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4. What is the FIMS classification of this patient?. FUNCTIONAL INDEPENDENCE MEASURE SCALE. Standard measure of daily life activities focusing on 6 areas of functioning: Mobility Locomotion Self-care Continence of the bowel and/or bladder Communication Social cognition
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FUNCTIONAL INDEPENDENCE MEASURE SCALE • Standard measure of daily life activities focusing on 6 areas of functioning: • Mobility • Locomotion • Self-care • Continence of the bowel and/or bladder • Communication • Social cognition • Estimates cost of disability in terms of safety and dependence on others and technological devices
FUNCTIONAL INDEPENDENCE MEASURE SCALE Independent: 7= Complete independence: activity performed safely, w/o modification, assistive devices and within reasonable time 6= modified independence: Requiring the use of a device but no physical help -no help is needed but the person takes more than a reasonable amount of time to do a task or may complete the task in an unsafe manner.
FUNCTIONAL INDEPENDENCE MEASURE SCALE • Dependent: 5 = Supervision or Setup: no physical assistance needed. Requiring only standby assistance or verbal prompting or help with set-up =the person only needs someone to standby and cue or coax him/her (without physical contact) so that he/she can do a task. A score of "5" can also be obtained if a helper is needed to set up items or assistive devices for the person 4 = Minimal contact assistance: Requiring incidental hands-on help only (subject performs > 75% of the task)
FUNCTIONAL INDEPENDENCE MEASURE SCALE 3 = Moderate assistance: subject requires more than helping/ touching & expends 50-75% of the effort required 2= Maximal Assistance: subject requires 25-50% of the effort 1 = total assistance: Subject expends 0-25% of the effort or is unable to do the task
Patient’s Classification 6= modified independence: Requiring the use of a device but no physical help -no help is needed but the person takes more than a reasonable amount of time to do a task or may complete the task in an unsafe manner.
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