The reliability, validity, and appropriateness of the functional independence measure fim were examined for a population aged 80 years and more from a multilevel, continuing care retirement. The functional independence measure fim is an 18item measurement tool that explores an individuals physical, psychological and social function. Its area of use can include skilled nursing facilities and hospitals aimed at acute, subacute and rehabilitation care. Expected spinal cord independence measure, third version, scores for various neurological levels after complete spinal cord lesions. Measures that describe a patients functioning, activities, andor participation in adls e.
The majority of measurement scales used to evaluate outcome in rehabilitation are ordinal in nature and consequently statistically valid assessments of change are difficult to make. The conistat, montreal cognitive assessment moca and functional independence measure cognitive showed adequate predictive validity bates, 2015part 1 a retrospective analysis of 4020 veterans receiving consultative or comprehensive rehabilitation care poststroke. Carl granger is a pioneer in the scientific application of functional assessment and functional outcomes, and provided leadership in the development of the fim systemsm and the related guide for the uniform data set for medical rehabilitation. Functional independence measure and functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. The fam functional assessment measure was developed as an adjunct to the fim to specifically address the major functional areas that are relatively less emphasized in the fim, including cognitive, behavioral, communication and community functioning measures. 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. Use of the functional independence measure for outcomes. A list of public hospitals and health services in victoria. A validation of the functional independence measurement and its performance among rehabilitation inpatients. As it allows direct observation of patients and the performancebased assessments are done by multidisciplinary teams including doctors, therapists and nurses fim is considered the gold.
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. In this study the fim was compared to the barthel index bi to determine its validity, reliability and ease of use in two groups of 25 patients undergoing neurorehabilitation. Guide for the use of the functional independence measure weefim of the uniform data set for medical rehabilitation. The functional independence measure fim is widely used and accepted as a functional level assessment tool that evaluates the functional status of patients. Functional independence measurement fim user manual. Advances in functional assessment for medical rehabilitation, topics in geriatric rehabilitation, 1, 3, 59 74. Functional assessment measure rehabmeasures database. Functional independence measure fimz instrument admission discharge followup selfcare a. The fim is an 18item ordinal scale, used with all diagnoses within a rehabilitation population. The functional independence measure fim 31 is a widely accepted functional assessment measure used during inpatient rehabilitation. Ability of functional independence measure to accurately.
Functional independence measure fim assessment overview assessment area icf domain. Spinal cord independence measure rehabmeasures database. The weefim is a measure of functional ability that can be used for typically developing children, aged 6 months through 7 years, as well as children over 7 years with disabilities and delays in functional development. Assessing bladder function on admission to shortterm rehabilitation and discharge provides some insight into patient outcomes. Evidencebased information on functional independence measure from hundreds of trustworthy sources for health and social care. Assessment of motor and process skills scale was reported to be the best scale assessing adl in. Aug 01, 2018 functional change is a key outcome measure of rehabilitation episodes. Apr 16, 20 the weefim instrument consists of a minimal data set of 18 items that measure functional performance in three domains. The functional independence measure for children weefim was developed based on the fimsm instrument to assess disability in children aged six months to seven years. The functional independence measure fim is a validated, objective assessment of functional status that is commonly used in rehabilitation centres.
After ipr there was a statistically significant improvement in all fim items. Feb 29, 2016 the functional independence measure fim was developed in 1983 in a collaboration between the american congress of rehabilitation medicine and the american academy of physical medicine and rehabilitation headed by carl granger and byron hamilton 7. Its reliability and validity have been studied, and normative data are available for american children. Relationship between the functional independence measure. Cognitive dysfunction in spinal cord injury patients. The fim is applied at the patient level to measure change throughout rehabilitation, at the institutional level to measure outcome quality, and at the national level for performance reporting or quality monitoring. Guide for the use of the uniform data set for medical rehabilitationincluding the functional independence measure hm version 3. The weefim can be administered to children over the age of 7 if their functional abilities are below those expected of children aged 7 who do not have disabilities. Functional independence measure rehabmeasures database. Falls remain a major issue in inpatient rehabilitation. Using the spinal cord independence measure iii to measure functional recovery in a postacute spinal cord injury program. Of educations national insti tute on disability and rehabilitation research nidrr was awarded to devel op and validate the asha functional assessment of. The functional independence measure fim can be weighted to possess interval properties, potentially allowing more accurate analysis of change.
