The Center for Outcome Measurement in Brain Injury. The information on the FIM(TM) may be cited as: If you find the information in the COMBI useful, please mention it when citing sources of information. for questions regarding the presented information. Please enable JavaScript to use email address. Information regarding the FIM(TM) was contributed by Santa Clara Valley Medical Center. The current owners of the FIM(TM) instrument have decided that the acronym FIM(TM) no longer stands for anything and should be referred to only as FIM(TM). It is still often cited as this in the literature. OBJECTIVE: The Functional Independence Measure (FIM) and spinal cord injury (SCI)-specific Spinal Cord Independence Measure (SCIM) are commonly used tools for. *For over 15 years, FIM was an acronym for "Functional Independence Measure". Uniform Data System for Medical RehabilitationįIM(TM) is a trademark of the Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc. The objective of this quality improvement project was to determine if calorie consumption influences Functional Independence Measurement (FIM) scores in adult. For further information on the FIM(TM), please contact: The FIM(TM) has become proprietary, and therefore the scale, syllabus, and training materials are not provided in the COMBI. It is viewed as most useful for assessment of progress during inpatient rehabilitation. The FIM(TM) is an 18-item ordinal scale, used with all diagnoses within a rehabilitation population. The FIM(TM)* (Guide for the Uniform Data Set for Medical Rehabilitation, 1996) is the most widely accepted functional assessment measure in use in the rehabilitation community. Wright is not the scale author for the FIM. *Note: This citation is for the COMBI web material. The Center for Outcome Measurement in Brain Injury. Inter-rater agreement of two functional independence scales: the Functional Independence Measure (FIM) and a subjective uniform continuous scale Disabil Rehabil (1994) J Fricke et al. It allows us to compare our results with those reported in the literature, which provides an impetus to improve our rehabilitation programme.COMBI > Scales > FIM(TM) > Introduction We deem it an invaluable tool not only for rating disability and assessing disability but also for evaluating the outcomes of treatment. The more elderly patients improved as much as the younger ones (on average, 17 FIM points in 18 days).ĬONCLUSIONS: It is now part of our routine practice to use the FIM to assess disability in our patients with orthopaedic impairments. Age was related to a worse functional status at admission, but did not have a direct influence on outcome. The total FIM admission score showed a direct linear relationship with functional outcome. Measures of independence and functional dependence. There was a significant correlation between admission and discharge FIM scores. FIM scores 18 items of physical, psychological, and social function from 1 to 7, assessing the. The mean time between onset and admission, mean length of stay and LOS efficiency were between the Italian and American data. The Functional Independence Measure (FIM) provides another functional score, routinely used with geriatric patients to assess their functional status during hospitalization It is widely used in our hospital for its reliability and reproducibility. Both admission and discharge FIM scores were lower than the Italian and American data a difference possibly accounted for by the older age of our sample. The mean length of stay (LOS) was 17.7 days. The mean motor FIM scores were 45.1 at admission and 61.7 at discharge. The mean FIM scores were 74.5 at admission and 91.6 at discharge. RESULTS: The mean time between surgery and admission was 25 days. MEASUREMENT: Functional Independence Measure. TREATMENT: Medical rehabilitation and functional tasks. The mean age was 76.7 years, and 55% of the sample were females. PATIENTS: Ninety consecutive patients admitted for rehabilitation after hip or knee replacement, or internal fixation of the proximal femur. SETTING: A 23-bed rehabilitation unit within a standard multidisciplinary structure. METHODS: Assessment study with no follow-up. To compare our results with Italian samples and American UDSMR data. PURPOSE: To assess the utility of the Functional Independence Measure (FIM) to rate disability and the outcome of rehabilitation in elderly patients who underwent orthopaedic surgery.
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