Bella requires occasional assistance from a helper to hand her a cup during meals, but requires no additional assistance. What is Bella's FIM rating for Eating?
Level 6, Modified Independence
Level 5, Supervision/Setup
Level 4, Minimal Assistance
Level 3, Moderate Assistance
Benjamin eats three meals during the day but requires a nurse to administer IV fluids to maintain adequate hydration. Benjamin's FIM rating for Eating is Level 7, Complete Independence.
If a patient requires a bedpan put within reach and a helper empties it after the patient has a bowel movement. What is the FIM rating for Bowel?
Level 5, Supervision/Set Up
Requires device, more time, safety precautions, applies prosthesis to complete upper body dressing.
Requires supervision, cueing, set up (cutting food, opening containers, or help applying prosthetic, help with set up of tube feed).
Dresses in inappropriate clothing
Household exceptions: Locomotion Stairs
Total assist - patient expands less than 25% of the effort
Minimal assist, patient requires no more help than touching and expends 75% or more of the effort
Activity does not occur - patient does not perform the activity and a helper does not perform, Level 6
Frank is a bilateral BKA, he is able to bathe his chest, both arms, abdomen, peri area and upper legs but requires a helper to wash his buttocks. What is Frank's FIM rating for Bathing?
Level 7, Complete Independence
Florence can ambulate 60 feet with a rolling walker independently. She is able to propel a wheelchair 120 feet with supervision. Her expected mode of locomotion at discharge is walk. Florence's FIM rating for Locomotion: Walk/Wheelchair is Level 1.
Lyzette has a brain tumor and has difficulty recognizing staff members but recalls her family members. She does not remember simple instructions and will not initiate tasks with reminders from staff. She requires prompting more than 80% of the time. What is Lyzette's FIM rating for Memory?
Level 2, Maximal Assistance
Level 1, Total Assistance
Jim suffers from dysphagia and had a PEG tube placed. He is now administering his own tube feeds and requires only occasional cues from a helper. What is Jim's FIM rating for Eating?
Laura sits on a shower chair while bathing. She washes, rinses and dries her chest and abdomen only. A helper washes, rinses and dries the rest of Laura's body. Laura's FIM rating for bathing is a Level 2, Maximal Assistance.
Stephen uses the toilet to void during the day but at night uses the urinal, which the staff empties. Two days ago Stephen had a bladder accident and a helper had to change Stephen's clothing. What is Stephen's FIM rating for Bladder Management?
Level 5, Supervision
Level 6, Modified Independence.
Jake walked 185 feet with a large based quad cane and contact guard assistance during his morning therapy session. In the afternoon, Jake ambulated 85 feet with a large based quad cane and contact guard assistance. What is Jake's FIM rating for Locomotion: Walk/Wheelchair?
Josie is able to navigate six, six inch stairs with moderate assistance from one therapist with another therapist standing by. Josie's FIM rating for stairs is a Level 3, Moderate Assistance.
Admission FIM scores should reflect the highest functional status during the first 3 days across three 24 hour periods.
Margaret transfers out of bed without assistance, but a helper lifts her right leg when Margaret transfers back into bed. What is Margaret’s FIM rating for Transfers: Bed, Chair, Wheelchair?
Ed propels his wheelchair to the bathroom, where he uses a sliding board to transfer from his wheelchair to his raised toilet seat as a helper supervises him for safety. Ed’s FIM rating for Transfers: Toilet is a Level 4, Minimal Assistance.
Brooke needs minimal assistance to transfer onto a shower chair on wheels while in her room. A helper pushes her into the shower so Brooke can bathe. After her shower, Brooke transfers to her wheelchair with minimal assistance back in her room. What is Brooke’s FIM rating for Transfers: Tub, Shower?
Stanley wears glasses but does not always remember to wear them. He understands abstract ideas and basic daily activities without difficulty. His usual mode of comprehension is auditory.
Level 7, Complete Independence
John expresses ideas about current events, religion and relationships with staff, friends and family clearly and without difficulty. John's FIM rating for Expression is Level 7, Complete Independence.
A bowel or bladder accident only occurs if the patient soils their brief.
If a patient is taking medications as an intervention for behavior…. (antidepressants, anti-anxiety medications). you can not rate them higher than a Level 6, Modified Independence for Social Interaction?
What is considered when assessing TOILET TRANSFERS?
Getting on & off standard toilet/bedside commode (grab bars, wheelchair arms and walkers are assistive devices)
Includes all aspects of getting from lying position in bed, up to chair or in a standing position, then back to lying position in bed (bed rails, walkers and wheelchairs are considered assistive devices)
Includes getting into and out of the shower or bath tub (pt should be in the process of bathing in tub or shower, simulations do not count)
Patient moves up and down stairs, full flight 12-14 stairs, indoors, and in a safe manner
2 or more helpers automatic level