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FIM Scoring

QuestionAnswer
If the patient is independent and safe in their eating what is their FIM score for EATING? 7
If the patient takes more time to eat, has their food modified, uses dentures, or uses adaptive equipment when eating, what is their FIM score for EATING? 6
If the patient needs supervision when eating, needs cueing, cutting of food, setup of food or universal cuff what is their FIM score for EATING? 5
If the patient has to have the staff member place utensils or food in their hand, scoop food occasionally, or needs to be checked for pocketing, what is their FIM score for EATING? 4
If the patient performs 50-74% of the task of eating, or needs food scooped with every bite what is their FIM score for EATING. 3
If a patient performs 25-49% of task and eats with hand over hand, what is the FIM score for EATING? 2
If the patient needs total assistance or if the patient is on tube feedings what is the FIM score for EATING. 1
What are the tasks that are evaluated when evaluating FIM scores for EATING? Pick up utensil. Scoop food. Food to mouth. Chewing/Swallowing. Drink from cup.
If a patient is independent and safe in their grooming, what is their FIM score for GROOMING? 7
If the patient takes more time, uses adaptive eqipment and patient's safety is questioned when they perform grooming tasks what is their FIM score for GROOMING? 6
If the patient needs supervision, set up, coaxing, cueing or a universal cuff when performing grooming tasks, what is their FIM score for GROOMING? 5
If the patient has to have a helper place grooming equipment in his/her hand, or the helper has to help with 1 of 4/5 tasks of grooming, what is their FIM score for GROOMING? 4
If the patient does 2 of 4 grooming tasks, 50-74% of grooming tasks, or 3 of 5 grooming tasks, what is their FIM score for GROOMING? 3
If the patient performs 1 of 4 grooming tasks, 25-49% of grooming tasks, or 2 of 5 grooming tasks, what is their FIM score for GROOMING? 2
If a patient is a total assist in performing grooming tasks, what is their FIM for GROOMING? 1
What are the tasks evaluated when evaluating FIM scores for GROOMING? Oral care, brushing hair, washing hands/face, and shaving/make-up.
If the patient performs bathing tasks independently and safely, what is their FIM score for BATHING? 7
If the patient uses an assistive device to perform bathing tasks, takes more time to perform bathing tasks, or the patient's safety is questioned when performing bathing tasks, what is their FIM score for BATHING? 6
If the patient has to have the washcloth placed in order to perform bathing tasks, or the patient completes 8 out of the 10 tasks, what is their FIM score for BATHING? 4
If the patient needs supervision, set up, cueing, coaxing, adjustment of the water or use of a universal cuff in order to complete bathing tasks, what is their FIM score for BATHING? 5
If the patient performs 5-7 of the 10 bathing tasks, what is their FIM score for BATHING? 3
If the patient performs 3-4 of the 10 bathing tasks, what is their FIM score for BATHING? 2
If the patient performs 1-2 of the 10 bathing tasks, what is their FIM score for BATHING? 1
What are the tasks evaluated when evaluating FIM scores for BATHING? Washing chest, left arm, right arm, abdomen, perineal area, buttocks, left upper leg, right upper leg, left upper foot, and right upper foot. Back is excluded and each area is 10%.
If a patient is able to perform the tasks of dressing his/her upper body independently, safely and obtains his/her own clothes, what is their FIM score for DRESSING UE? 7
If the patient is able to dress their upper body with an assistance from an assistive device or takes more time to dress what is their FIM score for DRESSING UE? 6
If a patient requires supervision, setup, cueing, coaxing or aide in applying a prosthesis or orthosis when dressing the upper body, what is their FIM score for DRESSING UE? 5
If a patient needs help to initiate dressing their upper body or assistance in buttoning, zipping or balance when dressing their upper body what is their FIM score for DRESSING UE? 4
If the patient performs 2 of the 4 DRESSING UE tasks what is their FIM score for DRESSING UE? 3
If the patient performs 25-49% of the DRESSING UE tasks what is their FIM score for DRESSING UE? 2
If the patient requires total assistance what is their FIM score for DRESSING UE? 1
If the patient requires 2 people to apply a TLSO brace, what is their FIM score for DRESSING UE? 1
What are the tasks evaluated when evaluating FIM scores for DRESSING UE? Obtain clothes, pull on and off, buttons/zip, and apply prothesis or orthosis.
