Intro Flashcards
-Levels of A -Types of Cuing -Balance assessment -FIM scores for stairs, Amb, txfr
What is wrong about stating “full time w/c user”?
should be “w/c bound”
cancer kid?
child diagnosed with cancer
amputee?
pt with an amputation
hemiplegic?
no, pt with hemiplegia
suffering from Down Syndrome?
no, living with Down Syndrome
true or false: a person with a disability will be receptive to personal questions.
false
What is the FIM?
- Functional Independence Measure
- 18 items
- 7 point scale
- Physical, psychological, social function
FIM 7
- Ind (Independent)
- No assistive devices
FIM 6
- Mod Ind
- requires adaptive or assitive device
FIM 5
- S or ⓢ: requires someone within arms reach for safety
- or CG: requires hand on for safety
- comples 100% of the work
FIM 4
- Min A or CG
- pt completes >75% of the work
FIM 3
- Mod A
- Pt completes 50-74%
FIM 2
- Max A
- Pt completes 25-49% of the work
FIM 1
- D
- Pt completes <25% of the work
Types of cuing
- VC: ex. using a cane
- TC: ex. advance the walker
- VC: ex. markings on the floor
what is the balance grade of a pt that maintains steady balance without support, and shift weights easily in all directions
NORMAL
what is the balance grade of a pt that shows minimal sway, maintains balance without support, and accepts moderate challenge (i.e. picking up object from floor)
GOOD for dynamic and static
what is the balance grade of a pt that is able to maintain balance with hand hold support/Min A, and accepts minimal challenge (i.e. turning trunk or head)
FAIR static and dynamic
What is the balance grade of a pt that requires Min A for static balance, but is unable to move without loss of balance
FAIR static, and POOR dynamic
what is the balance grade of a pt that requires Min/Mod A to maintain posture and is unable to accept challenges or move without loss of balance?
POOR
A 68 year old female 6 months post CVA presents to therapy with a referral for “Balance Disturbance.” During initial evaluation, she is able to maintain standing with a straight cane and can turn her head in various directions. She is unable to reach down to tie her shoes.
FAIR for dynamic and static
what is the FIM score of pt that requires either Min A or CG?
FIM 4
amb FIM 7
150 ft Ind
Amb FIM 6
150 with assistive device
Amb FIM 5
150 ft with S
Amb FIM 5E
50 ft household Amb with increased time
Amb FIM 4
150 ft with Min A or CG
Amb FIM 3
150 ft with Mod A
Amb FIM 2
50 ft with Max A
Amb FIM 1
less than 50 ft Max A or
Assist x 2 required
Stair FIM 7
12-14 steps Ind
Stair FIM 6
12-14 steps with assitive device
Stair FIM 5
- 12-14 steps with S
- 4-6 steps Ind
Stair FIM 4
12-14 steps with Min A
Stair FIM 3
12-14 steps with Mod A
Stair FIM 2
4-6 steps with A
Stair FIM 1
A x 2 required
less than 4-6 steps with A
You are working with a patient who as suffered a Cerebral Vascular Accident. The patient requires assistance to position the lower extremities for transfer from bed to chair. He is able to ambulate 75 feet with CG and can negotiate 8 stairs with Min A.
FIM scores and levels of A:
- Txfr: Min A / FIM 4
- Amb: CG / FIM 2
- Stairs: Min A / FIM 2
