Week 2 and 3 Balance / FIM

Question 1

posture w/o movement

Answer 1

Static balance

Question 2

posture during active motion

Answer 2

Dynamic Balance

Question 3

Supported sitting

VS unsupported

Answer 3

support on back, feet, arms etc.

no resting of body on any other part other than main BOS

Question 4

Able to maintain sitting balance against maximal resistance.

Answer 4

• Normal

Static Sitting Balance

Question 5

Able to maintain balance against moderate resistance.

Answer 5

• Good

Static Sitting Balance

Question 6

maintain balance sitting and accepts minimal resistance

Answer 6

• G-/F+

Static Sitting Balance

Question 7

Able to maintain static sitting balance with UE support.

Answer 7

• Fair-

Static Sitting Balance

Question 8

Able to maintain with minimum assistance from individual or chair.

Answer 8

• Poor+

Static Sitting Balance

Question 9

Unable to maintain static sitting balance. Requires moderate/maximum support from another individual or chair.

Answer 9

• Poor

Static Sitting Balance

Question 10

Able to sit unsupported, able to weight shift and cross midline maximally

Answer 10

• Normal

Dynamic Sitting Balance

Question 11

Able to sit unsupported, able to weight shift and cross midline moderately

Answer 11

• Good

Dynamic Sitting Balance

Question 12

Able to sit unsupported, able to weight shift and cross midline minimally.

Answer 12

• G-/F+

Dynamic Sitting Balance

Question 13

Reach to ipsilateral side and unable to weight shift.

Answer 13

• Fair-

Dynamic Sitting Balance

Question 14

Able to sit supported with Min A and reach to ipsilateral side, unable to weight shift.

Answer 14

• Poor+

Dynamic Sitting Balance

Question 15

Able to sit supported with Mod A and reach ipsilateral/front cannot cross midline

Answer 15

• Poor

Dynamic Sitting Balance

Question 16

Minimal weight shift ipsilateral/front, difficulty crossing midline

Answer 16

• Fair:

Dynamic Sitting Balance

Question 17

Able to maintain standing balance against maximal resistance

Answer 17

• Normal

Static Standing Balance

Question 18

Able to maintain standing balance against moderate resistance

Answer 18

• Good

Static Standing Balance

Question 19

Able to maintain standing balance against minimal resistance.

Answer 19

• G-/F+

Static Standing Balance

Question 20

Able to stand unsupported without UE support and without balance loss for 1-2 min

Answer 20

• Fair

Static Standing Balance

Question 21

Requires Min A or UE support in order to stand without balance loss.

Answer 21

• Fair-

Static Standing Balance

Question 22

Requires Mod A and UE support to maintain standing without balance loss.

Answer 22

• Poor+

Static Standing Balance

Question 23

Requires Max A and UE support to maintain standing balance without loss

Answer 23

• Poor

Static Standing Balance

Question 24

Stand independently unsupported, able to weight shift and cross midline maximally

Answer 24

• Normal:

Dynamic Standing Balance

Question 25

Stand independently unsupported, able to weight shift and cross midline moderately

Answer 25

• Good | Dynamic Standing Balance

Question 26

Stand independently unsupported, able to weight shift and cross midline minimally.

Answer 26

• G-/F+ | Dynamic Standing Balance

Question 27

Stand independently unsupported, weight shift and reach ipsilaterally, difficulty crossing midline without balance loss

Answer 27

• Fair | Dynamic Standing Balance

Question 28

Able to stand with supervision and reach ipsilaterally, unable to weight shift.

Answer 28

• Fair- | Dynamic Standing Balance

Question 29

Able to stand with Min A and reach ipsilaterally, unable to weight shift.

Answer 29

• Poor+ | Dynamic Standing Balance

Question 30

Able to stand with Mod A and minimally reach ipsilaterally, unable to cross midline

Answer 30

• Poor | Dynamic Standing Balance

Question 31

Static levels for balance are looking at what?

Answer 31

balance against resistance either supported/unsupported

Question 32

Dynamic levels of balance are looking at what?

Answer 32

looks at weight shift and cross midline

Question 33

The patient safely performs all the tasks described as making up the activity within a reasonable amount of time, and does so without modification, assistive devices, or aids.

Answer 33

7 Complete Independence

Question 34

One or more of the following may be true: the activity requires an assistive device or aid, the activity takes more than reasonable time, or the activity involves safety (risk) considerations.

Answer 34

6 Modified Independence

Question 35

The patient requires no more help than standby, cuing, or coaxing, without physical contact; alternately, the helper sets up needed items or applies orthoses or assistive/adaptive devices.

Answer 35

5 Supervision or Setup

Question 36

The patient requires no more help than touching, and expends 75% or more of the effort.

Answer 36

4 Minimal Contact Assistance | min assist

Question 37

The patient requires more help than touching, or expends between 50 and 74% of the effort. Complete Dependence: The patient expends less than half (less than 50%) of the effort. Maximal or total assistance is required. The levels of assistance required are defined below.

Answer 37

3 Moderate Assistance

Question 38

The patient expends between 25 to 49% of the effort.

Answer 38

2 Maximal Assistance

Question 39

The patient expends less than 25% of the effort.

Answer 39

1 Total Assistance

Question 40

The patient does not perform the activity, and a helper does not perform the activity for the patient during the entire assessment time frame.  NOTE: Do not use this code only because you did not observe the patient perform the activity. In such cases, consult other clinicians, the patient's medical record, the patient, and the patient's family members to discover whether others observed the patient perform the activity.

Answer 40

0 Activity Does Not Occur

Question 41

- Another person is not required for the activity

Answer 41

INDEPENDENT

Question 42

Patient requires another person for either supervision or physical assistance in order to perform the activity, or it is not performed (REQUIRES HELPER).

Answer 42

Dependent

Question 43

The patient expends half (50%) or more of the effort. The levels of assistance required are defined below.

Answer 43

MODIFIED DEPENDENCE

Question 44

Documentation: | 3 P's of assessment

Answer 44

Problems, Progress, Potential.

Question 45

Documentation: | Plan includes...

Answer 45

Frequency and duration of OT treatment- mentions OT | What are you working on in next session- related to performance skills, order DME, refer to PT etc

Question 46

Able to sit unsupported without balance loss and without UE support.

Answer 46

Fair | static sitting balance