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FIMS
FIMS for Occupational Therapy
Question | Answer |
---|---|
P is able to don R LE into pants and underwear only, Don R sock and shoe, what is their current FIM Level? | MAX A |
P is able to don both LEs into pant legs, and don both socks and shoes, what is their current FIM level? | MIN A |
P requires assistance with donning pants and underwear, he is only able to don R sock and shoe, What is his current FIM Level? | T/A |
P requires assistance with both socks and shoes when getting dressed, what is his current FIM Level? | MOD A |
P is able to don L LE into pant leg and pull pants up over hips. P requires assistance with donning both socks/shoes. What is his current FIM Level | MAX A |
P able to don R LE into Underwear, however fatigues and requires assistance for remainder of clothing activity, What is his current FIM level | T/A |
P requires assistance to pull pants/ underwear up over hips, however able to thread both legs and don socks/shoes with adaptive equipment. What is his current FIM level? | MIN A |
P requires 2x the amount of normal time to get ready for the day when completing LE dressing, what is his current FIM level? | MOD I |
P is able to gather clothing for LE dressing, get dressed without equipment, and complete task in a reasonable amount of time, What is his current FIM Level | Complete Independence |
P is able to don pants with set-up and verbal cues for safety. What is his current FIM level? | Supervision |
P is able to thread R LE into underwear, and pants and don R LE sock and shoe. What is his current FIM level? | MOD A |
P able thread B LEs into underwear, needing assistance to complete the remainder of the task. What is his FIM Level | T/A |
P requires assistance to don R sock and L shoe, as well as pulling up his pants over his hips. He doesn't want to wear underwear... What is his FIM Level? | MOD A |
P able to thread pants into both legs, and pull them up over his hips. He is able to put both slip on shoes, but needs help with both his socks. What is his FIM Level? | MIN A |
P requires verbal cues and adaptive equipment to complete LE dressing, what is his FIM level? | Supervision |
P requires assistance with donning pants, socks and shoes. What is his FIM Level? | T/A |
P is able to complete LE dressing without Assistance, however needs Adaptive Equipment to complete task. What is his FIM Level? | MOD I |
P requires assistance to thread L LE and pull pants up over hips, and with donning L sock and shoe. What is his FIM level | MAX A |
P is able to don R LE through pant leg and underwear. He does not want to wear socks/shoes. What is his FIM level | MAX A |
P is able to don B LEs into pants, don both socks and shoes, however needs tactile cues when pulling up pants in stance. What is his FIM Level. | MIN A |
P requires assistance to clasp bra. However is able to complete UE dressing without further assistance. What is her FIM level? | MIN A |
P is able to don R UE through bra and pull down shirt. What is her FIM level? | MAX A |
P is able to don R UE and thread her neck through a pull down shirt. What is her FIM level? | MOD A |
P is able to don L UE through bra, and clasp it. She is also able to don her L UE through a button up shirt and pull the shirt around her back. What is her FIM Level? | MOD A |
P is able to don bra, shirt and sweater with set-up and verbal cues only. What is her FIM level? | Supervision |
P is able to gather clothes, and use a dressing stick to complete her UE dressing task. P takes a normal amount of time to complete activity. What is her FIM score? | MOD I |
P requires assistance to thread L UE through bra, and pull over shirt. and pull the shirt down over her trunk. P takes 2x as long to complete task. What is her FIM Level? | MOD A |
P is able to thread head through shirt and pull shirt down over his trunk, what is his FIM level? | MOD A |
P is able to gather his clothing, however, requires assistance with threading his neck into shirt. What is his FIM level? | MIN A |
P is able to don L UE into pull around shirt, however requires assistance with remainder of the task. What is his FIM level | MAX A |
P is able to don his R UE through a pull down shirt and pull down sweater. What is his FIM Level? | T/A |
P is able to don her R UE through bra and clasp it, she is able to thread her R UE through her pull around shirt and button it with a button hook. What is her FIM level? | MOD A |
