Levels of Independence

Question 1

Levels of Independence

Answer 1

Required in all documentation
Let’s others know level of participation/progress
Don’t overestimate assist

Question 2

Independent

Answer 2

Patient does not require any physical assistance or supervision to perform activity safely and within reasonable time

Question 3

Supervision

Answer 3

Patient requires verbal, tactile cues, directions, instructions; assistance provided to maintain safety, perform in acceptable time or technique

Question 4

Min Assist

Answer 4

Pt performs 75% or more of the activity or requires assistance to complete the activity

Question 5

Mod Assist

Answer 5

Pt performs 50% or more of the activity or requires assistance to complete the activity

Question 6

Max Assist

Answer 6

Pt performs 25‐50% of the activity or requires assistance to complete the activity

Question 7

Dependent

Answer 7

Patient requires total assistance to safely perform the activity; this may include the use of special equipment

Question 8

2+ Assist

Answer 8

Still include mid/mod/max/dependent

Question 9

Functional Independence Measure Domains

Answer 9

Self care
Sphincter control
Transfers
Locomotion
Communication
Social cognition

Question 10

No Helper (FIM)

Answer 10

Complete independence (timely, safely)
Modified independence (device)

Question 11

Helper - Modified Independent (FIM)

Answer 11

Supervision (subject=100%)
Minimal assistance (subject= 75% or more)
Moderate assistance (50% or more)

Question 12

Helper - Complete Dependence (FIM)

Answer 12

Max assist (subject=25%)
Total assist (subject less than 25%)

Question 13

Other FIM Qualifiers

Answer 13

Distance
# of stairs
Assistive device
Safety
Time considerations

Question 14

WeeFIM

Answer 14

Designed for children between 6 months- 7 years (over 7 yo with lowered functional abilities)

Question 15

WeeFim Domains

Answer 15

Self-care
Mobility
Cognition