Weefim was based on a conceptual framework by the world health organization 1980 of pathology, impairment, disability and handicap, and the burden of care. Personlevel of functional independence, functional. Fim scores range from 1 to 7 1 total assist and 7 complete independence. As such, fim scores may be interpreted to indicate level of independence or level of burden of care. The functional independence measure fim is an outcome measure of the severity of disability for an inpatient rehabilitation setting. The functional independence measure fim is widely used and accepted as a functional level assessment tool that evaluates the functional status of patients. Below is a summary of an article in which the weefim was used as the primary objective assessment of progress following an acquired brain injury abi. Fim is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. It rates 18 activities of daily living on a 7 point scale ranging from fully dependent 1 to independent with no aids 7. The assessment slated for possible elimination is the functional independence measure fim, part of the irf patient assessment instrument. Can be used with children as young as 7 years continue reading evaluation summaryfim.
Fim functional independence measure flashcards quizlet. Functional independence measure arteveldehogeschool. Establishing score equivalence of the functional independence. Functional independence measure fim flashcards quizlet. Table ix discharge functional independence measure fim motor score with synthetic training data prediction results. The primary outcome measures were differences in functional outcomes as measured by fim scores.
We undertook a study to investigate the contribution of wearable sensor data to predict discharge functional independence measure fim scores. The tool is used to assess a patients level of disability as well as change in patient status in response to rehabilitation or medical intervention. The functional independence measure fim is a validated, objective assessment of functional status. The scoring on the fim was recoded to a 3point scale to indicate degrees of independence and the final model from both assessments. The functional independence measure fim scale is a basic indicator of patient disability. It is widely used in rehabilitation centres but may not be practical for all patients due to time andor personnel constraints. Cms wants to drop functional measure, 2 quality reporting. Weefim is useful in assessing functional independence in. Two widely used outcome measures to assess functioning in neurological rehabilitation are the functional independence measure fim and the barthel index. How is the functional independence measure fim used to. Functional independence measure for children weefim. Fim stands for functional independence measure, an assessment tool doctors, therapists, and nurses use during rehabilitation and physical. See categories of scoring for objective score to determine these levels of assist.
Functional independence measure rehabmeasures database. It is most often used in acute hospitals and subacute rehabilitation settings, although it can be used anywhere for patients who have. Functional performance and discharge setting predict. The current form structure represents the version of fim developed between 1984 and 1987 by a national task force sponsored by the american academy of physical medicine and. The functional independence measure fim is widely used and accepted as a functional level assessment tool that evaluates the functional status of patients throughout the rehabilitation process. Histograms for discharge functional independence measure fim motor score for an example fold of cross validation before and after applying smote. The fim sr has less clinician and client burden than the original fim which requires observation of performance. Functional independence measure selfreport fimsr spinal. The fim is a validated and reliable instrument for measuring activity limitations associated with medical rehabilitation conditions. Apr 16, 20 the weefim ii system allows credentialed clinicians across the united states and around the world to measure and document functional performance in infants 03 years old, children, and adolescents with either acquired or congenital disease in a consistent manner. Fim stands for functional independence measure, an assessment tool doctors, therapists, and nurses use during rehabilitation and physical therapy. Aug 01, 2018 the functional ability of a patient changes during rehabilitation and the fim instrument is used to track those changes. Fim gauges and track the amount of assistance that a person may require to carry out everyday activities. How to administer the fim functional independence measure.
The fim was also developed to offer a uniform system of measurement for disability based on the international. The functional independence measurement fim is an outcome measurement tool used by physical therapists and other healthcare professionals to measure overall independence during specific functional tasks. Functional independence measure fim evaluation summary what does the tool measure. Tasks are rated on a 7point ordinal scale that ranges from total assistance or complete dependence to complete independence. The higher the score, the more independent the patient is in performing the task. The weefim was originally designed to be used in children from 6 months to 7 years of age without disabilities and older children and adolescents with developmental disabilities. The weefim is an adaptation of the functional independence measure fim used in adults. Has been superseded by personlevel of functional independence, functional independence measure score code n health, superseded 18122019, tasmanian health, endorsed 19012018. Scores range from 18 lowest to 126 highest indicating level of function. Activities of daily living what types of clients can the tool be used for. The functional independence measurement fim application allows multiple clinicians interdisciplinary assessment to complete a fim assessment and document it in the medical record as a progress note andor as a response to a consult. Motor scores on the functional independence measure after.
