![]() Maslow AH (1954) Motivation and personality. World Health Organization (1980) International classification of impairments, disabilities, and handicaps: A manual of classification relating to the consequences of disease (ICIDH). Nagi SZ (1965) Disability and rehabilitation. (1993) State University of New York at Buffalo, Buffalo, NY Guide for the Uniform Data Set for Medical Rehabilitation (Adult FIM TM) version 4.0. Merbitz C, Morris J, Grip JC (1989) Ordinal scales and foundations of misinference. Johnston MV, Keith RA, Hinderer SR (1992) Measurement standards for interdisciplinary medical rehabilitation. This process is experimental and the keywords may be updated as the learning algorithm improves. These keywords were added by machine and not by the authors. Use of the FIM and the UDSmr characterizes disability and change in severity through the use of a uniform language, and has important implications for national and international exchange of comparable information concerning outcomes. The FIM has been shown to be reliable, valid, feasible, practical, and sensitive to clinical change in functional independence at admission, discharge, and follow-up. The Functional Independence Measure (FIM) and the Uniform Data System for Medical Rehabilitation (UDSmr) are examined from the perspectives described above, and are found to provide practical measurement for patients undergoing medical rehabilitation for conditions that render them dependent on others for assistance in activities of daily living. While these opportunities and demands are not directly measurable in qualitative or quantitative terms, the underlying factors supporting or forming barriers to health and function are measurable. The model describes the goal of fulfillment as achieving a balance between one’s choices, options, and expectations on the one hand (functional opportunities), with one’s physical, cognitive, and emotional constraints (functional demands/barriers) on the other. This chapter proposes a conceptual model called Challenges to the Quality of Daily Living that is based on the work of Abraham Maslow. Measurement tools for outcomes must then be designed and tested with respect to their purpose, practicality, construction, standardization, reliability, and validity. Buffalo, NY: State University of New York at Buffalo Research Foundation.Measuring outcomes in medical rehabilitation must begin with an understanding of what is to be measured, and this understanding must be grounded in theory and connected to a comprehensive model for meeting the needs of the patient. Guide for the use of the uniform data set for medical rehabilitation, Version 5.0. Uniform Data Set For Medical Rehabilitation (1996). Buffalo, NY: Research Foundation of the State University of New York. Guide for the use of the Functional Independence Measure (WeeFIM) of the Uniform Data Set for Medical Rehabilitation. Scherer (Eds.), Psychological assessment in medical rehabilitation (pp. Disability and Rehabilitation, 16(2), 63-71.Ĭrewes, N., & Dijkers, M. Inter-rater agreement of two functional independence scales: The Functional Independence Measure (FIMSM) and a subjective uniform continuous scale. Topics in Stroke Rehabilitation, 24(3), 194-199. Independence and cognition post-stroke and its relationship to burden and quality of life of family caregivers. It is widely used in most accredited medical rehabilitation programs and associated outcome research. Ideally, raters receive expert training for proper use of the FIM. There is also a version that has been developed for use with children (WeeFIM Granger, Hamilton, & Kayton, 1989). A version of the FIM is available for use in telephone interviews. The FIMSM has demonstrated considerable validity and reliability (Chau, Daler, & Andre, 1994 Crewe & Diikers, 1995). Lower scores indicate more functional deficits. Each item is rated on an ordinal scale ranging from 1 (Total Assistance) to 7 (Complete Independence). The FIMSM contains 13 items that assess motor functioning (eating, grooming, bathing, dressing, toileting, bowel and bladder control, transfers, and locomotion) and 5 items that measure cognitive functioning (communication and social cognition). Description of Measure: The severity of care-recipient functioning and impairments may be determined with the Functional Independence Measure (FIMSM Uniform Data Set for Medical Rehabilitation, 1996). ![]()
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