What is the FIM scored out of?

The FIM is an 18-item ordinal scale, used with all diagnoses within a rehabilitation population. FIM scores range from 1 to 7 (1 = total assist and 7 = complete independence). Scores falling below 6 require another person for supervision or assistance.

What replaced FIM scoring?

CARE stands for Continuity Assessment Record and Evaluation (CARE) Item Set. You can think of it as the replacement to FIM.

What is Alpha FIM score?

It is one component for consideration in discharge planning. An AlphaFIM score provides objective data regarding disability and stroke severity as well as facilitate the transfer of information to the rehabilitation setting.

Are FIM scores still used?

The Functional Independence Measure (FIM™), for example, is currently included in the Inpatient Rehabilitation Facility – Patient Assessment Instrument (IRF-PAI) as a basic indicator of patient disability during an episode of hospital rehabilitation care.

Is the FIM standardized?

Many rehabilitation facilities use a version of the Functional Independence Measure (FIM). FIM as a standardized way of keeping track, or “score,” of how a patient is or is not improving. The FIM measures progress in activities of daily living, mobility, and communication.

What is FAM scale?

The Functional Assessment Measure (FAM) was developed as an adjunct to FIM™ (aka the Functional Independence Measure) to address functional areas of importance in brain injury rehabilitation that are less emphasized in FIM™, including communication, psychosocial adjustment, and cognition.

What is maximum assistance?

max·i·mal as·sis·tance Application at three or more points of contact by one or more people to assist a patient to perform a desired activity safely, with contribution of 75% or more effort by caregivers and 25% or less by the patient.

What is close guarding?

A close guard is essential for when a patient is struggling with or unsure of their balance. If a therapist isn’t close by, the patient can quickly go past the “point of no return” and patient and therapist may be injured in the attempt to avoid a fall.

When do you use Alpha FIM?

The AlphaFIM® is to be completed on Day 3 after the physician orders admission to the acute care hospital setting, regardless of where the patient is physically located (e.g. Emergency Department, Intensive Care Unit (including medical ICUs after EVT and/or tPA), Stroke Unit).