![]() Granger CV, Hamilton BB (1993) The Uniform Data System for Medical Rehabilitation report of first admissions for 1991. Granger CV, Hamilton BB (1992) UDS report: The Uniform Data System for Medical Rehabilitation report of first admissions for 1990. Kielhofher G, Burke JP (1980) A model of human occupation, Part 1. Von Bertalanffy L (1968) General system theory foundations, development, applications. 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. The Center for Outcome Measurement in Brain Injury.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. The information on the FIM(TM) may be cited as: If you find the information in the COMBI useful, please mention it when citing sources of information. for questions regarding the presented information. Please enable JavaScript to use email address. Information regarding the FIM(TM) was contributed by Santa Clara Valley Medical Center. The current owners of the FIM(TM) instrument have decided that the acronym FIM(TM) no longer stands for anything and should be referred to only as FIM(TM). It is still often cited as this in the literature. *For over 15 years, FIM was an acronym for "Functional Independence Measure". Uniform Data System for Medical RehabilitationįIM(TM) is a trademark of the Uniform Data System for Medical Rehabilitation, a division of UB Foundation Activities, Inc. For further information on the FIM(TM), please contact: The FIM(TM) has become proprietary, and therefore the scale, syllabus, and training materials are not provided in the COMBI. It is viewed as most useful for assessment of progress during inpatient rehabilitation. The FIM(TM) is an 18-item ordinal scale, used with all diagnoses within a rehabilitation population. The FIM(TM)* (Guide for the Uniform Data Set for Medical Rehabilitation, 1996) is the most widely accepted functional assessment measure in use in the rehabilitation community. ![]() Wright is not the scale author for the FIM. ![]() *Note: This citation is for the COMBI web material. The Center for Outcome Measurement in Brain Injury. ![]()
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