FIM Word Scramble
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| Question | Answer |
| The patient does not perform the activity, and a helper does not perform the activity for the patient during the entire assessment time frame | 0-ACTIVITY DOES NOT OCCUR |
| The patient expends less than 25% of the effort | 1-TOTAL ASSISTANCE |
| The patient expends between 25 to 49% of the effort | 2-MAXIMAL ASSISTANCE |
| The patient requires more help than touching, or expends between 50 and 74% of the effort | 3-MODERATE ASSISTANCE |
| The patient requires no more help than touching, and expends 75% or more of the effort | 4-MINIMAL CONTACT ASSISTANCE |
| The patient requires no more help than standby, cuing, or coaxing, without physical contact; alternately, the helper sets up needed items or applies orthoses or assistive/adaptive devices | 5-SUPERVISION OR SET UP |
| One or more of the following may be true: the activity requires an assistive device or aid, the activity takes more than reasonable time, or the activity involves safety (risk) considerations. | 6-MODIFIED INDEPENDENCE |
| The patient safely performs all the tasks described as making up the activity within a reasonable amount of time, and does so without modification | 7-COMPLETE INDEPENDENCE |
| Another person is not required for the activity. (NO HELPER) | INDEPENDENT FIM Levels 6-7 |
| Patient requires another person for either supervision or physical assistance in order to perform the activity, or it is not performed. (REQUIRES HELPER) | DEPENDENT FIM Levels 3-5 |
| The patient expends less than half (less than 50%) of the effort. Maximal or total assistance is required. | COMPLETE DEPENDENCE FIM Levels 0-2 |
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OTrocks
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