词条 | Functional Independence Measure |
释义 |
| name = Functional Independence Measure | image = | alt = | caption = | pronounce = | purpose = | test of =ascertain function after stroke (or cancer) | based on = | synonyms = | reference_range = | calculator = | DiseasesDB = | ICD10 = | ICD9 = | ICDO = | MedlinePlus = | eMedicine = | MeshID = | OPS301 = | LOINC = }} The Functional Independence Measure (FIM) is an assessment tool that aims to evaluate the functional status of patients throughout the rehabilitation process following a stroke, traumatic brain injury, spinal cord injury or cancer.[1] Its area of use can include skilled nursing facilities and hospitals aimed at acute, sub-acute and rehabilitation care. Performed on admission to and departure from a rehabilitation hospital, it serves as a consistent data collection tool for the comparison of rehabilitation outcomes across the health care continuum.[1] Furthermore, it aims to allow clinicians to track changes in the functional status of patients from the onset of rehab care through discharge and follow-up. The FIM's assessment of degree of disability depends on the patient's score in 18 categories, focusing on motor and cognitive function. Each category or item is rated on a 7-point scale (1 = <25% independence; total assistance required, 7 = 100% independence).[1][2] As such, FIM scores may be interpreted to indicate level of independence or level of burden of care. The scale is used to assess how well a person can carry out basic activities of daily living and thus how dependent he or she will be on help from others.[1] Other areas assessed include the physical like how well patients move and walk, and the cognitive, how well they interact with others, communicate, and process information.[2] FIM was originally made for people who had had strokes, but is used to assess disability in other cases as well.[2] References1. ^1 2 3 {{cite journal |doi=10.1682/JRRD.2009.08.0140 |title=Ability of Functional Independence Measure to accurately predict functional outcome of stroke-specific population: Systematic review |year=2010 |last1=Chumney |first1=Douglas |last2=Nollinger |first2=Kristen |last3=Shesko |first3=Kristina |last4=Skop |first4=Karen |last5=Spencer |first5=Madeleine |last6=Newton |first6=Roberta A. |journal=The Journal of Rehabilitation Research and Development |volume=47|issue=1 |pages=17–30|url=http://www.rehab.research.va.gov/jour/10/471/pdf/chumney.pdf}} {{neuro-stub}}{{disability-stub}}2. ^1 2 {{cite journal|last1=Furlan|first1=JC|last2=Noonan|first2=V|last3=Singh|first3=A|last4=Fehlings|first4=MG|title=Assessment of disability in patients with acute traumatic spinal cord injury: a systematic review of the literature.|journal=Journal of Neurotrauma|date=August 2011|volume=28|issue=8|pages=1413–30|pmid=20367251|doi=10.1089/neu.2009.1148|pmc=3143412}} 1 : Neurotrauma |
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