It is most often used in acute hospitals and subacute rehabilitation settings. A comparison of functional outcomes between patients. Pdf functional independence measure weefim for chinese. A score of 6 can also be obtained when no help is needed but the. Functional independence measure and functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. Scores are generally rated at admission and discharge. The functional independence measure fim is an 18item global measure of disability. The functional independence measure fim is an assessment tool that aims to evaluate the functional status of patients throughout the rehabilitation process following a stroke, traumatic brain injury, spinal cord injury or cancer. Mar 2017 functional independence measurement fim user manual, version 1. The functional independence measure fim instrument score was the primary outcome measure. There were no statistically significant differences p 0. From february to march 2009, we searched medline, ovid, cinahl, and ebsco for fulltext articles written in english. Functional change is a key outcome measure of rehabilitation episodes. Fim score percentage calculations for adls occupational therapy.
It is an 18item scale used to assess the patients level of independence in mobility, selfcare, and cogni. The fim can be used for measuring disability in a wide range of conditions. The functional independence measure fim is a global measure of disability and can be scored alone or with the additional 12 items that formulate the functional assessment measure fam. Apr 02, 2020 the fim is one of the most widely used measures of function in rehabilitation table 3. The functional independence measure fim instrument is a basic indicator of patient disability. Fim scale fill out and sign printable pdf template signnow. Functional independence measure weefim for chinese children. The fim is an 18item ordinal scale, used with all diagnoses within a rehabilitation population. Patients with stroke, traumatic brain injury, spinal cord injury, multiple sclerosis, and elderly individuals undergoing inpatient rehabilitation. Functional independence measurement fim user manual. The fim instrument comprises 18 items, each of which is assessed against a seven point ordinal scale, where the higher the score for an item, the. Constantmurley shoulder outcome score, dash outcome measure. Functional independence measure description general description.
Oct 30, 2018 fim stands for functional independence measure, an assessment tool doctors, therapists, and nurses use during rehabilitation and physical therapy. The functional independence measure fim is an 18item measurement tool that. The functional independence measure fim 31 is a widely accepted functional assessment measure used during inpatient rehabilitation. The scoring considers the use of adaptive equipment andor the extent of personal assistance or supervision required to complete the task.
Predicting functional independence measure scores during. A score of 6 on the fim scale means modified independence, in which no helper is needed and the person needs an assistive device. The functional independence measure fim was developed to address the issues of sensitivity and comprehensiveness that were criticized as being problematic with the barthel index another measure of functional independence. The instrument reports the patient perspective on their level of independence and in general, is well known as the internationally accepted, global tool to measure functional independence. Each of the 18 items on the fim is scored by your physical therapist on a scale of one to seven. The ability to quantify the functional ability of poststroke patients engaged in a rehabilitation program may assist in prediction of their functional outco me. Ability of functional independence measure to accurately. The functional independence measure fim is an assessment tool that aims to evaluate the. Overview for use of code 0 activity does not occur.
Functional independence measure an overview sciencedirect. The functional independence measure weefim for children is a simpletoadminister scale for assessing independence across 3 domains in american children. The functional assessment measure does not stand alone but adds 12 fam items to the fim. The fim was also developed to offer a uniform system of measurement. The current study aims to establish the equivalence of the total score of the fim motor scale and the barthel index through the application of the international. The fim is one of the most widely used measures of function in rehabilitation table 3. According to a cms fact sheet on the proposed rule, data collected through the fim are being captured in other parts of the assessment instrument. There were no statistically significant differences in the development of. The role of the fim in physical therapy verywell health. Keith ra, granger cv, hamilton bb, sherwin fs, the functional independence measure. Functional independence measure fim spinal cord injury.