FIM Test Flashcards
Total Assistance (patient < 25%)
1
Maximal Assistance (patient = 25% to 49%)
2
Moderate Assistance (patient = 50% to 74%)
3
Minimal Assistance (patient = 75% or more
4
Supervision (cueing, setup, coaxing)
5
Modified Independence (device, safety, extra time)
6
Complete Independence (timely, safely)
7
No helper • No setup • No device
Level 7, Complete Independence:
No helper • Patient requires a device • Patient requires more than a reasonable amount
of time (three times expected)
• There are safety considerations for which the patient accepts responsibility
Level 6, Modified Independence:
Patient requires verbal cueing, coaxing, encouragement, or instructions
• Setup includes assistance with preparation before the patient performs an activity, or removal and disposal of equipment or materials after an activity is performed
Level 5, Supervision:
A helper provides touching assistance, contact guard assistance, or guiding assistance, or the patient performs 75% or more of the effort
Level 4, Minimal Assistance:
A helper provides lifting assistance, or the patient performs 50% to 74% of the effort
Level 3, Moderate Assistance:
A helper provides lifting assistance, or the patient performs 25% to 49% of the effort
Level 2, Maximal Assistance:
The patient requires two helpers or performs less than 25% of the effort
Level 1, Total Assistance:
indicates that the patient did not perform the activity and that a helper did not perform the activity for the patient during the entire assessment time frame
code 0
No FIM® item can be coded ? on discharge
0
If the patient does not perform the activity at the time of discharge, rate the patient level
1, Total Assistance
Based on observations performed in the first ? days
3
if the patient uses a wheelchair and a helper is required to:
• Lock and unlock brakes
• Lift and lower (or remove and replace) footrests
• Remove or replace armrests • Positions a sliding board • Apply an orthosis • Supervise or provide cues
Record level 5, Supervision/Setup
The patient requires touching, steadying, or contact guard assistance, or the patient requires a helper to lift only one leg onto or off the bed
Level 4:
The patient requires lifting for part of the transfer (either to bring the patient to a standing position or to help lower the patient), a helper must lift both legs onto or off the bed, or both
Level 3:
The patient requires assistance both for lifting (to come to a standing position) and for lowering (to come to a sitting position)
Level 2:
A helper performs all tasks, the patient utilizes a mechanical lift, or more than one helper is required
Level 1:
If the patient requires two helpers because of functional limitations, rate the patient
level 1, Total Assistance
If two helpers are present because of an organizational (hospital) policy, but the patient requires assistance from only one of them, base the patient’s rating on
the amount of assistance the one helper provides
150 feet or greater
Level 3:
50 to 149 feet
Level 2:
Less than 50 feet
Level 1:
The patient operates a wheelchair or walks a minimum of 50 feet/15 meters independently, with or without a device
Household Ambulation (exception):
150 feet/50 meters (minimum distance) No Helper:
Level 7, Complete Independence:
150 feet/50 meters (minimum distance) with a device or safety concerns No Helper:
Level 6, Modified Independence:
50 feet/15 meters (independent) [EXCEPTION]
Level 5, Household Ambulation:
A patient who walks less than 150 feet will never be rated higher than level 2 unless the patient is rated “Household Exception” (50 feet, independently)
A patient who walks less than 50 feet will never be rated higher than level 1
The patient
goes up and down 4–6 steps without a helper, with or without a device
Household Ambulation (Exception):
Stairs
• No Helper:
12–14 stairs
• Level 7:
Stairs
• No Helper:
12–14 stairs with a device
Level 6:
Stairs
• No Helper:
4–6 stairs (independent) [exception]
Level 5
Stairs
Helper
12–14 stairs
Level 5:
Stairs
helper
The patient goes up and down fewer
than 4–6 stairs, requires assistance from two helpers, or uses a stair lift
Level 1:
Stairs
helper
4-6 stairs
level 2
If the patient is able to transfer in/out of bed independently and safe what is their FIM score for TRANSFER BED?
7
If the patient is able to transfer in/out of bed with only using an assistive device or bars, what is their FIM score for TRANSFER BED?
6
If the patient is able to transfer in/out of bed independently, but takes more time than usual, what is their FIM score for TRANSFER BED?
6
If the patient must increase the HOB in order to transfer in/out of bed, what is their FIM score for TRANSFER BED?
6
If the patient needs supervision, cueing,or coaxing when transfering in/out of the bed, what is their FIM score for TRANSFER BED?
5
If the patient needs help with the wheelchair (i.e unlocking brakes or removing footrest) when transfering in/out of the bed, what is their FIM score for TRANSFER BED?
5
If the patient needs CGA or steadying assist when transfering in/out of the bed what is their FIM score for TRANSFER BED?
4
If the patient needs assistance lifting 1 limb in/out of the bed when transfering in/out of the bed, what is their FIM score for TRANSFER BED?
3
If the patient performs 50-74% of the task of transferring in/out of the bed, what is their FIM score for TRANSFER BED?
3
If the patient needs assistance lifting 2 limbs in/out of the bed when transfering in/out of the bed, what is their FIM score for TRANSFER BED?
3
If the patient is performing 50-74% of the task and needs assistance such as lifting or lowering to move from supine to sit/sit to supine, what is their FIM score for TRANSFER BED.
3
If the patient is performing 25-49% of the task and needs assistance for lifting and lowering themselves to transfer in/out of the bed, what is their FIM score for TRANSFER BED?
2
If the patient needs total assistance by using a Hoyer or 2 or more people to transfer in/out of bed, what is their FIM score for TRANSFER BED?
1
If in a wheelchair, patient approaches a bed or chair, locks brakes, lifts foot rests, removes arm rest if necessary, and performs either a standing pivot or sliding transfer and returns, and performs this activity safely. Whats their TRANSFERS FIM score?
7
If the patient requires an adaptive or assistive device, or the transfer takes more than a reasonable amount of time, or there are safety considerations, what is their FIM score for TRANSFERS?
6
If the patient requires supervision such as standing by, cueing, or coaxing, or requires setup such as positioning a sliding board or moving foot rests, what is their FIM score for TRANSFERS?
5
If the patient requires no more help than touching and performs 75% or more of transferring tasks what is their FIM score for TRANSFERS?
4
If the patient does not need help getting in or out of bed, but needs an assistive device such as a sliding board, grab bar or grace, or the transfer takes more than reasonable time, what is their FIM score for TRANSFERS?
6
If the patient performs half or more of the effort and needs only supervision, cuing or coaxing for bed, chair, or wheelchair transfers, what is their FIM score for TRANSFERS?
5
If the patient performs half or more of the effort and needs only incidental help such as CGA or steadying during bed, chair, or wheelchair transfers, what is their FIM score for TRANSFERS?
4
If the patient needs assistance getting on and off the toilet, performs half or more of the transferring tasks, and needs only supervision, coaxing, or cueing what is their FIM score for TRANSFERS: TOILET?
5
If the patient requires more help than touching or performs 50-74% of any task, what is their FIM score going to be?
3
If the patient requires more help than touching or performs 25-49% of any task, what is their FIM score going to be?
2
If the patient requires supervision or setup when performing any task, what is their FIM score going to be?
5
If the patient requires no more help than touching and performs 75% or more of any task, what is their FIM score going to be?
4
When looking at cognitive variables, if the patient requires assistance 30% of the time, he is doing 70% which makes his FIM score what?
3
When looking at cognitive variables, if the patient requires assistance 51% of the time, he is doing 49% which makes his FIM score what?
2
When looking at cognitive variables, if the patient requires assistance 49% of the time, he is doing 51% which makes his FIM score what?
3
