It is a useful tool for clinicians who are interested in assessing and improving the functional independence of their patients. The FIM is a well-validated scale for measuring the functional independence of patients in rehabilitation settings. Additionally, the FIM is a relatively new scale, and its use in other cultures may be limited. The FIM is a clinician-administered scale, which means that it requires training to use. The Functional Status Score for the Intensive Care Unit (FSS-ICU) is a 5-item performance-based measure that utilizes an 8 point, ordinal scale to measure physical function for patients in the intensive care unit setting. It can be used to track changes in functional independence over time, to compare the functional independence of different groups of patients, and to evaluate the effectiveness of rehabilitation interventions. The FIM is a useful tool for measuring the functional independence of patients in rehabilitation settings. The FIM has also been shown to be sensitive to change in functional independence over time. It has been shown to correlate with other measures of functional independence, such as the Barthel Index (Mahoney & Barthel, 1965) and the Katz Activities of Daily Living Scale (Katz et al., 1963). The FIM also has good test-retest reliability, with ICCs ranging from. The FIM has good interrater reliability, with intraclass correlation coefficients (ICCs) ranging from. Social cognition: This domain assesses the patient’s ability to interact with others in a socially appropriate manner.Communication: This domain assesses the patient’s ability to communicate, both verbally and nonverbally.Locomotion: This domain assesses the patient’s ability to walk or use a wheelchair.Transfers: This domain assesses the patient’s ability to move from one place to another, such as from bed to chair or from wheelchair to toilet.Sphincter control: This domain assesses the patient’s ability to control their bladder and bowels. It measures the impact of developmental strengths and difficulties on independence at home, in school, and in the community (Msall et al., 1994).Self-care: This domain assesses the patient’s ability to perform basic self-care tasks, such as eating, bathing, and grooming.(1987) to measure the functional independence of patients in rehabilitation settings. The Center for Outcome Measurement in Brain Injury.The Functional Independence Measure (FIM) is a 18-item scale developed by Keith et al. The information on the FIM(TM) may be cited as: The objective of this quality improvement project was to determine if calorie consumption influences Functional Independence Measurement (FIM) scores in adult. If you find the information in the COMBI useful, please mention it when citing sources of information. The FIM comprises 18 items, grouped into two subscales. for questions regarding the presented information. The functional independence measure (FIM) instrument is a basic indicator of severity of disability. Please enable JavaScript to use email address. Information regarding the FIM(TM) was contributed by Santa Clara Valley Medical Center. The current owners of the FIM(TM) instrument have decided that the acronym FIM(TM) no longer stands for anything and should be referred to only as FIM(TM). It is still often cited as this in the literature. *For over 15 years, FIM was an acronym for "Functional Independence Measure". Uniform Data System for Medical RehabilitationįIM(TM) is a trademark of the Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc. For further information on the FIM(TM), please contact: The FIM(TM) has become proprietary, and therefore the scale, syllabus, and training materials are not provided in the COMBI. For over 15 years, FIM was an acronym for Functional Independence Measure. It is viewed as most useful for assessment of progress during inpatient rehabilitation. The FIM(TM) is an 18-item ordinal scale, used with all diagnoses within a rehabilitation population. Stroke is a major global cause of serious, long-term disability and functional dependency. The FIM(TM)* (Guide for the Uniform Data Set for Medical Rehabilitation, 1996) is the most widely accepted functional assessment measure in use in the rehabilitation community. Wright is not the scale author for the FIM. *Note: This citation is for the COMBI web material. The Center for Outcome Measurement in Brain Injury.
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