If the patient holds on or grabs the support bar in the bathroom or takes more time when toileting, what is their FIM score for TOILETING? 6
If the patient requires supervision, coaxing or cueing while toileting what is their FIM score for TOILETING? 5
If the patient needs steadying, or minimal assist to initiate tasks when toileting, what is their FIM score for TOILETING? 4
If the patient requires a mod assist in initiating tasks when toileting and the patient completes 2 of the 3 tasks, what is their FIM score for TOILETING? 3
If the patient requires a max assist in initiating or completing tasks when toileting, or if the patient completes 1 of 3 tasks, what is their FIM score for TOILETING? 2
If the patient requires total assistance in performing the toileting tasks and the patient is only able to roll from side to side, what is their FIM score for TOILETING? 1
If the patient has complete control of their bladder and requires no assistance from staff or assistive devices to empty their bladder, what is their FIM score for BLADDER? 7
If the patient places the urinal and empties it on their own, what is the FIM score for BLADDER. 6
If the patient uses the bed pan on his/her own, performs self catheterization, or manages his/her own diaper, what is their FIM score for BLADDER? 6
If the patient requires set up of a commode, urinal, or bedpan what is their FIM score for BLADDER? 5
If the patient requires cueing or the RN empties the bedpan or urinal, what is their FIM score for BLADDER? 5
If the patient requires placement of the urinal in his hand or the RN positions the urinal, what is their FIM score for BLADDER? 4
If the patient performs 50-74% of the bladder tasks and requres assistance with an assistive device or the RN must hold the urinal in place, what is their FIM score for BLADDER? 3
If the patient performs 25-49% of the bladder tasks or the RN has to position/hold/remove/empty the urinal, what is their FIM score for BLADDER? 2
If the patient only performs less than 25% of the bladder tasks, what is their FIM score for BLADDER? 1
If the patient requires timed voids, has a foley catheter or requires a change in linen and clothing or diaper, what is their FIM score for BLADDER? 1
If the patient is independent in bowel management with an asistive device or medication, what is their FIM score for BOWEL? 6
If a patient is independent in changing his/her absorbant pad or diaper, or inserts their own suppository, what is their FIM score for BOWEL? 6
If a patient requires setup or cueing in order to perform tasks for bowel management, what is their FIM score for BOWEL? 5
If the patient requires cues to insert a suppository what is their FIM score for BOWEL? 5
If the patient requires the bedpan to be put within reach and the RN empties after the patient has a BM, what is their FIM score for BOWEL? 5
If the patient requires contact assist with inserting a suppository or enema in bowel management, what is their FIM score for BOWEL? 4
If the patient does 75-90% of the tasks involved in bowel management what is their FIM score for BOWEL? 4
If the patient needs a helper to position the bedpan in place for him/her what is their FIM score for BOWEL? 4
If the patient performs 50-74% of bowel management with an assistive device what is their FIM score for BOWEL? 3
If the patient requires a helper to hold the bedpan in place for him/her, what is their FIM score for BOWEL? 3
If the patient can perform 25-49% of bowel management tasks what is their FIM score for BOWEL? 2
If the patient needs a helper to position, hold and help roll him/her on or off the bedpan, what is their FIM score for BOWEL? 2
If the patient performs less than 25% of the bowel management tasks, what is their FIM score for BOWEL? 1
If the patient requires a diaper change, or a linen or clothing change, what is their FIM score for BOWEL? 1
If the patient requires digital stimulation, what is their FIM score for BOWEL? 1
If the patient is able to transfer in/out of bed independently and safe what is their FIM score for TRANSFER BED? 7
If the patient is able to transfer in/out of bed with only using an assistive device or bars, what is their FIM score for TRANSFER BED? 6
If the patient is able to transfer in/out of bed independently, but takes more time than usual, what is their FIM score for TRANSFER BED? 6
If the patient must increase the HOB in order to transfer in/out of bed, what is their FIM score for TRANSFER BED? 6
If the patient needs supervision, cueing,or coaxing when transfering in/out of the bed, what is their FIM score for TRANSFER BED? 5
If the patient needs help with the wheelchair (i.e unlocking brakes or removing footrest) when transfering in/out of the bed, what is their FIM score for TRANSFER BED? 5
If the patient needs CGA or steadying assist when transfering in/out of the bed what is their FIM score for TRANSFER BED? 4
