Outcomes and Community Reintegration Flashcards
FIM
functional independence measure
what is the focus of FIM
burden of care
*covers ADLs, transfers, communication, problem solving
Is FIM specific to amputees
No
what are some functional measures you can do with amputees
- 2 or 6 minute walk test
- 10m walk test
- TUG
- L-test
what are some balance outcome measures you can do with amputees
- Berg
- DGI
- ABC scale
- SLS
Is one leg balance a reliable predictor of function in amputees
yes
K-level
describes functional level or potential functional level of amputee
does medicare require a K-level to be assigned
yes
K level 0
does not have the ability or potential to ambulate or transfer safely with or without assistance, and a prosthesis does not enhance quality of life or mobility
will medicare provide a prosthesis for K-level 0
no
K level 1
has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. typical of the limited and unlimited household ambulator
K level 2
has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs or uneven surfaces. Typical of the limited community ambulator
K level 3
has the ability or potential for ambulation with variable cadence. typical of the community ambulator who has the ability to traverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion
K level 4
has the ability or potential for prosthetic ambulation that exceeds basic ambulation skills, exhibiting high impact, stress, or energy levels. typical of the prosthetic demands of the child, active adult, or athlete
what is the issue with k levels
they are wide open for interpretation with the word “potential”
