Since his stroke, Tom has required a mechanical soft diet with thickened liquids. Tom does not require physical assistance from the staff. What is Tom’s FIM® rating for Eating?
Jacob eats independently after a helper applies a universal cuff. What is Jacob’s FIM® rating for Eating?
Samantha is on a feeding tube and is ready for discharge. After a nurse sets up the equipment, Samantha independently administers her tube feeding, just as the staff taught her to do. What is Samantha’s FIM® rating for Eating?
Roger eats breakfast and lunch after a helper provides setup assistance. In the evening, however, he is fatigued and requires a nurse to feed him supper. Roger refuses liquids during this meal. What is Roger’s FIM® rating for Eating?
Polly gathers all her grooming items and sets up at the sink at a wheelchair level. She requires incidental help to comb the back of her hair, but she completes all other grooming tasks without assistance. What is Polly’s FIM® rating for Grooming?
Sandy has difficulty applying her eye makeup and requires assistance from a helper. She completes all other grooming tasks after a helper provides setup assistance. What is Sandy’s FIM® rating for Grooming?
George sits in a wheelchair when he performs grooming tasks. After a helper turns on the water and adjusts the water temperature, George completes his grooming tasks without assistance. What is George’s FIM® rating for Grooming?
John requires constant cues as he begins to wash his face and brush his teeth. Because of his difficulty, a helper must rinse and dry John’s face; assist in completing his oral care; wash, rinse, and dry his hands; comb his hair; and shave his face. What is John’s FIM® rating for Grooming?
Sally washes, rinses, and dries herself in bed after a helper sets her up. Sally requires extra time to bathe all body parts except her lower legs and feet, which the helper bathes for her. What is Sally’s FIM® rating for Bathing?
As the result of a traumatic brain injury, Kathy loses her train of thought easily. A helper sets up Kathy’s supplies and provides constant cueing as Kathy completes her bathing tasks. Kathy does not require additional assistance. What is Kathy’s FIM® rating for Bathing?
Kevin bathes his chest, arms, abdomen, and perineal area while sitting on a tub bench in a shower. A helper washes, rinses, and dries all other body parts. What is Kevin’s FIM® rating for Bathing?
Tony has suffered a stroke. He tries very hard to help with each activity he is asked to perform. After a helper sets up Tony’s bathing supplies and puts a wash mitt on Tony’s left hand, Tony washes, rinses, and dries his right arm, chest, abdomen, and perineal area. The helper completes the rest of Tony’s bathing tasks. What is Tony’s FIM® rating for Bathing?
Margaret wears a bra and a pullover sweater. She uses a walker basket to gather her clothing from her closet. Margaret threads her arms into her bra, but her nurse hooks it in back. Margaret threads both arms into the sweater, but the nurse pulls the sweater over Margaret’s head and pulls it down over her trunk. What is Margaret’s FIM® rating for Dressing – Upper Body?
A helper brings Tom’s clothes to him in the morning. The helper threads Tom’s right arm into his sweatshirt, after which Tom threads his left arm, pulls the sweatshirt over his head, and pulls it down over his trunk. What is Tom’s FIM® rating for Dressing – Upper Body?
Samantha wears a bra, a blouse, and a zip-up sweater. A helper brings Samantha her clothing. The helper hooks Samantha’s bra. Samantha puts on her blouse and sweater independently, but the helper buttons and zippers her clothes. What is Samantha’s FIM® rating for Dressing – Upper Body?
If a patient refuses to perform an activity, but you know he/she can do it, how are you to rate him?
What score would be recorded for the patient whose nurse reports bed - w/c transfers as Mod A, but the therapist reports bed – w/c transfers as Supervision?
The definition for Eating includes chewing and swallowing. How do you score a patient with a swallowing problem?
Are dentures considered assistive devices??
If a patient is eating with Set up assist for meals but is being supplemented with tube feedings administered by the nurse, what would the score be?
If the nurse brings the patient a towel and washcloth, is that considered setup for Grooming?
How do you score a patient who needs help applying a TLSO or other type of brace?
How do you score a patient with an upper body or limb prosthesis?
Mary is independent with dressing (she safely and timely completes dressing), but she uses a walker to get her clothes from the closet. What is Mary’s FIM score for dressing?
Are sneakers with velcro closures considered and adaptive device?
Do you assess Toileting if the patient uses a bedpan and not a toilet?
John is usually cooperative, but he becomes frustrated and verbally abusive toward others when challenged with complex tasks. He requires redirection greater than 25% of the time. What is John’s FIM rating for Social Interaction?
Patrick does not ask for assistance when he attempts to transfer. Because of his recent amputation he is at risk for falls, he is restrained and requires redirection over half the time. What is Patrick’s FIM rating for Problem Solving?
Steven recognizes his family and friends. Throughout the day, however, he uses a memory book that the therapists created to remind him of his daily routine: bathing, dressing, meal times, etc. What is Steven’s FIM rating for Memory?