Description

The Functional Independence Measure (FIM) Score is used to assess oncology patients and can help in their rehabilitation


 

Category

Measure

self-care

feeding

 

grooming

 

bathing

 

dress upper body

 

dress lower body

 

toileting

sphincter control

bladder

 

bowel

transfers

bed, chair, wheelchair

mobility

toilet

 

tub or shower

locomotion

walker or wheelchair

 

stairs

communication & cognition

comprehension

 

expression

 

social interaction

 

problem solving

 

memory

Total

18 measures

[after Figure 2, page 385, O'Toole (1991)]

 

for each measure

Score

complete independence, unaided

7

modified independence, with device

6

can perform with supervision

5

able to complete 75% of activity; needs minimal assistance

4

able to complete 50% of activity; needs moderate assistance

3

able to complete 25% of activity; needs significant assistance

2

unable to complete limited activity; requires total assistance

1

 

FIM score =

= summation of score for each measure

 

Interpretation:

• maximum FIM score = 18 * 7 = 126

• The higher the FIM score, the better the patient outcomes.

 


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