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Flashcards in FIM Deck (45):
1

Transfers: Bed, Chair, Wheelchair includes all aspects of _ from a _ to a _ and _, or from a _ to a _ and back, or coming to a _ _ if _ is the typical mode of _. The patient performs the activity _.

Transfers: Bed, Chair, Wheelchair includes all aspects of TRANSFERRING from a BED to a CHAIR and BACK, or from a BED to a WHEELCHAIR and back, or coming to a STANDING POSITION IF WALKING is the typical mode of LOCOMOTION.

The patient performs the activity SAFELY

2

Transfers: Bed, Chair, Wheelchair- which 2 levels do not involve a helper?

Level 7- complete independence

Level 6- modified independence

3

Definition of complete independence (level 7): if walking- patient safely _, _ _ on a regular _, and _ _ to a _ _ from a regular _. Patient also safely _ from _ to a _.

If walking- patient safely APPROACHES, SITS DOWN on a regular CHAIR, and GETS UP to a STANDING POSITION from a regular CHAIR.

Patient also safely TRANSFERS from BED to a CHAIR

4

Definition of complete independence: if in a wheelchair- patient approaches a _ or _, _ _, lifts _ _, removes _ _ if necessary, and performs either a _ _ or _ _ (without a _) and _.

Patient performs this activity _.

If in a wheelchair- patient approaches a BED or CHAIR, LOCKS BRAKES, lifts FOOT RESTS, removes ARM RESTS if necessary, and performs either a STANDING PIVOT or SLIDING TRANSFER (without a BOARD) and RETURNS.

Patient performs this activity SAFELY

5

Definition of modified independence (level 6): patient requires an _ or _ _ such as a _ _, a _, _ _ or a special _/_/_/_; or the activity takes _ than a _ _ of _; or there are _ _. In this case, a _ or _ is considered an _ _ if used for the transfer.

Patient requires an ADAPTIVE or ASSISTIVE DEVICE such as a SLIDING BOARD, a LIFT, GRAB BARS, or a special SEAT/ CHAIR/ BRACE/ CRUTCHES;

Or the activity takes MORE than a REASONABLE AMOUNT of TIME;

Or there are SAFETY CONSIDERATIONS

In this case, A PROSTHESIS OR ORTHOSIS is considered an ASSISTIVE DEVICE if used for the transfer

6

Which FIM level is being described: patient requires more help than touching or performs 50-74% of the transferring tasks?

Level 3, Moderate assistance

7

Which FIM level is being described: The patient performs less than 25% of the transferring tasks?

Total Assistance, Level 1

8

Which FIM level is being described: The patient requires supervision (ex- stand by, cueing, or coaxing) or set up (positioning, slide board, moving foot rests, etc)?

Supervision or Set up, Level 5

9

Which FIM level is being described: Patient requires no more help than touching and performs 75% or more of transferring tasks?

Minimal contact assistance- Level 4

10

Which FIM level is being described: The patient performs 25 to 49% of the transferring tasks?

FIM level 2, maximum assistance

11

FIM level 0 for Tranfers: Enter code 0 only for the _ _. The patient _ _ _ to or _ the _ or a _, and is _ _ to or from the _ or _ by a _ or _ _. Use of this code should _ _.

Enter code 0 only for the ADMISSION ASSESSMENT

The patient DOES NOT TRANSFER to or FROM the BED or a CHAIR, and is NOT TRANSFERRED to or from the BED or CHAIR by a HELPER or LIFTING DEVICE.

Use of this code should BE RARE

12

FIM Transfers: During bed-to-chair transfer, the subject _ and _ in the _ _.

The subject BEGINS and ENDS in the SUPINE POSITION

13

FIM locomotion- Walk: includes walking on a _ _ once in a _ _. The patient performs the _ _. This is the _ of _ locomotion function modifiers.

Walk: includes walking on a LEVEL SURFACE once in a STANDING POSITION.

The patient performs the ACTIVITY SAFELY

This is the FIRST OF TWO locomotion function modifiers

14

Which FIM levels for locomotion-walk do no require a helper?

Level 7, complete independence

Level 6, modified independence

Level 5, exception for household locomotion

15

In order to be a FIM level 7 the patient must walk a minimum of _ feet _ _ _.

Must walk a minimum of 150 feet WITHOUT ASSISTIVE DEVICES

16

To be considered a FIM level 6, modified independence the patient must walk a minimum of _ feet, _ uses a _ (_) or _ on leg, special _ _, _, _ or _; or takes _ than a _ _ of _ to complete the activity; or there are _ _.

