FIM Flashcards
Items
Eating
Grooming
Bathing
Dressing – UE Dressing – LE
Toileting
Bladder Management
Bowel Management
Transfers – Bed, Chair, Wheelchair
Transfers – Toilet
Transfers – Tub or Shower
Locomotion – Walk or Wheelchair
Locomotion – Stairs
Comprehension
Expression
Social Interaction
Problem Solving Memory
The Rating system
7- Complete independence
6- Modified independence, No helper
5- Supervision, Helper
4- Minimal Assistance, Helper
3- Moderate Assist, Helpr
2- Max Assist, Heper
1- Total assistance helper
0- Activity does not occur
7
Performs all tasks without assistance
Does so safely Does so within a reasonable amount of time
Does so without modification, equipment
6
One or more of the following may be true. . .
Needs assistive device to complete the task Requires an inordinate amount of time
There are safety considerations
5
Helper is necessary
Person requires assistance, but no more than:
Standby assistance
Verbal cues Or
Set up of required items or
Application of an orthosis or adaptive device
4
Person requires no more hands-on physical assistance than incidental assistance (e.g., touching)
The person completes the task, and expends 75% or more of the effort
Put another way, the person gets assistance with less than 25% of the task
3
Person requires more hands-on physical assistance than incidental assistance (e.g., touching)
The person completes the task, and expends between 50% and 74% of the effort
Put another way, the person gets assistance with 25% to 49% of the task
2
The person completes the task, and expends between 25% and 49% of the effort
Put another way, the person gets assistance with 50% to 74% of the task
This rating, along with the next rating, are collectively referred to as complete dependence, although this is just a descriptor, not a formal rating or functional modifier
1
The person completes the task, and expends less than 25% of the effort
Put another way, the person gets assistance with 75%, or more, of the task
This rating, along with the Maximum Assistance (2), are collectively referred to as complete dependence, although this is just a descriptor, not a formal rating or functional modifier
0
This should be rare Times where this rating may occur . . .
At admit Person does not perform the activity and a helper does not perform that activity for them
General considerations for scoring
Ratings should reflect the person’s actual performance, meaning . . .
Not what they should be able to do Not a simulated activity
Not what the rater suspects the level of function is for the person
Ratings are based on most dependent episode during the period for which the rating is assessed
Admit = 72 hours
Daily= 24 hours
Discharge = 24 hours
It is preferable to rate observed actual tasks, but is permissible to use the following
- Other professionals and paraprofessionals observations
- Report of caregiver
- Self report
If more than 1 helper is required for any reason
The rating is always a 1
Reporting of scores can be divided as
OT
PT
NSG
NSG or SLP
