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Semester 5 PMNM Exam 4 > FIM > Flashcards

FIM Flashcards

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1
Q

what does IRF PAI stand for

A

inpatient rehabilitation facility patient assessment instrument

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2
Q

FIM is what

A

a system to meet documentation and outcomes and determine length of stay and payment!

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3
Q

What is the purpose of the functional modifiers section

A

Assist in scoring relating FIM instrument items
Provide explicit info for how a particular FIM item was determined
Should be completed prior to FIM instrument

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4
Q

What are the main components to consider when determining burden of care for an activity

A

Assistance of another person and resources required

Resources include time and devices

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5
Q

FIM includes how many motor and how many cognitive items

A

13 motor

5 cognitive

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6
Q

FIM - use of level 0

A

YES on admission

NO on discharge! If they do not do something, they get a 1

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7
Q

FIM - what will you NEVER rate a 0

A

Bladder/Bowel management

Cognition

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8
Q

Self care includes what

A 
Eating
Grooming
Bathing
Dressing
Toileting
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9
Q

Self care - Grooming includes what

A 
Oral care (brushing only)
Hair grooming (not shampooing)
Washing, rinsing, drying hands
Washing, rinsing, drying face
Shaving or applying make up
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10
Q

Self care - Bathing includes what

A 
Washing, rinsing, and drying body from neck down (not including neck and back) 
L UE, R UE
Chest, abdomen
Front perineal, back perineal
L upper leg, L lower leg and foot
R upper leg, R lower leg and foot
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11
Q

Self care - bathing - changing the temperature counts as

A

set up - so 5

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12
Q

Self care - bathing - what if using a bench?

A

is not a device for bathing (will be counted in transfer)

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13
Q

Self care - Dressing includes what

A

Upper body (above waist)
Lower body (below waist)
Obtaining the clothes
PUBLIC CLOTHING! not pjs

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14
Q

Self care - dressing - prosthesis

A

includes applying and removing prosthesis on their own

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15
Q

Self care - toileting - includes what

A

maintaining perineal hygiene and adjusting clothes before and after - so 3 steps
Adjusting clothes prior
Perineal hygiene
Adjusting clothes after

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16
Q

Sphincter control includes what

A

bowel and bladder management

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17
Q

Bowel and bladder management includes what

A

complete and intentional control of urinary sphincter and bowel movements, including use of equipment or agents for control

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18
Q

Bowel and bladder management - functional modifiers

A

2 of them (use the lower of the 2 for IRF-PAI)
Level of assist (3 days)
Frequency of accidents (7 days)

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19
Q

Bowel and bladder management - devices incldue

A

bedpan, ostomy, catheter, absorbent pad, depends

automatically a 6 with these

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20
Q

Transfers includes what

A

Bed, chair, wc
Toilet
Tub, shower

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21
Q

Transfers - assistance with limb

A

4 for one limb

3 for two

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22
Q

Transfers - lifting assistance for transfer

A 
3 = lifting trunk
2 = lifting and lowering trunk
1 = mechanical assist or 2 people
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23
Q

Transfers - bed, chair, wc includes what

A

all aspects of the transfer, safety concern, and amoutn fo assist

24
Q

Transfers - bed, chair, wc - devices include

A

sliding board, grab bars, arm rests, trapeze, mechanical lifts, braces

25
Q

Transfers - toilet - includes

A

approach to toilet once in bathroom and getting on and off toilet

26
Q

Transfers - toilet - devices include

A

commode, elevated toilet seat, grab bars, sliding board, prostheses and orthoses if used for transfer

27
Q

Transfers - tub, shower - functional modifer

A

tub or shower

rate just one, leave other blank

28
Q

Transfers - tub, shower - has to be a __ transfer

A

wet!

29
Q

Transfers - tub, shower - devices include

A

tub seats/bench, shower chair, grab bars, mechanical lifts…

30
Q

Transfers - tub, shower - includes what

A

approach to the shower or tub once in the bathroom

31
Q

Locomotion includes what

A

Walk, wheelchair

Stairs

32
Q

Locomotion - walk or wheelchair - function modifier

A

Record the admission and discharge rating based on most frequent mode used by the patient - what they will most frequently be using at discharge

33
Q

Locomotion considers what factors

A

Distance

Assistance

34
Q

Locomotion - walking starts

A

once in standing position

35
Q

Locomotion - wheelchair starts

A

once in chair

36
Q

Locomotion - walk or wheelchair - functional modifiers on the IRF PAI -

A

Distance walked
Distance traveled in wheelchair
Walk assist
Wheelchair assist

37
Q

Locomotion - walk or wheelchair - what are defining distances

A

150 feet can score 3-7

under 150 feet can score 1, 2, 5

38
Q

Locomotion - walk or wheelchair - 5 household

A

less than 150 feet but can do it independently

39
Q

Locomotion - stairs - scored by

A

number of steps and assistance

40
Q

Locomotion - stairs - no assistance, 12 to 14 steps

A

6 or 7

41
Q

Locomotion - stairs - assistance, 12 to 14 steps

A

3, 4, 5

42
Q

Locomotion - stairs - under 12 steps

A

1, 2, or 5 household

43
Q

Locomotion - stairs - 5 household

A

4 to 6 steps independently (can use device)

44
Q

Cognitive items - Communication includes

A

Comprehension

Expression

45
Q

Cognitive items - social cognition includes

A

Social interaction
Problem solving
Memory

46
Q

Cognitive items - communication - comprehension is

A

ability to understand complex and basic information (auditory or visual)

47
Q

Cognitive items - communication - expression is

A

communicate about complex and basic information - vocal and non vocal

48
Q

Cognitive items - communication - based on what time period

A

24 hours

49
Q

Cognitive items - communication - rating scale change

A

level 5 = 90%

50
Q

Cognitive items - social cognition - social interaction includes

A

getting along with and participating with others, appropriate interactions in therapeutic and social situations

51
Q

Cognitive items - social cognition - problem solving is

A

skill related to solving problems of daily living, reasonable, safe and timely decisions

52
Q

Cognitive items - social cognition - problem solving steps

A 
Recognize problem exists
Make appropriate decision
Initiate steps and adjust to changing circumstances
Carry out a sequence of steps
Evaluate the solution
53
Q

Cognitive items - social cognition - memory includes

A

skills related to recognizing and remembering while performing daily activities
ability to store and retrieve information

54
Q

Cognitive items - social cognition - memory - functional evidence for memory

A

Recognizing people frequently encountered
Remembering daily routines
Executing requests without repetition

55
Q

Benefits of FIM

A 
Interdisciplinary 
Standardized terminology
Monitors functional gains
Outcomes data, detect trends
Help set goals
Basic indicator of severity of disability 
Generates data for accreditation

Semester 5 PMNM Exam 4 (1 decks)

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