Patient must walk a minimum of 150 feet, BUT uses a BRACE (ORTHOSIS) or PROSTHESIS on leg, special ADAPTIVE SHOES, CANE, CRUTCHES, or WALKERETTE;

Or takes MORE than a REASONABLE AMOUNT of TIME to complete activity

Or there are SAFETY CONSIDERATIONS

17

Level 5, Exception for Household locomotion: The patient walks _ _ _ (a minimum of _ feet) _, _ or _ a _. The activity takes _ than a _ _ of _. Or there are _ _.

The patient walks ONLY SHORT DISTANCES (a minimum of 50 feet) INDEPENDENTLY, WITH or WITHOUT a DEVICE

The activity takes MORE than a REASONABLE AMOUNT of TIME

Or there are SAFETY CONSIDERATIONS

18

FIM Level 5- Supervision: the patient requires _ _, _ or _ to go a minimum of _ feet or _ meters

The patient requires STANDBY SUPERVISION, CUEING, or COAXING to go a minimum of 150 feet or 50 meters

19

FIM level 4, Minimal Contact Assistance (locomotion-walk): the patient performs _ or _ of walking effort to go a minimum of _ feet.

The patient performs 75% or MORE of walking effort to go a minimum of 150 feet

20

If a patient cannot walk a minimum of 150 feet, regardless of the level of assistance required what is the highest score possible? What if they cannot walk 50 feet?

Level 2 Max assist (if they can walk b/w 50-149 feet)

Level 1 Total Assist (less than 50 feet)

21

FIM level 3, Moderate assistance: patient performs _ to _ of the walking effort to go a minimum of _ feet

Patient performs 50 to 74% of the walking effort to go a minimum of 150 feet

22

FIM level 2, Maximum assistance- patient performs _ to _ of walking effort to go a minimum of _ feet, and requires assistance of _ _ _

Patient performs 25 to 49% of the walking effort to go a minimum of 50 feet, and requires assistance of ONE PERSON ONLY

23

FIM Level 1, total assistance: patient performs _ than _ of effort, or requires _ of _ _, or walks _ than _ feet.

Patient performs LESS than 25% of effort, or requires ASSISTANCE of TWO PEOPLE, or walks LESS than 50 FEET.

24

FIM Level 0 for locomotion- walk: Enter code 0 only for _ _. The patient _ _ _. For example, use 0 if the patient uses _ a _ for _ or the patient is _ _ _.

Enter code 0 only for ADMISSION ASSESSMENT

The patient DOES NOT WALK

For example, use 0 if the patient uses ONLY a WHEELCHAIR for LOCOMOTION or the patient is ON BED REST.

25

Locomotion- walk FIM scale: if the patient requires an assistive device for locomotion (prosthesis, walker, cane, AFO, adapted shoe, etc.) the highest FIM score possible is?

Is a Level 6, modified independence.

26

FIM Scale for Locomotion- Wheelchair: includes using a wheelchair on _ _ once in a _ _. The patient performs the _ _. This is the _ of _ function modifiers for locomotion.

Includes using a wheelchair on LEVEL SURFACES once in a SEATED POSITION.

The patient performs the ACTIVITY SAFELY

This the SECOND of TWO function modifiers for locomotion.

27

FIM level 7, complete independence- locomotion/ wheelchair: this score _ _ _ _ if the patient uses a _ for _.

This score IS NOT TO BE USED if the patient uses a WHEELCHAIR for LOCOMOTION

28

What levels of the FIM scale for locomotion- wheelchair do not require a helper?

Level 6, modified independence

Level 5, exception for household ambulation

29

Level 6, modified independence for locomotion- w/c: the patient operates a _ or _ _ _ for a minimum of _ feet; _ around; maneuvers the chair to a _, _, _; negotiates at _ a _ _ _; and maneuvers on _ and _ _ _.

Patient operates a MANUAL or MOTORIZED WHEELCHAIR for a minimum of 150 feet; TURNS around;

Maneuvers the chair to a TABLE, BED, TOILET

Negotiates at LEAST a 3 PERCENT GRADE

And maneuvers on RUGS and OVER DOOR SILLS

30

FIM level 5 exception for household locomotion- w/c: patient operates a _ or _ _ _ only _ _ with a minimum of _ feet.

Patient operates a MOTORIZED or MANUAL WHEELCHAIR INDEPENDENTLY only SHORT DISTANCES with a minimum of 150 FEET.

31

FIM levels 1-5 are the _ for _-_ and _-_. Except?

Are the SAME for LOCOMOTION-WALK and LOCOMOTION- WHEELCHAIR

Except one is done by walking and the other is in a w/c

32

Level 0 FIM locomotion- w/c: Enter code 0 only for the _ _. The patient _ _ _ a wheelchair, and _ _ _ in a wheelchair by _ _.

