functional independence measure

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1. to determine the extent or quantity of a substance.
2. a specific extent or quantity of a substance.
3. a graduated scale by which the dimensions or mass of an object or substance may be determined. See Tables of Weights and Measures in Appendix.
assistive measure a nursing intervention in the nursing minimum data set, in which the nurse facilitates activities of daily living (such as hygiene, exercise, rest, or grooming), provides physical comfort, and maintains a therapeutic environment.
m's of central tendency statistical procedures for determining the center of a distribution of scores; they include the mode, the mean, and the median.
m's of dispersion statistical procedures for examining how scores vary or are dispersed around the mean. These include the range, the difference scores, the sum of squares, the variance, and the standard deviation.
Functional Independence measure FIM; a standardized assessment instrument of functional status that is part of the Uniform Data Set for Medical Rehabilitation; it tests 23 items in seven areas of function and uses a seven-point scale for each item. It can be used clinically as an outcome measure, and a data pool is being established that will be large enough for prediction and comparison of functional outcomes. A pediatric version called the Wee-FIM is also available.
supportive measure a nursing intervention in the nursing minimum data set, defined as action through which the nurse provides support of life functions and needed sustenance such as oxygen, nutrition, or fluids.

func·tion·al in·de·pen·dence mea·sure

(FIM) (fŭngk'shŭn-ăl in'dĕ-pend'ĕns mezh'ŭr)
An instrument used to measure the extent of disability based on the responses to 18 items covering self-care, sphincter control, mobility, locomotion, communication, and social cognition.

Functional Independence Measure



A clinical tool used to assess the ability of persons needing rehabilitative services to cope independently and perform activities of daily living. These activities include self-care, sphincter control, mobility, locomotion, communication, and social cognition. Data derived from FIM correlate with some outcome measures in rehabilitation, such as the length of time a patient may need to stay in care or the resources the patient will use. The version of FIM for children is called WeeFIM. See: WeeFIM
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References in periodicals archive ?
Yelnik, "Construct validity of the functional independence measure (FIM): questioning the unidimensionality of the scale and the 'value' of FIM scores," Journal of rehabilitation medicine, vol.
The reliability of the Functional Independence Measure: A quantitative review.
Mean Functional Independence Measure (FIM) scores before and after intervention (N=105) Pre-intervention Post-intervention FIM Outcome Measure (possible range of scores): Mean SD Mean SD Total (18-126) 88 22 103 23 Motor (13-91) * 60 18 73 18 Transfer bed/chair (1-7) 5 2 6 2 Walk/Wheel (1-7) 4 2 5 2 Stairs (1-7) 2 2 4 2 FIM Outcome Measure (possible range of scores): +[DELTA] +[DELTA]% p Total (18-126) 15 17 < .0001 Motor (13-91) * 13 17 < .0001 Transfer bed/chair (1-7) 1 20 < .0001 Walk/Wheel (1-7) 1 25 < .0001 Stairs (1-7) 2 100 < .0001 * Motor FIM score includes eating, grooming, bathing, dressing upper body, dressing lower body, toileting, bladder, bowel, transfer to bed/chair, transfer to toilet, transfer to tub/shower, walking, and stairs
M., Heineman, A.W., Wright, B.D., et al.: The Structure and Stability of the Functional Independence Measure. Archives of Physical Medical Rehabilitation 75(2):127-132, February 1994.
Client outcome variances based on the Uniform Data System (UDS) Functional Independence Measures (FIM) were examined in relation to changes in program processes or organizational trends.
The first was rehabilitation length of stay and the second was scoring on the Functional Independence Measure (FIM) (Keith, Granger, Hamilton, & Sherman, 1987).
The functional independence measure (FIM) was used to assess and monitor patients' independence-dependence in six domains of daily living: (a) self-care, (b) sphincter control, (c) mobility (transfer capabilities), (d) locomotion, (e) communication, and (f) social cognition.
Evaluation of complete functional status of patients with stroke by functional independence measure scale on admission, discharge, and six months poststroke.
Newton, "Ability of functional independence measure to accurately predict functional outcome of stroke-specific population: Systematic review," Journal of Rehabilitation Research and Development, vol.
In international studies, the Functional Independence Measure (FIM) is used as an indicator for the severity of the initial functional impairment [30,31].
Functional parameters, quality of life, gait parameters, mobility, and balance parameters of all patients were assessed by the Functional Independence Measure (FIM) Motor scale, Stroke-Specific Quality of Life Scale (SS-QLS), Timed "Up and Go" test (TUG), 10-meter walk test (10MWT), 6-minute walk test (6MWT), Stair-Climbing Test (SCT), Berg Balance Scale (BBS), and Rivermead Mobility Index (RMI).

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