FIM

Question 1

FIM

Answer 1

Functional independence measure - level of pts disability and how much assistance required for individual to carry out ADL

Question 2

FIM we need to know

Answer 2

Walking
Transfers
Bed mobility
Stairs

Question 3

FIM is applied to

Answer 3

All dx

Question 4

Grading and ranges

Answer 4

0-7 (7 is highest)

Total score ranges from 18-126 (because there are 18 total tasks. We’re only responsible for a few)

Generally rated at admission and discharge

Question 5

FIM score 7

Answer 5

Complete independence

Generally not given in hospital in pt

Question 6

FIM score 6

Answer 6

Modified independence
Pt requires use of device, but no physical assistance
(Any AD, if in structured enviro and have not seen them do task outside, give them 6)

Question 7

FIM score 5

Answer 7

Supervised or setup

Often head injury pts or stroke L hemi that are impulsive

Question 8

FIM score 4

Answer 8

Minimal contact assistance
75% or more of task
(If you have to touch pt at all, automatically a 4 or lower. If you have to hover closely give a 4)

Question 9

FIM score 3

Answer 9

Moderate assistance

50-74% of task

Question 10

FIM score 2

Answer 10

Maximal assistance

25-49% of task

Question 11

FIM score 1

Answer 11

Total assistance

Less than 25% of task OR requires more than one person to assist

Question 12

FIM score 0

Answer 12

Activity does not occur

Question 13

FIM what do you watch for when grading?

Answer 13

1. Number of helpers

2. Distance qualifier

Question 14

FIM walking qualifier

Answer 14

150 ft (50 m) for 7-3 
50 ft (15 m) for 2-1

Question 15

FIM walking - household exception

Answer 15

No helper - grade 5

Pt walks only short distances (minimum of 50 ft) INDEPENDENTLY w or w/out a device. The activity takes more tan a reasonable amount of time, or there are safety considerations.

Given for people who are independent but cannot walk long distances so they do not end up in nursing home. The pts goal must really be just to stay in house and live independently.

Question 16

Your pt can walk 140 feet w/ supervision only, no physical help and no amb device. What is her FIM score for amb?

Answer 16

2- max assist

Helper: none
Distance qualifier : 50 ft *
Percentage: 100

Question 17

Your pt can walk 100 ft w/ help of 2 people each giving him 20% help, what is his FIM score for amb?

Answer 17

1 - total assist

Helpers: 2*
Distance qualifier: 50
Percentage: 20 x 2 = 40$

Question 18

FIM wheelchair 7

Answer 18

7 cannot be used for pts in wheelchair for locomotion

Question 19

FIM wheelchair 6

Answer 19

150 ft, turn around, maneuvers chair to table/bed/toilet, at least a 3 percent grade, on rugs and over door sills

Question 20

FIM W/C 5 household exception

Answer 20

Operates W/C ind only short distances - min of 50 ft

Question 21

FIM w/c 5-3 distance qualifier

Answer 21

150 ft

Question 22

FIM w/c distance qualifier 2-1

Answer 22

50 ft