If the patient needs assistance lifting 1 limb in/out of the bed when transfering in/out of the bed, what is their FIM score for TRANSFER BED? 4
If the patient performs 50-74% of the task of transferring in/out of the bed, what is their FIM score for TRANSFER BED? 3
If the patient needs assistance lifting 2 limbs in/out of the bed when transfering in/out of the bed, what is their FIM score for TRANSFER BED? 3
If the patient is performing 50-74% of the task and needs assistance such as lifting or lowering to move from supine to sit/sit to supine, what is their FIM score for TRANSFER BED. 3
If the patient is performing 25-49% of the task and needs assistance for lifting and lowering themselves to transfer in/out of the bed, what is their FIM score for TRANSFER BED? 2
If the patient needs total assistance by using a Hoyer or 2 or more people to transfer in/out of bed, what is their FIM score for TRANSFER BED? 1
If the patient eats from a dish while managing a variety of food consistencies, and drinks from a cup or glass with the meal presented in the customary manner on a table or tray, what is their FIM score for EATING? 7
If the patient opens containers, butters bread, cuts meat, pours liquids, and uses a spoon or fork to bring food to the mouth, where it is chewed and swallowed, what is their FIM score for EATING? 7
If the patient requires an adaptive or assistive device such as a long straw, spork, or rocking knife; requires more than a reasonable time to eat; or requires modified food consistency or blenderized food, what is their FIM score for EATING? 6
If the patient relies on other means of alimentation, such as parenteral or gastrostomy feedings and administers these feedings independently, what is the patient's FIM score for EATING? 6
If the patient only requires supervision (e.g.,standing by, cueing, or coaxing) or setup or another person is required to open containers, butter bread, cut meat or pour liquids, what is their FIM score for EATING? 5
If the patient relies on parenteral or gastrostomy feeding either wholly or partially and does not self-administer the feedings, what is their FIM score for EATING? 1
If the patient requires total assistance to eat such as the helper holding the utensil and bringing all food and liquids to the mouth, what is their FIM score for EATING? 1
If the patient needs only "incidental" help such as placement of the utensils in his/her hand or "occasional" help to scoop food onto the fork or spoon, what is their FIM score for EATING? 4
If the patient requires placement of the utensils in his/her hand or scooping of food onto the fork or spoon, what is their FIM score for EATING? 3
If the patient performs half or more of the grooming tasks, and only needs supervision, coaxing, cueing or help to set out grooming equipment, what is their FIM score for GROOMING? 5
If the patient performs half or more of the grooming tasks and only needs incidental help such as placement of a washcloth in his hand or help to perform just one of the several tasks included in grooming, what is their FIM score for GROOMING? 4
If the patient performs half or more of the grooming tasks and needs more than incidental help such as placement of a washcloth in his hand or help to perform more than one of the several tasks included in grooming, what is their FIM score for GROOMING? 3
If the patient needs help when washing, rinsing or drying the body and performs half or more of the bathing tasks needing only supervision, cueing, coaxing, or help to set out bathing equipment or prepare wate, what is their FIM score for BATHING? 5
If the patient performs half or more of the bathing tasks and only needs incidental help such as placement of a washcloth in his hand a few times as he bathes, or help to bath just one or two areas of the body, what is thier FIM score for BATHING? 4
If the patient performs half or more of the bathing tasks and needs more than incidental help such as placement of a washcloth in his hand a few times as he bathes, or help to bath just one or two areas of the body, what is thier FIM score for BATHING? 3
If patient performs half or more of the toileting tasks, doesn't need help adjusting clothing before and after toilet use,and only needs cueing, coaxing or help to set out toileting equipment what is their FIM score for TOILETING? 5
If patient performs half or more of toileting tasks, doesn't need help adjusting clothing before/after toilet use but needs incidental help such as help to steady or balance while he does the cleansing or adjusting, what is their FIM score for TOILETING? 4
If patient performs half or more of toileting tasks, doesn't need help adjusting clothing before/after toilet use but needs more than incidental help such as help to steady or balance what is their FIM score for TOILETING? 3