P requires assistance with threading L UE through bra and requires assistance with buttoning front closure shirt. What is her FIM level? | MOD A |
P is able to completely don shirt and sweater without assistance, however a caregiver needs to bring clothes to him. What is his FIM level | Supervision |
P requires extra time to complete UE dressing however does it in a safe way. What is his FIM level? | MOD I |
P needs assistance to thread both sleeves, pull the neck through a pull down shirt and pull the shirt over the patient's trunk. What is his FIM level | T/A |
P is able to do thread R & L UE through bra and clasp the bra, however fatigues and needs assistance to don pull over shirt. What is her FIM Level? | MAX A |
P is able to thread R UE and pull shirt part way down trunk, what is his FIM Level? | MAX A |
P is able to thread L UE through bra and L sleeve, and pull shirt over neck and part way down trunk. What is her FIM level? | MAX A |
P is able to thread L UE and pull shirt down over trunk. What is his FIM level? | MOD A |
P is able to wash and dry all body areas without assistance using a wash mitt while seated on a tub transfer bench | MOD I |
P is able to wash R UE, R LE including his foot, chest, abdomen. What is his FIM Level? | MOD A |
P requires assistance to wash and dry B LEs including lower legs. What is his FIM Level? | MOD A |
P requires assistance to wash her back and B lower LEs? What is her FIM level? | MIN A |
P is able to complete bathing with only set-up. What is her FIM Level? | Supervision |
P is able to wash and dry her peri-area and upper part of both her LEs. She requires tactile and verbal cuing for safety. What is her FIM level? | MAX A |
P able to wash her B UEs and part of her chest and part of her abdomen. What's her FIM level? | T/A |
P requires assistance to wash all body parts except for her face, What is her FIM level? | T/A |
P is able to wash her abdomen and chest, her B upper LEs and her R UE. What is her FIM Level? | MOD A |
P requires steadying while completely drying her buttocks in stance, however able to bathe, and dry herself without further assistance. What is her FIM Level? | MIN A |
P is able to independently bathe and dry self without assistance, in a timely manner without use of DME or adaptive equipment. | Complete Independence |
P requires assistance to wash, rinse and dry her back, buttocks, and B LEs including feet. What is her FIM level? | MOD A |
P is able to completely wash, rinse and dry his R UE and abdomen and chest only, a helper assists with the remainder of the task. What is his FIM level. | MAX A |
P is able to wash rinse and dry R UE, L UE, abdomen, chest, peri-area, B LEs including feet. What is his FIM level? | MIN A |
P is able to wash, rinse and dry all body parts, however needs verbal and occasional tactile cuing for safety. What is his FIM Level? | MIN A |
P is able to complete all bathing tasks while seated on shower chair, utilizing grab bars when standing for safety. What is his FIM level? | MOD I |
P requires verbal cues to reach her buttocks and peri-area during bathing, What is her FIM level | Supervision |
P requires assistance to wash hair, abdomen, chest, peri-area, buttocks and R LE thigh and foot. What is her FIM level? | MAX A |
P is able to wash chest, abdomen and L UE with tactile cues, and Adaptive equipment. What is her FIM Level | MAX |
P able to bathe self without assistance, no verbal cues were given for safety, however she needed a wash mitt due to decreased dexterity. What is her FIM level? | MOD I |
P is able to complete lowering and raising his pants for toileting however requires steadying assistance for pericare for toileting. What is his FIM level? | MIN A |
P is able to complete toileting on BSC over toilet with no assistance. What is his FIM Level | MOD I |
P is able to complete toileting without verbal cues for safety. P does not need DME or AE to complete task. Task is performed in a timely manner. What is her FIM score? | Complete Independence |
P is able to complete lowering his pants only for toileting. What is his FIM level? | MAX A |
P is able to doff pants and complete peri-care, however needs assistance to complete the task. What is his FIM level? | MOD A |
P needs incidental assistance to complete toileting. What is her FIM Level? | MIN A |
P needs assistance with changing clothing bed level due to incontinenece, P needing assistance to be cleaned as well. What is his FIM Level? | T/A |
