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Semester 5 PMNM Exam 4 > FIM > Flashcards

FIM Flashcards

(55 cards)

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1
Q

what does IRF PAI stand for

A

inpatient rehabilitation facility patient assessment instrument

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2
Q

FIM is what

A

a system to meet documentation and outcomes and determine length of stay and payment!

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3
Q

What is the purpose of the functional modifiers section

A

Assist in scoring relating FIM instrument items
Provide explicit info for how a particular FIM item was determined
Should be completed prior to FIM instrument

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4
Q

What are the main components to consider when determining burden of care for an activity

A

Assistance of another person and resources required

Resources include time and devices

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5
Q

FIM includes how many motor and how many cognitive items

A

13 motor

5 cognitive

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6
Q

FIM - use of level 0

A

YES on admission

NO on discharge! If they do not do something, they get a 1

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7
Q

FIM - what will you NEVER rate a 0

A

Bladder/Bowel management

Cognition

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8
Q

Self care includes what

A 
Eating
Grooming
Bathing
Dressing
Toileting
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9
Q

Self care - Grooming includes what

A 
Oral care (brushing only)
Hair grooming (not shampooing)
Washing, rinsing, drying hands
Washing, rinsing, drying face
Shaving or applying make up
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10
Q

Self care - Bathing includes what

A 
Washing, rinsing, and drying body from neck down (not including neck and back) 
L UE, R UE
Chest, abdomen
Front perineal, back perineal
L upper leg, L lower leg and foot
R upper leg, R lower leg and foot
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11
Q

Self care - bathing - changing the temperature counts as

A

set up - so 5

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12
Q

Self care - bathing - what if using a bench?

A

is not a device for bathing (will be counted in transfer)

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13
Q

Self care - Dressing includes what

A

Upper body (above waist)
Lower body (below waist)
Obtaining the clothes
PUBLIC CLOTHING! not pjs

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14
Q

Self care - dressing - prosthesis

A

includes applying and removing prosthesis on their own

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15
Q

Self care - toileting - includes what

A

maintaining perineal hygiene and adjusting clothes before and after - so 3 steps
Adjusting clothes prior
Perineal hygiene
Adjusting clothes after

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16
Q

Sphincter control includes what

A

bowel and bladder management

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17
Q

Bowel and bladder management includes what

A

complete and intentional control of urinary sphincter and bowel movements, including use of equipment or agents for control

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18
Q

Bowel and bladder management - functional modifiers

A

2 of them (use the lower of the 2 for IRF-PAI)
Level of assist (3 days)
Frequency of accidents (7 days)

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19
Q

Bowel and bladder management - devices incldue

A

bedpan, ostomy, catheter, absorbent pad, depends

automatically a 6 with these

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20
Q

Transfers includes what

A

Bed, chair, wc
Toilet
Tub, shower

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21
Q

Transfers - assistance with limb

A

4 for one limb

3 for two

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22
Q

Transfers - lifting assistance for transfer

A 
3 = lifting trunk
2 = lifting and lowering trunk
1 = mechanical assist or 2 people
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23
Q

Transfers - bed, chair, wc includes what

Study These Flashcards
A

all aspects of the transfer, safety concern, and amoutn fo assist

24
Q

Transfers - bed, chair, wc - devices include

Study These Flashcards
A

sliding board, grab bars, arm rests, trapeze, mechanical lifts, braces

25
Transfers - toilet - includes
approach to toilet once in bathroom and getting on and off toilet
26
Transfers - toilet - devices include
commode, elevated toilet seat, grab bars, sliding board, prostheses and orthoses if used for transfer
27
Transfers - tub, shower - functional modifer
tub or shower | rate just one, leave other blank
28
Transfers - tub, shower - has to be a __ transfer
wet!
29
Transfers - tub, shower - devices include
tub seats/bench, shower chair, grab bars, mechanical lifts...
30
Transfers - tub, shower - includes what
approach to the shower or tub once in the bathroom
31
Locomotion includes what
Walk, wheelchair | Stairs
32
Locomotion - walk or wheelchair - function modifier
Record the admission and discharge rating based on most frequent mode used by the patient - what they will most frequently be using at discharge
33
Locomotion considers what factors
Distance | Assistance
34
Locomotion - walking starts
once in standing position
35
Locomotion - wheelchair starts
once in chair
36
Locomotion - walk or wheelchair - functional modifiers on the IRF PAI -
Distance walked Distance traveled in wheelchair Walk assist Wheelchair assist
37
Locomotion - walk or wheelchair - what are defining distances
150 feet can score 3-7 | under 150 feet can score 1, 2, 5
38
Locomotion - walk or wheelchair - 5 household
less than 150 feet but can do it independently
39
Locomotion - stairs - scored by
number of steps and assistance
40
Locomotion - stairs - no assistance, 12 to 14 steps
6 or 7
41
Locomotion - stairs - assistance, 12 to 14 steps
3, 4, 5
42
Locomotion - stairs - under 12 steps
1, 2, or 5 household
43
Locomotion - stairs - 5 household
4 to 6 steps independently (can use device)
44
Cognitive items - Communication includes
Comprehension | Expression
45
Cognitive items - social cognition includes
Social interaction Problem solving Memory
46
Cognitive items - communication - comprehension is
ability to understand complex and basic information (auditory or visual)
47
Cognitive items - communication - expression is
communicate about complex and basic information - vocal and non vocal
48
Cognitive items - communication - based on what time period
24 hours
49
Cognitive items - communication - rating scale change
level 5 = 90%
50
Cognitive items - social cognition - social interaction includes
getting along with and participating with others, appropriate interactions in therapeutic and social situations
51
Cognitive items - social cognition - problem solving is
skill related to solving problems of daily living, reasonable, safe and timely decisions
52
Cognitive items - social cognition - problem solving steps
``` Recognize problem exists Make appropriate decision Initiate steps and adjust to changing circumstances Carry out a sequence of steps Evaluate the solution ```
53
Cognitive items - social cognition - memory includes
skills related to recognizing and remembering while performing daily activities ability to store and retrieve information
54
Cognitive items - social cognition - memory - functional evidence for memory
Recognizing people frequently encountered Remembering daily routines Executing requests without repetition
55
Benefits of FIM
``` Interdisciplinary Standardized terminology Monitors functional gains Outcomes data, detect trends Help set goals Basic indicator of severity of disability Generates data for accreditation ```

Semester 5 PMNM Exam 4 (1 decks)

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