Functional Independence Measure as an Indicator of Patient Disability - Evaluation of Practical Experiences
Authors:
T. Osladil 1; E. Vaňásková 1,2; O. Němeček 1
Authors place of work:
Rehabilitační klinika, Fakultní nemocnice Hradec Králové
1; Univerzita Karlova v Praze, Lékařská fakulta v Hradci Králové, přednostka doc. MUDr. E. Vaňásková, Ph. D.
2
Published in the journal:
Rehabil. fyz. Lék., 23, 2016, No. 4, pp. 179-182.
Category:
Original Papers
Summary
To assess the quality of care unbiased, we have used a licensed tool Functional Independence Measure (FIM) in the hospital's rehabilitation department for five years. The FIM instrument is a basic indicator of patient disability. FIM is used to track the changes in the functional ability of a patient during an episode of hospital rehabilitation care. The FIM has enabled us to monitor the progress of functional capabilities and independence in patients during hospitalization and to determine the degree of necessary help of another person. At the same time we were able to assess whether the patient is able to take care of himself at home and which kind of assistive device he or she possibly needs. Practical implementation of the FIM as an indicator of the quality in our department required administrative, organizational and personnel changes. Setting and maintain the standards of quality of collecting data entails a permanent control of the patients protocols and ongoing training of a medical personnel who performed the testing.
Keywords:
rehabilitation, disability, activity of daily living, Functional Independence Measure, FIM
Zdroje
1. LAW, J., FIELDING, B., JACKSON, D., TURNER-STOKES, L.: The UK FIM+FAM Extended Activities of Daily Living module: evaluation of scoring accuracy and reliability‘, Disabil. Rehabil., roč. 31, 2009, č. 10, s. 825-30. doi:10.1080/09638280802355049.
2. Uniform Data System for Medical Rehabilitation, dostupné: https://www.udsmr.org/
3. Uniform Data System for Medical Rehabilitation. 2009. The FIM System® Clinical Guide, Version 5.2. Buffalo, State University of New York at Buffalo: UDSMR.
4. Uniform Data System for Medical Rehabilitation.Validity and reliability of the FIM® instrument, dostupné: http://www.udsmr.org/Documents/UDSMR_Validity_Reliability_Of_The_FIM_Instrument.pdf.
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8. VAŇÁSKOVÁ, E., TOŠNEROVÁ, V., BUKAČ, J.: Hodnocení nemocných po cévní mozkové příhodě testy soběstačnosti na lůžkovém rehabilitačním pracovišti. Rehabil. fyz. lék., roč. 10, 2003, č. 2, s. 60-64.
9. WRIGHT, J. The Functional Assessment Measure. (2000). The Center for Outcome Measurement in Brain Injury. http://www.tbims.org/combi/FAM ( accessed August 15, 2016).
Štítky
Physiotherapist, university degree Rehabilitation Sports medicineČlánok vyšiel v časopise
Rehabilitation and Physical Medicine
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