If the patient performs half or more of the bladder mgmt tasks, and needs only incidental help such as placement of equipment in his hand or help to perform just one of the several tasks included in bladder mgmt, what is the FIM score for BLADDER MGMT? 4
If walking, patient safely approaches, sits down on a regular chair, and gets up to a standing position from a regular chair. Patient also safely transfers from bed to chair. What is their FIM score for TRANSFERS? 7
If in a wheelchair, patient approaches a bed or chair, locks brakes, lifts foot rests, removes arm rest if necessary, and performs either a standing pivot or sliding transfer and returns, and performs this activity safely. Whats their TRANSFERS FIM score? 7
If the patient requires an adaptive or assistive device, or the transfer takes more than a reasonable amount of time, or there are safety considerations, what is their FIM score for TRANSFERS? 6
If the patient requires supervision such as standing by, cueing, or coaxing, or requires setup such as positioning a sliding board or moving foot rests, what is their FIM score for TRANSFERS? 5
If the patient requires no more help than touching and performs 75% or more of transferring tasks what is their FIM score for TRANSFERS? 4
If the patient does not need help getting in or out of bed, but needs an assistive device such as a sliding board, grab bar or grace, or the transfer takes more than reasonable time, what is their FIM score for TRANSFERS? 6
If the patient performs half or more of the effort and needs only supervision, cuing or coaxing for bed, chair, or wheelchair transfers, what is their FIM score for TRANSFERS? 5
If the patient performs half or more of the effort and needs only incidental help such as CGA or steadying during bed, chair, or wheelchair transfers, what is their FIM score for TRANSFERS? 4
If the patient needs assistance getting on and off the toilet, performs half or more of the transferring tasks, and needs only supervision, coaxing, or cueing what is their FIM score for TRANSFERS: TOILET? 5
If the patient requires more help than touching or performs 50-74% of any task, what is their FIM score going to be? 3
If the patient requires more help than touching or performs 25-49% of any task, what is their FIM score going to be? 2
If the patient requires supervision or setup when performing any task, what is their FIM score going to be? 5
If the patient requires no more help than touching and performs 75% or more of any task, what is their FIM score going to be? 4
When looking at cognitive variables, if the patient requires assistance 30% of the time, he is doing 70% which makes his FIM score what? 3
When looking at cognitive variables, if the patient requires assistance 51% of the time, he is doing 49% which makes his FIM score what? 2
When looking at cognitive variables, if the patient requires assistance 49% of the time, he is doing 51% which makes his FIM score what? 3
If the patient understands complex or abstract directions and conversation, and understnds either spoken or written language what is their FIM score for COMPREHENSION? 7
If the patient understands readily or with only mild difficulty complex or abstract directions/conversation, does not require prompting but may require a hearing/visual aide or extra time to understand the info, what is the FIM score for COMPREHENSION? 6
If the patient understands directions and conversation about basic daily needs more than 90% of the time, requires prompting such as slowed speech rate, use of repetition or visual cues less than 10% of the time what is their FIM score for COMPREHENSION? 5
If the patient understands directions and conversation about basic daily needs 75-90% of the time what is their FIM score for COMPREHENSION? 4
If the patient understands directions and conversations about basic daily needs 50-75% of the time what is their FIM score for COMPREHENSION? 3
If the patient understands directions and conversations about basic daily needs 25-49% of the time and understands only simple, commonly used spoken expressions or gestures what is their FIM score for COMPREHENSION? 2
If the patient understands directions and conversations about basic daily needs less than 25% of the time or does not understand simple, commonly used spoken expressions or gestures, what is their FIM score for COMPREHENSION? 1
If the patient does not respond appropriately or consistently despite prompting, what is their FIM score for COMPREHENSION? 1
If the patient expresses complex or abstract ideas clearly and fluently, what is their FIM score for EXPRESSION? 7
If the patient expresses complex or abstract ideas relatively clearly or with only mild difficulty and does not need any prompting what is their FIM score for EXPRESSION? 6
If the patient expresses basic daily needs and ideas more than 90% of the time and requires prompting less than 10% of the time to be understood, what is their FIM score for EXPRESSION? 5
