Record their score for each task on the provided assessment form. Step 3: Administer the Assessment ToolĪdminister the Functional Independence Measure assessment tool to the patient, using the 18 items to evaluate their functional status in the motor, communication, and social cognition subscales. Obtain informed consent from the patient or caregiver before administering the Functional Independence Measure assessment. Step 2: Obtain Consent from the Patient or Caregiver ![]() Setting Choose an appropriate setting for the Functional Independence Measure assessment, such as acute care hospitals, rehabilitation facilities, long-term care facilities, or home health agencies. Step 1: Select the Appropriate Assessment In this section, we will provide a step-by-step guide on how the Functional Independence Measure works, from selecting the appropriate assessment setting to interpreting the results and using them to guide treatment planning. It is commonly used in healthcare settings to guide treatment planning and track a patient's progress. How Does This Functional Independence Measure Work?Īs previously mentioned, the Functional Independence Measure (FIM) is an 18-item assessment tool that evaluates a patient's level of functional independence in self-care, mobility, communication, and social cognition. The assessment results also help healthcare professionals determine the appropriate level of care and services needed for a patient, including rehabilitation, home health services, or assisted living. The FIM provides valuable information for healthcare providers to develop individualized treatment plans, establish goals, and track progress. The Motor subscale evaluates a patient's ability to perform physical tasks such as grooming, eating, and walking, while the Cognitive subscale assesses a patient's cognitive skills, such as comprehension, expression, and problem-solving. The items are grouped into two subscales: Motor and Cognitive. The FIM consists of 18 items scored on a 7-point Likert scale, ranging from complete dependence to complete independence. The FIM was developed by the Uniform Data System for Medical Rehabilitation (UDSMR) and is commonly used in healthcare settings to evaluate a patient's progress over time, track outcomes, and aid in discharge planning. The Functional Independence Measure (FIM) is a standardized assessment tool used to measure a patient's level of functional independence across various domains, including self-care, mobility, and communication. The ABCD and ABCD2 Scores have been used to predict the risk of stroke during the first seven days after a TIA.What Is a Functional Independence Measure (FIM)? Reintergration to Normal Living Index (RNLI) – This measure was developed to quantitatively assess the degree to which individuals who have experienced traumatic or incapacitating illness achieve reintegration into normal social activities. ![]()
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