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FIM score sheet Brain Injury Name Date of assessment Hospital/unit Method of administration Area Score Date of birth Date of motor accident Direct observation Is score due to the brain injury Interview with Explain reasons for giving this score SELF CARE 1. Walk/ 13. Stairs Mobility subtotal AF2014-53 made under the Lifetime Care and Support Catastrophic Injuries Act 2014 s 98 LTCS FIM score sheet BRAIN INJURY JULY 2011 FIM is a trademark of Uniform Data System for Medical Rehabilitation a division of UB Foundation Activities Inc. AROC the Australasian Rehabilitation Outcomes Centre holds the territorial licence for the FIM in Australia. COMMUNICATION 14. Eating Yes No 2. Grooming 3. Bathing 4. Dressing Upper Body 5. Dressing Lower SPHINCTER CONTROL 6. Toileting 7. Bladder management 8. Bowel Self care subtotal TRANSFERS 9. Transfers Bed/ Chair/Wheelchair 10. Transfers Toilet Bath/Shower Mode W Walk C- Wheelchair B- Both LOCOMOTION 12. Comprehension Mode A Auditory 15. Expression Mode ....

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FIM scores range from 1 to 7 (1 = total assist and 7 = complete independence). Scores falling below 6 require another person for supervision or assistance. The FIM measures independent performance in self-care, sphincter control, transfers, locomotion, communication, and social cognition.

FIM categories The higher the score is for a task, the more independent a person is at performing the task. For example, a score of 1 indicates that a person needs total assistance with a task, while a score of 7 means a person can perform a task with complete independence.

FIM scores range from 1 to 7 (1 = total assist and 7 = complete independence). Scores falling below 6 require another person for supervision or assistance. The FIM measures independent performance in self-care, sphincter control, transfers, locomotion, communication, and social cognition.

FIM efficiencies >0.6 points/day a re typically accepted as clinically significant, whereas a <0.6 unit/day change represents a poor rate of improvement (Werner, 1994).

FIM scores range from a minimum score of 18 to 126, representing best performance. Patient scores can be di- vided into the top third with mild deficits (scores> 90), moderate deficits (54 :0;;; FIM score :0;;; 90), and severe deficits ( FIM score < 54).

Although the CMS or center for medicare and medicare replaced the FIM, it's not to say that the FIM is no longer used. Some insurances may use or reimburse based on the FIM, but it is probably being phased out. In OT school, you will likely learn about the FIM.

FIM categories The higher the score is for a task, the more independent a person is at performing the task. For example, a score of 1 indicates that a person needs total assistance with a task, while a score of 7 means a person can perform a task with complete independence.

What is the Functional Independence Measure (FIM)? Level 1: Total Assistance. Level 2: Maximal Assistance. Level 3: Moderate Assistance. Level 4: Minimal Assistance. Level 5: Supervision. Level 6: Modified Independence.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232