P requires two person assist to complete toileting on standard toilet with grab bars, what is her FIM Level? | T/A |
P able to safely pull pants up and down without assistance, however, requires assistance with peri-care. What is his FIM level? | MOD A |
P requires verbal cues to complete toileting with good safety. What is his FIM Level? | Supervision |
P requires assistance to lower his pants and raise them up again after toileting. What is his FIM Level? | MAX A |
P requires assistance with shaving however able to complete remaining hygiene/grooming tasks without assistance. What is his FIM Level? | MIN A |
P able to complete washing his R hand, and face. He is also able to comb his hair and brush his teeth. P does not shave. What is his FIM Level? | MIN A |
P is able to wash R and L hand, brush his teeth and comb his hair. P chooses not to shave. What is his FIM Level? | MIN A |
P is able to complete all hygiene/grooming tasks with tactile cues when standing at the sink only. What is her FIM level? | MIN A |
P is able to complete brushing his teeth, washing his face and hands and combing his hair with set-up only. What is his FIM level? | Supervision |
P is able to brush his teeth and wash his face at the sink. P chooses not to complete other hygiene activities. What is his FIM level? | Complete Independence |
P uses long handled comb to brush his hair. P able to complete brushing his teeth, washing his face and hands and completing shaving with electrical shaver. What is his FIM level? | MOD I |
P requires assistance with washing L hand, L side of face and requires verbal cuing for L-sided inclusion during teeth brushing and combing hair. What is his FIM level? | MOD A |
P requires assistance with shaving, and brushing his hair. P able to do remainder of tasks without assistance. What is his FIM level? | MOD A |
P is able to complete brushing her teeth and combing her hair. P requires A with washing her face and hands. What is her FIM level? | MOD A |
P able to brush teeth however required hand over hand assistance. P did not comb hair or wash hands. or face. What is his FIM level? | MAX A |
P required assistance with brushing teeth, combing hair and washing face. P didn't want to shave. | MAX A |
P requires assistance with applying make-up only. P completes remainder of tasks without assistance. What is her FIM level? | MIN A |
P requires set-up and verbal cuing for safety during shaving at the sink. P doesn't do any other grooming tasks. What is his FIM score | Supervision |
P performs all her hygiene/grooming tasks without assistance WC level sitting at the sink. What is her FIM Level? | Complete Independence |
P able to complete self-feeding with set-up only. What is his FIM level? | Supervision |
P able to complete cutting food, container management, and feed self without verbal or tactile cues, however requires a long straw and plate guard. What is his FIM level? | MOD I |
P requires assistance with opening containers however is able to feed self without further assistance. What is his FIM level? | Supervision |
P requires assistance to place food on fork and bring fork to mouth for every bite. P able to complete self feeding task. P able to bring adaptive cup to mouth without assistance. What is her FIM Level? | MOD A |
P requires assistance with administering tube feedings to supplement her eating. What is her FIM level? | T/A |
P requires assistance with scooping every bite and also bringing cup to mouth. What is her FIM Level? | MAX A |
P able to cut food, open containers, and feed self in a timely manner. What is her FIM Level? | Complete Independence |
P requires verbal cues and occasional finger sweep due to pocketing of food. What is his FIM Level? | MIN A |
P able to complete self-feeding activity with adaptive equipment such as a universal cuff. P takes twice as long to complete activity. What is his FIM level? | MOD I |
P requires assistance to be fed. What is his FIM Level? | T/A |
P requires a universal cuff to complete eating. P able to apply cuff without assistance. What is his FIM Level? | MOD I |
P is able to eat without assistance, however requires mechanical soft diet. What is her FIM Level? | MOD I |
P requires assistance with picking up utensil, scooping food and bring food to mouth. What is her FIM level? | MAX A |
P able to bring food to mouth 50% of the time. What is his FIM Level? | MOD A |
P requires assistance with bring cup to mouth. P able to feed self without assistance. What is her FIM Level? | MIN A |