Bowel Management: Level Of Assist Flashcards Preview

Clin Ed I - FIM Scoring Guide > Bowel Management: Level Of Assist > Flashcards

Flashcards in Bowel Management: Level Of Assist Deck (14):
1

What is included in this category?

Complete and intentional control of bowel movements and use of equipment or agents for control

2

What devices are included in this category?

Bedpan
Commode
Diaper
Medication
Ostomy
Suppository
Dig stim

3

What does Device Management include?

Retrieving device
Holding/positioning device
Emptying device

4

1

Total A
...pt does < 25% of device management, OR requires helper to clean up after accidents OR ostomy unless pt manages entirely, manual disimpaction, digital stimulation, OR assist of 2 helpers to manage device

5

2

Max A
...pt does 25-49% of device management

6

3

Mod A
...pt does 50-74% of device management

7

4

Min A
...pt does 75% or greater of device management (i.e., staff inserts suppository only)

8

5

S/Setup
...set-up assist with device (i.e., staff empty commode bucket/bedpan, only supply ostomy items, provide incontinence pad/device)

9

6

Mod I - NO HELPER
...use of AD WITHOUT S (i.e., pt manages own bowel program or device)

10

7

I - NO HELPER
...NO device

11

Is it possible for this activity not to occur?

NO - there is no "0" scoring category

12

What category should a pt be scored in if 2 helpers are required?

1 = Total A

13

What is the minimum score a pt can receive if a helper is not required?

6 = Mod I

14

What is the maximum score a pt can receive if a helper is required?

5 = S/Setup