Ot 3rd Quarter FIM Competency
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Mrs. M is a 70 y. O, married white female who lives with her husband. She has PVD, Hypertension, DM and is obese. She had bilateral knee replacement on 8/14/13 due to degenerative joint disease and is transferred to SCC on 8/20/13 for acute rehab.
- 1.Eating - Mrs. M requires dentures to chew a regular diet without problems; she can feed herself independently. What is the FIM score?
- A.
6 or Mod I
- B.
5 or Supervision
- C.
2 or Max Assist
- D.
7 or Independent
- E.
4 or Min Assist
- 2.
- A.
6 or Mod I
- B.
4 or Min Assist
- C.
7 or Independent
- D.
5 or Supervision
- E.
1 or Total Assist
- 3.
- A.
1 or Total Assist
- B.
5 or Supervision
- C.
3 or Mod Assist
- D.
2 or Max Assist
- E.
7 or Independent
- 4.Dressing: Upper Body - Mrs. M is not able to gather her clothes from their customary place. After the helper places them on her nightstand, she is able to apply and remove her bra and shirt on her own. What is the FIM score?
- A.
4 or Min assist
- B.
5 or Set up
- C.
7 or Independent
- D.
1 or Total Assist
- E.
3 or Mod Assist
- 5.
- A.
Activity did not occur because she was undressing, not dressing
- B.
6 or Mod I
- C.
2 or Max Assist
- D.
1 or Total Assist
- E.
4 or Min Assist
- 6.
- A.
1 or Total Assist
- B.
3 or Mod Assist
- C.
5 or Supervision
- D.
7 or Independent
- E.
4 or Min Assist
- 7.
- A.
1 or Total Assist
- B.
3 or Mod Assist
- C.
4 or Min Assist
- D.
5 or Supervision
- E.
7 or Independent
- 8.Transfers: Toilet - Mrs. M uses a bedpan for toileting, with a helper emptying the bedpan after use.
- A.
1 or Total Assist
- B.
5 or Supervision
- C.
4 or Min Assist
- D.
Do not assess if patient is unable to use toilet or commode.
- E.
3 or Mod Assist
- 9.Comprehension - Mrs. M easily follows concrete commands during therapy sessions but needs occasional repetition. She is concerned about the batteries in her hearing aid, and asked her husband to bring in extras.
- A.
6 or Mod I
- B.
5 or Supervision
- C.
2 or Max Assist
- D.
1 or Total Assist
- E.
7 or Independent
- 10.Expression - Mrs. M has no difficulty expressing herself . She is able to state her needs adequately to staff, and is currently calling her husband to make sure he brings the batteries in for her hearing aides.
- A.
3 or Mod Assist
- B.
1 or Total Assist
- C.
6 or Mod I
- D.
7 or Independent
- E.
4 or Min Assist
- 11.Social Interaction - Mrs. M is in pain periodically, is tearful at times alone in her room, but does not require redirection or medications. Around other patients, she enjoys interacting with them, encouraging them to participate and get stronger in their therapies.
- A.
1 or Total Assist
- B.
5 or Supervision
- C.
2 or Max Assist
- D.
0 or Activity did not occur
- E.
7 or Independent
- 12.
- A.
7 or Independent
- B.
5 or Supervision
- C.
3 or Mod Assist
- D.
1 or Total Assist
- E.
4 or Min Assist
- 13.
- A.
3 or Mod Assist
- B.
4 or Min Assist
- C.
1 or Total Assist
- D.
7 or Independence
- E.
6 or Mod I
- 14.If you, the helper, is providing between 50% - 75% of the effort to complete the task and the patient is performing 25-49% of the effort, the FIM score is:
- A.
2 or Max Assist
- B.
3 or Mod Assist
- 15.Patient wants to make chicken soup but the OT cannot get the exact ingredients that the patient wants. She's familiar with using boullion cubes but the kitchen only has broth concentrate. This is unfamiliar to her. She has never used broth concentrate and needed prompting to read the instructions in the packaging. After she solved the problem,she was able to finish the chicken soup without further direction, and it was delicious! What is the FIM score for Problem Solving?
- A.
5 or Supervison; needs direction less than 10% of the time.
- B.
4 or Minimal;occasional direction (pt solves routine problems 75-90% of the time)
- 16.
- A.
True
- B.
False
- 17.The definition of an accident is the wetting of linens and/or clothing only. If a patient is incontinent and wears a brief but does NOT soil their clothing or linens, this is NOT an accident. True or False
- A.
True
- B.
False
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