Functional independence measure weefim for chinese children. 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. Fim, medical research council dyspnoea scale mrc, st george respiratory questionnaire sgrq. It is very important to evaluate the degree of disability in subjects with rf who are. The functional independence measure 18item version can be. 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. Functional independence measure and functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and cognitive disability.
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. 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. 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. 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. Longterm care hospital ltch functional outcome measure. Functional independence measure fim assessment overview assessment area icf domain. Functional independence measure fim spinal cord injury. Children 0 to functional assessment summary in pdf format. Ability of functional independence measure to accurately. In addition, total fim ratings increased for all three group form. Guide for the use of the functional independence measure weefim of the uniform data set for medical rehabilitation. Pdf functional independence measure minimum data set motor. Using the spinal cord independence measure iii to measure functional recovery in a postacute spinal cord injury program. The functional independence measure fim is an assessment tool that is widely used in rehabilitation worldwide 36.
If you change a patient in cprs, fim will alert you that the template will. 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. The functional independence measure fim is widely used and accepted as a functionallevel assessment tool that. 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. Weefim was based on a conceptual framework by the world health organization 1980 of pathology, impairment, disability and handicap, and the burden of care. This measure was developed to track disability in children who are between the ages of 6 months and 7 years. The selfcare domain includes 8 items eating, grooming. The fimmds motor item bank allowed scores generated from different. The functional independence measure fim instrument, which includes an assessment of bladder function, is the industry standard and used by the u.
Functional independence measure arteveldehogeschool. Archives of physical medicine and rehabilitation, 74, 38. The functional assessment measure does not stand alone but adds 12 fam items to the fim, specifically addressing cognitive and psychosocial. The functional independence measure for children weefim.
Functional independence measurement fim user manual. Functional independence measure minimum data set motor item bank. Specific components of these instruments collect parallel information and items on. Functional independence measure an overview sciencedirect. Functional independence measure tm and functional assessment measure brain injury scale. 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.
Center for medicare and medicaid services see figure 6. Pdf are available on the following office of information field offices. Although the fim is widely used and has been shown to be reliable and valid, there is limited information about. 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 measure fimz instrument admission discharge followup selfcare a. Patient function is assessed using the fim instrument at the. The scoring considers the use of adaptive equipment andor the extent of personal assistance or supervision required to complete the task. The functional independence measure fim is one of the most widely used disability and dependence assessment instruments in rehabilitation medicine. Aug 01, 2018 functional change is a key outcome measure of rehabilitation episodes. Functional independence measure scores of patients with.
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 fim is an 18item, 7level functional assessment designed to evaluate the. Clinical assessment forms once the scim iii or the scimsr has been done at admission to rehab, it is only required to be repeated at discharge. Functional independence measure form free pdf file sharing. A list of public hospitals and health services in victoria. An example of the clinical assessment form for the. 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. Patient assessment instrument irfpai data to conform with centers for medicare and medicaid services cms regulations. The functional independence measure fim instrument is a basic indicator of patient disability. The functional independence measure fim is an 18item measurement tool that explores an individuals physical, psychological and social function.
For over 15 years, the fim was an acronym for functional independence measure. Evidencebased information on functional independence measure from hundreds of trustworthy sources for health and social care. The functional independence measure fim scale is a basic indicator of patient disability. Toolkit for spinal cord independence measure iii scim iii. The functional independence measure for children weefim is an 18item, sevenlevel ordinal scale instrument used to assess a childs typical and consistent performance. It is an 18item performance measurement system that documents selfcare, functional mobility, and cognitive abilities. Each item is scored on a 7 point ordinal scale ranging from 1 total dependence to a score of 7 total independence. Comparing the functional independence measure and the. Expected spinal cord independence measure, third version, scores for various neurological levels after complete spinal cord lesions.
The functional independence measure fim is an 18item measurement tool that explores an individuals physical. Functional independence measure fim in 2011 request pdf. 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 assessment measure does not stand alone but adds 12 fam. The functional independence measure fim is a global measure of disability and can be scored. Functional independence measure weefim for chinese. Today i will be walking you through the functional independence measure assessment commonly known as the thin the thin is an 18 item assessment that is based on a 7 level scale now out of these 18 items i will only be walking you through three of the items for the sake of brevity the three items. The fim was also developed to offer a uniform system of measurement for disability based on the international classification of impairment, disabilities and handicaps for.
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. The ability to quantify the functional ability of poststroke patients engaged in a rehabilitation program may assist in prediction of their functional outco me. Recommendations based on level of care in which the assessment is taken. To improve the practical use of the short forms sfs developed from the. Pdf functional independence measure minimum data set. Nov 29, 2009 both the functional independence measure fim 11 and the interraiminimum data set mds 12, are instruments designed to measure functional ability, and both have been used widely with older persons and are mandated in multiple health care settings. The functional ability of a patient changes during rehabilitation and the fim instrument is used to track those changes. 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. Children 0 to canadian occupational performance measure copm is an individualized measure designed for use by occupational therapists to detect selfperceived change in occupational performance problems over time. A screening form and a problem behavior scale are also part of the sibr package. 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.
Spinal cord independence measure rehabmeasures database. Complete independence fim 7 modified independence fim 6 supervision or setup fim 5. Aroc functional independence measure fim audit tool. Short forms development and precision comparison in veterans, archives of physical medicine and. Tenet irfs shall utilize the functional independence measure fim instrument to assist in classifying a patient into a case mix group cmg. Functional assessment measure pdf, 374kb, clin rehabil. 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. 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 fimtm guide for the uniform data set for medical rehabilitation, 1996 is the most widely accepted functional assessment measure in use in the rehabilitation community. The fim can be used for measuring disability in a wide range of conditions. The uk functional independence measure and functional assessment measure. 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. The functional independence measure fim was developed to be a more comprehensive and sensitive measure of disability than the barthel index bi. Functional independence measure for children springerlink.
The functional independence measure fim is an 18item global measure of. Functional assessment measure functional independence measure the functional independence measure fim scale assesses physical and cognitive disability. Of course, some therapists and patients may find it useful to repeat it more frequently to assess or demonstrate progress. A 54item scale used to assess qol in patient with brain tumor using likert scales. Functional independence measure rehabmeasures database. Fim scale pdf download fill online, printable, fillable.
The functional independence measure weefim for children is a simpletoadminister scale for assessing independence across 3 domains in american children. Assessing bladder function on admission to shortterm rehabilitation and discharge provides some insight into patient outcomes. Mar 2017 functional independence measurement fim user manual, version 1. Fim scale fill out and sign printable pdf template signnow.
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