Comparing the functional independence measure and the. Longterm care hospital ltch functional outcome measure. Acces pdf functional independence measure manual functional independence measure manual as recognized, adventure as competently as experience not quite lesson, amusement, as with ease as harmony can be gotten by just checking out a ebook functional independence measure manual next it. Functional independence measure for children weefim a prel. Functional skills complete independence fim 7 modified independence fim 6 supervision or setup fim 5 standby assistance contact guarding minimal contact assistance fim 4 moderate assistance fim 3 maximal assistance fim 2 total assistance fim 1 evaluation criteria. This measure was developed to track disability in children who are between the ages of 6 months and 7 years. The ability to quantify the functional ability of poststroke patients engaged in a rehabilitation program may assist in prediction of their functional outco me. Functional independence measure for children springerlink. Functional independence measure fim in 2011 pdf free download. Previously validated in a mixed neurorehabilitation cohort, this study is the first to explore its psychometric properties in a stroke population, and compare left and right hemispheric strokes lhs vs rhs. The functional independence measure fim instrument, which includes an assessment of bladder function, is the industry standard and used by the u.
In recent years the functional independence measure has emerged as a standard assessment instrument for use in rehabilitation and therapy programmes for disabled persons, including those with. Using functional independence measure subscales to predict. One of the most widely used tools is the functional independence measure fim. Mar 2017 functional independence measurement fim user manual, version 1. The development of standardized functional assessment measures across postacute care settings has been ongoing since 2014.
Archives of physical medicine and rehabilitation, 74, 38. The weefim instrument is potentially an internationally useful instrument. Functional independence measure wikipedia republished. 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 more independently the patient is able to perform the tasks assessed by that item. Center for medicare and medicaid services see figure 6. Functional independence measure fim, or other adl assessment. The functional independence measure fim scale is a basic indicator of patient disability. It is an 18item performance measurement system that documents selfcare, functional mobility, and cognitive abilities. Assessment of functional status is a major responsibility for professionals practicing in rehabilitation facilities. Functional independence measure for children were reported to be appropriate for adolescent age. Interrater reliability of the functional assessment measure in a brain injury rehabilitation.
Functional independence measure anne rankin in 1983 a task force sponsored by the american congress of rehabilitation medicine and the american academy of physical medicine and rehabilitation was established to develop a functional assessment instrument. Functional independence measure definition of functional. The functional independence measure for children weefim. A functional measures progress timeline can be accessed in the downloads section below. Functional independence measure scores of patients with. Functional independence measure fim the fim was developed in 1983 by a task force created by the american congress of rehabilitation medicine and the american academy of physical medicine and rehabilitation headed by carl granger and byron hamilton.
Data from the fim are used to examine patient outcomes for several purposes. 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. Glen gillen edd, otr, faota, in cognitive and perceptual rehabilitation, 2009. Complete independence fim 7 modified independence fim 6 supervision or setup fim 5. The cot library and information service hold a reference copy of those assessments annotated with an asterisk. The functional independence measure 18item version can be. Functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. Functional assessment tools have been created to meet this need.
On logistic regression analysis, age, functional independence measure fim. An assessment of the severity of patient disability. Pdf assessments and outcome measures of cerebral palsy. Functional independence measure fim in 2011 pdf free. In addition, selfreport questionnaires can be prob. Decreased scores on the functional independence measure fim, given to every patient, have been shown to predict falls risk. Patient function is assessed using the fim instrument at the. Functional independence measure tm and functional assessment measure brain injury scale. The fim can be used for measuring disability in a wide range of conditions. Fim scale fill out and sign printable pdf template signnow. Assessment of activities of daily living, selfcare, and. The functional independence measure fim is an assessment tool that is widely used in rehabilitation worldwide 36.
Functional evaluation instrument,1 the movement ability measure,2,3 the health assessment questionnaire,4,5 and the functional status questionnaire. The fim was also developed to offer a uniform system of measurement for disability based on the international classification of impairment. The functional independence measure fim instrument is a basic indicator of patient disability. Functional independence measure an overview sciencedirect.
Functional independence measure fim spinal cord injury. The functional independence measure fim is an 18item global measure of disability. As such, whilst listed alphabetically, the pdf search feature may be useful when checking if a specific assessment has been included. Research foundation of the state university of new york 1990. 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. In this study the fim was compared to the barthel index bi to.
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