Enter code 0 only for the ADMISSION ASSESSMENT

The patient DOES NOT USE a wheelchair, and IS NOT PUSHED in a wheelchair by A HELPER.

33

Because there are 2 locomotion function modifiers: you should _ _ _ _ on admission and discharge. The mode of locomotion (walk or w/c) _ _ the _ on admission and discharge (Item 39L). If the patient _ the _ of _ between admission and discharge, record the admission mode and scores based on the _ _ _ of _ at discharge.

You should SCORE BOTH FUNCTION MODIFIERS on admission and discharge.

The mode of locomotion MUST BE THE SAME on admission/ discharge.

If the patient CHANGES the MODE OF LOCOMOTION b/w admission and discharge, record the admission mode and scores based on the MORE FREQUENT MODE of LOCOMOTION at discharge.

34

Because there are 2 function modifiers for the FIM scale for locomotion you should indicate the _ _ mode of locomotion. If both are used _, code _. If both are _ _ at discharge use the score for _ to complete both the _ and _ _ of item 39L.

You should indicate the MOST FREQUENT mode of locomotion. If both are used EQUALLY, code BOTH.

If both are USED EQUALLY at discharge use the score for WALK to complete by the ADMISSION and DISCHARGE PORTIONS of item 39L

35

FIM Locomotion-Stairs: includes going _ and _ _ to _ stairs (_ _) indoors in a _ _.

Includes going UP and DOWN 12 to 14 stairs (ONE FLIGHT) indoors in a SAFE MANNER.

36

Which FIM levels for locomotion- stairs do not require a helper?

Level 7, complete independence

Level 6, modified independence

Level 5, exception for household ambulation

37

Complete independence, level 7, location- stairs: the patient safety goes _ and _ at least _ _ of stairs without _ on any type of _ or _.

The patient safely goes UP and DOWN at least ONE FLIGHT of stairs without DEPENDING on any type of RAILING OR SUPPORT.

38

Level 6, locomotion- stairs: patient goes up and down at _ _ _ of stairs but requires a _ _, _, _, or _ _; or the activity take more than a _ _ of _; or there are?

Patient goes up and down at LEAST ONE FLIGHT of stairs but requires a SIDE SUPPORT, HANDRAIL, CANE, OR PORTABLE SUPPORTS;

Or the activity takes more than a REASONABLE AMOUNT of TIME

Or there are SAFETY CONSIDERATIONS

39

FIM LEVEL 5, household ambulation exception, locomotion- stairs: patient goes up and down _ to _ stairs _, _ or _ a _. The activity takes _ than a _ _ of _, or there are _ _.

Patient goes up and down 4 to 6 stairs INDEPENDENTLY, WITH or WITHOUT a DEVICE.

The activity takes MORE than a REASONABLE AMOUNT of TIME, or there are SAFETY CONSIDERATIONS.

40

FIM level 5, supervision, locomotion- stairs: patient requires _ ( ex. _ by, _ or _) to go up and down _ _ of stairs.

Patient requires SUPERVISION (ex. STANDING by, COAXING, or CUEING) to go up and down ONE FLIGHT of stairs

41

FIM Level 4, Minimal contact assistance- locomotion/ stairs: patient performs _ of the effort to go _ and _ _ _ of stairs.

Patient performs 75% of the effort to go UP and DOWN ONE FLIGHT of stairs

42

FIM level 3, locomotion- stairs: Patient performs _ to _ of the effort to go up and down _ _ of stairs. _ assistance.

Patient performs 50 to 74% of the effort to go up and down ONE FLIGHT of stairs

MODERATE assistance.

43

Level 2, locomotion- stairs: the patient performs _ to _ of the effort to go up and down _ to _ _, and requires the _ of _ _ _. _ assistance.

The patient performs 25 to 49% of the effort to go up and down 4 to 6 STAIRS, and requires the ASSISTANCE of ONE PERSON ONLY.

MAXIMUM assistance

44

Level 1, locomotion-stairs: the patient performs _ than _ of the effort, or requires the _ of _ _, or goes up and down _ than _ _. _ assistance.

The patient performs LESS than 25% of the effort, or require the ASSISTANCE of TWO PEOPLE, or goes up and down FEWER than 4 STEPS.

TOTAL assistance.

45

Level 0, activity _ _ _, locomotion-stairs: enter code 0 only for the _ _. The subject _ _ go up or down stairs, and a _ _ _ _ the subject up or down stairs.

Level 0, activity DOES NOT OCCUR, locomotion-stairs:
-enter code 0 only for ADMISSION ASSESSMENT
-The subject DOES NOT go up or down stairs, and a HELPER DOES NOT CARRY the subject up or down stairs.