injury australia is the central clearinghouse of information and gateway to nationwide referral for optimising the social and economic participation of all australians living with brain injury. Functional independence measurement fim user manual.
Total dependent patient is totally dependent upon the caregiver for task performance and does not attempt to participate. The maximum total score is 126, indicating functional. Functional independence measurement fim outcomes the goal of rehabilitation is to improve the patients functional ability to resume control over activities of daily living and independence. Functional independence measure fim brain injury australia. The functional independence measure fim can be weighted to possess interval properties, potentially allowing more accurate analysis of change. Translation find a translation for functional independence measure in other languages. Functional independence measure fimz instrument admission discharge followup selfcare a. Patients received assessment and treatment by a multidisciplinary team in a regional tertiary care strokespecific rehabilitation program. Constantmurley shoulder outcome score, dash outcome measure. Psychology definition of functional independence measure fim. Functional independence measure fim spinal cord injury. Functional independence measure fim in 2011 request pdf.
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. This disambiguation page lists articles associated with the title fim. Functional status information is used for care planning, to measure quality of care, and to adjust payments for case mix under various medicare ppss. The functional independence measure fim scale is a basic indicator of patient disability. Functional independence recognizes that the healthcare industry is evolving and complex.
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. The functional independence measure fim is an 18item measurement tool that. The list of acronyms and abbreviations related to fim functional independence measure. Functional independence measure, tool for assessing functional capacities of patients undergoing rehabilitation. Mit dem instrument fim functional independence measure werden. The fim can be used for measuring disability in a wide range of conditions.
Fim is comprised of 18 items, grouped into 2 subscales motor and cognition. The functional independence measure fimr is an outcome measure of the severity of disability for an inpatient rehabilitation setting. Functional independence measurement rehabilitation hospitals fim. It includes demographic descriptions of the patient birth date, sex, zip code, ethnicity, marital status, living setting, clinical descriptions of the patient impairment that is the primary reason for rehabilitation, international classification of diseases, ninth revision, clinical modifications centers for disease control and prevention, 2003 diagnoses, functional independence measure. Functional independence measure synonyms, functional independence measure pronunciation, functional independence measure translation, english dictionary definition of functional independence measure. Mar 2017 functional independence measurement fim user manual, version 1. The functional independence measure fim instrument is a basic indicator of patient disability. Functional independence measure weefim for chinese. However, most of the items have specific descriptors for each score.
It has five grades, ranging from 0 fully independent to 4 completely dependent. Conclusions amongst stroke survivors, the fim total score may not reflect the. To explore the potential of the functional independence measure fim as a prognostic indicator of outcome in stroke survivors, 1 consecutive patients were observed from admission until discharge. Choose from 500 different sets of functional independence measure flashcards on quizlet. Fim, medical research council dyspnoea scale mrc, st george respiratory questionnaire. Learn functional independence measure with free interactive flashcards. Functional independence measure for children springerlink. Functional independence measure legal definition of. If an internal link led you here, you may wish to change the link to point directly to the. Functional independence measure fim by amanda capitell.
Measuring function for medicare inpatient rehabilitation. Learn vocabulary, terms, and more with flashcards, games, and other study tools. The functional independence measure fim scale assesses physical and cognitive disability. Each item is scored on a 7 point ordinal scale ranging from 1 total dependence to a score of 7 total independence. Adls cognition motor mostly used in inpatient settings. Exploratory factor analysis of fim motor score at the beginning and at the.
The functional independence measure fim keith et al 1987 was chosen as a measure of functional ability as the american spinal injury association standards recommend the use of the fim as a measure in spinal cord injury rehabilitation ditunno 1992. A validation of the functional independence measurement and its performance among rehabilitation inpatients. It is an 18item performance measurement system that documents selfcare, functional mobility, and cognitive abilities. The functional independence measure fim is an instrument which indicates a patients disability level. The functional independence measures fim and assist levels in rehab optima by nikkie mathew. As healthcare staffing experts, we focus on providing professionals who fit positions perfectly. Comparing the functional independence measure and the. Quality assessment of the fim functional independence. The ability to quantify the functional ability of poststroke patients engaged in a rehabilitation program may assist in prediction of their functional outco me. Fim functional independence measure e uno standard internazionale di misura della disabilita. Pdf validity of total score of functional independence measure. Functional independence measure article about functional. A goal score can be set at the same time as recording the admission score.
770 6 1010 161 327 489 146 320 678 1209 1205 428 482 1233 971 1295 546 694 1605 124 1289 461 1166 1168 1393 1313 870 562 848 1286 585