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PC bed mob

notes

TermDefinition
bed mobility term used to describe pre-transfer activities & position changes done in bed
min assist pt gives 75%
mod assist pt gives 50%
max assist pt gives 25%
independent don't have to help pt at all
SBA stand by assist- stand close/don't touch/some places have stopped doing this
total assist pt not doing anything
contact guarding (cg) feel like you need a hand on them but you're not really helping them
supervised (S) observing
modified independence (mod I) might need reminder or they have assistive device
indicators of mastery 1) guidance & cuing by PTA must be withdrawn in order for mastery 2) the pt will primarily rely on the "feel" of the movement
factors that affect learning individual learning styles, pre-existing skills/abilities (literate?), cultural/social implications
FIM score 7 (Complete Independence)(I) all of the tasks described as making up the activity are typically performed safely, without modification, assist/adaptive devices, or aids, AND w/in reasonable amt of time. trsf-WC, no std: can lock brakes, lift ft rests, std/lat
FIM score 6 (Modified Independence) (Mod I) 1 or more of following may be true: activity requires assist/adaptive device; activity takes 3x longer than normal; or there are safety consid. trsf-use of sliding board, grab bars, special seat, AD, orthoses, prostheses
FIM score 5 (Supervision or set up) (S) subject requires no more help than standby, cuing or coaxing, w/out physical contact OR helper sets up needed items or applies orthoses or assistive/adaptive devices
FIM score 4 (Minimal Contact Assistance) (+1 min A)(CGA) subject requires no more help than touching, steadying, guiding, AND expends 75% or more of the effort-trsf-assist to lift one LE
FIM score 3 (Moderate Assistance) (+1 mod A) subject requires more help than touching or expends 50-74% of the effort-trsf-assist to lift 2 LE
FIM score 2 (Maximal Assistance) (max A) subject expends 25-49% effort
FIM score 1 (Total Assistance) (total A) subject expends less than 25% of the effort-trsf-+2 or mechanical lift
purpose of FIM score measure level of disability
when to use FIM score at time of admission (within 3 days of admit) at discharge (last 3 days)
who uses FIM score someone familiar with the patient's daily performance
how to use FIM score direct observation or actual performance of identified activities
scale for FIM score 7-0 w/some modifiers for some activities, never leave any blanks, never use N/A, if performance varies over 24 hr period, document lower score
self care usually OT-grooming, eating, bathing, upperbody dressing, lower body dressing, toileting
sphincter control usually nursing-bladder management, bowel management
mobility usually PT-transfer bed-chair, transfer toilet, transfer bath or shower, locomotion, stairs
communication usually Speech Therapy-comprehension, expression
social cognition usually Speech Therapy-social interaction, problem solving, memory
Created by: jessigirrl4