If the patient expresses basic daily needs and ideas more than 75-90% of the time, what is their FIM score for EXPRESSION? 4
If the patient expresses basic daily needs and ideas more than 50-74% of the time, what is their FIM score for EXPRESSION? 3
If the patient expresses basic daily needs and ideas more than 25-49% of the time and uses only single words or gestures and needs prompting more than half the time, what is their FIM score for EXPRESSION? 2
If the patient expresses basic daily needs and ideas less than 25% of the time, or does not express basic needs appropriately, what is their FIM score for EXPRESSION? 1
If the patient interacts appropriately with staff, other patients, and family members (controls temper, accepts criticisim, is aware of impact words have on others) and doesn't need meds for control, what is their FIM score for SOCIAL INTERACTION? 7
If the patient interacts appropriately with staff, other patients, and family members in most situations, and only occassionally loses control, what is their FIM score for SOCIAL INTERACTION? 6
If the patient does not require supervision in social interactions but may require more than a reasonable amount of time to adjust to social situations, or may require medication for control, what is thier FIM score for SOCIAL INTERACTION? 6
If the patient requires supervision (monitoring, verbal cueing or coaxing) only under stresful or unfamiliar conditions, but less than 10% of the time, what is their FIM score for SOCIAL INTERACTION? 5
If the patient interacts appropriately 75-90%of the time, what is their FIM score for SOCIAL INTERACTION? 4
If the patient interacts appropriately 50-74%of the time what is their FIM score for SOCIAL INTERACTION? 3
If the patient interacts appropriately 25-49%of the time, but may need restraint due to socially inappropriate behaviors, what is their FIM score for SOCIAL INTERACTION? 2
If the patient interacts appropriately less than 25% of the time or not at all, and may need restraint due to socially inappropriate behaviors, what is their FIM score for SOCIAL INTERACTION? 1
If the patient consistently recognizes problems when present, makes appropriate decisions and initiates and carries out a sequence of steps to solve complex problems until the task is completed, what is their FIM score for PROBLEM SOLVING? 7
If the patient recongizes a present problem and with only mild difficulty makes appropriate decisions, initiates and carries out a sequence of steps to solve complex problems, what is their FIM score for PROBLEM SOLVING? 6
If a patient requires more than a reasonable amount of time to make appropriate decisions or solve complex problems, what is their FIM score for PROBLEM SOLVING? 6
If the patient requires supervision (cueing or coaxing) to solve less routine problems only under stressful or unfamiliar conditions, but no more than 10% of the time, what is their FIM score for PROBLEM SOLVING? 5
If the patient solves routine problems 75-90% of the time, what is their FIM score for PROBLEM SOLVING? 4
If the patient solves routine problems 50-74%of the time, what is their FIM score for PROBLEM SOLVING? 3
If the patient solves routine problems 25-49%of the time, needs direction more than half the time to initiate, plan or complete simple daily activities and may need restraint for saftey,what is their FIM score for PROBLEM SOLVING? 2
If the patient solves routine problems less than 25% of the time, needs direction nearly all the time, may not effectively solve problems, or requires constant 1/1 direction to complete simple daily activities, what is their FIM score for PROBLEM SOLVING? 1
If the patient recognizes people frequently encountered, remembers daily routines, and executes requests of others without need for repetition, what is their FIM score for MEMORY? 7
If the patient appears to have only mild difficulty recognizing people frequently encountered, remembering daily routines, and responding to requests of others, what is their FIM score for MEMORY? 6
If the patient uses self-initiated or environmental cues, prompts or aides in order to recognize and remember things, what is their FIM score for MEMORY? 6
If the patient requires prompting (cueing, repetition, reminders) only under stressful or unfamiliar conditions, but no more than 10% of the time, what is their FIM score for MEMORY? 5
If the patient recognizes and remembers 75-90% of the time, what is their FIM score for MEMORY? 4
If the patient recognizes and remembers 50-74% of the time, what is their FIM score for MEMORY? 3
If the patient recognizes and remembers 25-49% of the time and needs prompting more than half of the time, what is their FIM score for MEMORY? 2
If the patient recognizes and remembers less than 25% of the time, or does not effectively recognize and remember, what is their FIM score for MEMORY? 1
Created by: rehabrn on 2010-12-22



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