Functional Independence Measure (FIM)

What 6 areas does the FIM assess

1. Self-care

2. Sphincter control

3. Transfers

4. Locomotion

5. Communication

6. Social cognition

What on the FIM is a PT typically responsible for scoring in an inter-professional health team

Transfers and locomotion

What is included within transfers? Who is typically responsible?

1. Bed to chair / chair to bed (PT)

2. Toilet transfer (RN)

3. Tub, shower transfer (RN/OT)

What is included within locomotion? Who is typically responsible?

1. Crawls, walks, or w/c (PT)

2. Stairs (PT)

What are the minimum locomotion standards to score above a FIM 1

1. Crawls, walks, or w/c: 50m

2. Stairs: 1 flight

What would restrict a FIM score of max FIM 6 in locomotion

1. Crawls, walks, or w/c: Gait aid or w/c

2. Stairs: use of R/LHR

What does a a rating FIM rating of 1 signify?

Total assist (or Max Ax2) (subject

What does a a rating FIM rating of 2 signify?

Maximal Ax1 or Min-Mod Ax2 (subject 25-49%)

What does a a rating FIM rating of 3 signify?

Moderate Ax1 (subject 50-74%)

What does a a rating FIM rating of 4 signify?

Min Ax1 (subject ≥ 75%)

What does a a rating FIM rating of 5 signify?

Supervision required

What does a a rating FIM rating of 6 signify?

Modified independence (device)

What does a a rating FIM rating of 7 signify?

Complete independence (timely, safely)

What is a FIM score of 1-2 categorized as?

Complete dependence (helper required)

What is a FIM score of 3-5 categorized as?

Modified independence (helper required)

What is a FIM score of 6-7 categorized as?

No helper required