Functional independence measure an overview sciencedirect. It is most often used in acute hospitals and subacute rehabilitation settings, although it can be used anywhere for patients who have. 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. Functional independence measure arteveldehogeschool. The functional independence measurement fim is an outcome measurement tool used by physical therapists and other healthcare professionals to measure overall independence during specific functional tasks. 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. Functional independence measure and functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. Cms wants to drop functional measure, 2 quality reporting. The functional independence measure fim is an 18item measurement tool that explores an individuals physical, psychological and social function. Tasks are rated on a 7point ordinal scale that ranges from total assistance or complete dependence to complete independence. The functional independence measure fim is an 18item global measure of disability. Has been superseded by personlevel of functional independence, functional independence measure score code n health, superseded 18122019, tasmanian health, endorsed 19012018. Functional independence measurement fim user manual.
Scores are generally rated at admission and discharge. Functional independence measure rehabmeasures database. The instrument reports the patient perspective on their level of independence and in general, is well known as the internationally accepted, global tool to measure functional independence. Fim functional independence measure flashcards quizlet. A score of 6 can also be obtained when no help is needed but the. The fim was also developed to offer a uniform system of measurement. The higher the score, the more independent the patient is in performing the task. The fim can be used for measuring disability in a wide range of conditions. Functional independence measure description general description. The scoring considers the use of adaptive equipment andor the extent of personal assistance or supervision required to complete the task. A score of 6 on the fim scale means modified independence, in which no helper is needed and the person needs an assistive device. The functional independence measure fim is an outcome measure of the severity of disability for an inpatient rehabilitation setting. Fim scale fill out and sign printable pdf template signnow.
The functional independence measure fim instrument is a basic indicator of patient disability. 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. Motor scores on the functional independence measure after. Two widely used outcome measures to assess functioning in neurological rehabilitation are the functional independence measure fim and the barthel index. The fim was also developed to offer a uniform system of measurement for disability based on the international. The functional independence measure fim is an assessment tool that aims to evaluate the. There were no statistically significant differences in the development of. It is an 18item scale used to assess the patients level of independence in mobility, selfcare, and cogni. Functional change is a key outcome measure of rehabilitation episodes. There were no statistically significant differences p 0.
Each of the 18 items on the fim is scored by your physical therapist on a scale of one to seven. The fim is a validated and reliable instrument for measuring activity limitations associated with medical rehabilitation conditions. Weefim is useful in assessing functional independence in. Weefim was based on a conceptual framework by the world health organization 1980 of pathology, impairment, disability and handicap, and the burden of care. It is most often used in acute hospitals and subacute rehabilitation settings. 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 functional independence measure fim instrument score was the primary outcome measure. The fim sr has less clinician and client burden than the original fim which requires observation of performance. According to a cms fact sheet on the proposed rule, data collected through the fim are being captured in other parts of the assessment instrument. Functional independence measure for children weefim. Overview for use of code 0 activity does not occur. The functional independence measure fim is widely used and accepted as a functional level assessment tool that evaluates the functional status of patients. The fim is one of the most widely used measures of function in rehabilitation table 3.
The current study aims to establish the equivalence of the total score of the fim motor scale and the barthel index through the application of the international. Personlevel of functional independence, functional. From february to march 2009, we searched medline, ovid, cinahl, and ebsco for fulltext articles written in english. As such, fim scores may be interpreted to indicate level of independence or level of burden of care. Scores range from 18 lowest to 126 highest indicating level of function. How to administer the fim functional independence measure. Histograms for discharge functional independence measure fim motor score for an example fold of cross validation before and after applying smote. Patients with stroke, traumatic brain injury, spinal cord injury, multiple sclerosis, and elderly individuals undergoing inpatient rehabilitation. Fim gauges and track the amount of assistance that a person may require to carry out everyday activities. Fim stands for functional independence measure, an assessment tool doctors, therapists, and nurses use during rehabilitation and physical therapy. The functional independence measure fim is an 18item measurement tool that. Activities of daily living what types of clients can the tool be used for.
The functional independence measure fim scale is a basic indicator of patient disability. The functional independence measure fim is widely used and accepted as a functional level assessment tool that evaluates the functional status of patients throughout the rehabilitation process. Each item is scored on a 7 point ordinal scale ranging from 1 total dependence to a score of 7 total independence. The assessment slated for possible elimination is the functional independence measure fim, part of the irf patient assessment instrument. Functional independence measure fim spinal cord injury. Functional independence measure fim evaluation summary what does the tool measure. Fim stands for functional independence measure, an assessment tool doctors, therapists, and nurses use during rehabilitation and physical. Keith ra, granger cv, hamilton bb, sherwin fs, the functional independence measure. The functional independence measure fim instrument is a basic indicator. 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. Oct 30, 2018 fim stands for functional independence measure, an assessment tool doctors, therapists, and nurses use during rehabilitation and physical therapy. Functional independence measure fim flashcards quizlet.
Constantmurley shoulder outcome score, dash outcome measure. It is widely used in rehabilitation centres but may not be practical for all patients due to time andor personnel constraints. The functional assessment measure does not stand alone but adds 12 fam items to the fim. Aug 01, 2018 the functional ability of a patient changes during rehabilitation and the fim instrument is used to track those changes.
Functional independence measure selfreport fimsr spinal. The primary outcome measures were differences in functional outcomes as measured by fim scores. The functional independence measure fim 31 is a widely accepted functional assessment measure used during inpatient rehabilitation. Can be used with children as young as 7 years continue reading evaluation summaryfim.
Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. Table ix discharge functional independence measure fim motor score with synthetic training data prediction results. 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. Mar 2017 functional independence measurement fim user manual, version 1. See categories of scoring for objective score to determine these levels of assist. Establishing score equivalence of the functional independence.
The functional independence measurement fim application allows multiple clinicians interdisciplinary assessment to complete a fim assessment and document it in the medical record as a progress note andor as a response to a consult. Apr 16, 20 the weefim ii system allows credentialed clinicians across the united states and around the world to measure and document functional performance in infants 03 years old, children, and adolescents with either acquired or congenital disease in a consistent manner. Pdf functional independence measure weefim for chinese. The scoring on the fim was recoded to a 3point scale to indicate degrees of independence and the final model from both assessments. Ability of functional independence measure to accurately. Fim scores range from 1 to 7 1 total assist and 7 complete independence. We undertook a study to investigate the contribution of wearable sensor data to predict discharge functional independence measure fim scores.
Predicting functional independence measure scores during. 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. Functional performance and discharge setting predict. A comparison of functional outcomes between patients. The role of the fim in physical therapy verywell health. The functional independence measure fim is a validated, objective assessment of functional status. Below is a summary of an article in which the weefim was used as the primary objective assessment of progress following an acquired brain injury abi. How is the functional independence measure fim used to. The fim is an 18item ordinal scale, used with all diagnoses within a rehabilitation population. Fim score percentage calculations for adls occupational therapy. Functional independence measure weefim for chinese children. The weefim is an adaptation of the functional independence measure fim used in adults. The functional independence measure weefim for children is a simpletoadminister scale for assessing independence across 3 domains in american children. Apr 02, 2020 the fim is one of the most widely used measures of function in rehabilitation table 3.