Ot 3rd Quarter FIM Competency

The FIM score for this scenario is 1 or Total Assist because Mrs. M requires assistance with all aspects of toileting. She needs help with pulling down and up her pants and underwear, as well as with cleaning herself.

The FIM score for this scenario would be 5 or Set up. Mrs. M is able to apply and remove her bra and shirt on her own, indicating that she has the ability to perform the task independently. However, she is unable to gather her clothes from their customary place, so she requires some assistance or set up from the helper to have the clothes placed on her nightstand. This level of assistance falls under the category of Set up in the FIM scoring system.

Based on the given information, Mrs. M is able to interact with other patients, encourage them, and participate in therapies without requiring any redirection or medications. This indicates that she is able to independently engage in social interaction and does not need any assistance or supervision. Therefore, the correct answer is 7 or Independent.

The correct answer is 7 or Independent. The explanation for this is that the passage states that Mrs. M has no difficulty expressing herself and is able to state her needs adequately to staff. Additionally, she is shown to be independently taking action by calling her husband to bring the batteries for her hearing aids. Therefore, she can be classified as independent in her ability to communicate and take care of her needs.

The FIM score for Problem Solving is 5 or Supervision; needs direction less than 10% of the time. This is because the patient was initially unfamiliar with using broth concentrate but was able to solve the problem and finish making the chicken soup without further direction. This indicates that the patient only required minimal supervision and direction in solving the problem, as they were able to figure it out on their own with prompting to read the instructions.

The FIM score for this activity is 1 or Total Assist because Mrs. M requires complete assistance from two helpers to remove her pants, shoes, socks, and underwear. This indicates that she is unable to perform the activity independently and relies on others for assistance.

If the helper is providing between 50% - 75% of the effort and the patient is performing 25-49% of the effort, the FIM score is 2 or Max Assist. This means that the patient requires maximum assistance from the helper in order to complete the task.

Mrs. M requires dentures to chew a regular diet without problems, indicating that she has some level of difficulty with eating. However, she is able to feed herself independently, suggesting that she does not require any assistance or supervision while eating. According to the FIM scoring system, a score of 6 or "Mod I" (Modified Independence) is given when a person requires the use of assistive devices or special techniques but can perform the task independently. Therefore, the FIM score for Mrs. M in this case would be 6 or Mod I.

Mrs. M tends to overestimate her functional abilities and doesn't ask for help during lower body dressing. However, she occasionally needs verbal cuing, less than 10% of the time, for problem solving during activities of daily living (ADLs). Therefore, she requires supervision, which means that someone needs to be present to monitor her and provide assistance if needed, but she is able to perform the task independently most of the time.

The FIM score for Mrs. M is 4 or Min Assist because she requires one helper to steady her during the tasks of using the commode, pulling her pants and underwear down, cleaning herself, and pulling her pants and underwear up. The helper does not assist with the tasks but provides physical assistance for balance. This indicates that Mrs. M is able to perform the tasks with minimal assistance.

If a patient is incontinent and wears a brief but does not soil their clothing or linens, it is not considered an accident. The definition of an accident specifically refers to the wetting of linens and/or clothing. Therefore, the statement is true.

The given answer, 6 or Mod I, suggests that Mrs. M requires moderate assistance in her daily planning system to remember the times and places of her therapy sessions, visiting hours, room number, and the names of her rehab team. This means that she is able to perform the task independently, but with some difficulty or assistance.

The FIM score for Mrs. M is 2 or Max Assist because she requires assistance from a helper to wash, rinse, and dry her upper and lower legs/feet, perineal area, and buttocks. However, she is able to independently wash, rinse, and dry her chest, abdomen, and both arms.

Based on the given information, Mrs. M can easily follow concrete commands during therapy sessions but occasionally needs repetition. This suggests that she is able to perform tasks independently most of the time but may require some level of supervision to ensure that she understands and completes tasks correctly. Therefore, the answer "5 or Supervision" is the most appropriate choice as it indicates that Mrs. M can perform tasks independently but may need occasional supervision.

The FIM score is 7 or Independent because Mrs. M is able to perform all the grooming tasks without any assistance. She can wash, rinse, and dry her face and hands, clean her dentures, and comb her hair independently.

The explanation for the correct answer, True, is that when a patient transfers out unexpectedly, there is no need to complete a DC FIM (Discharge Functional Independence Measure) because the admission FIMs (Functional Independence Measure) are used to calculate the DC FIMs. In this specific clinical situation, the patient was admitted on Monday (FIM Day 1) and transferred out on Wednesday (FIM Day 3), so the admission FIMs can be used for calculating the DC FIMs. Therefore, it is true that a DC FIM does not need to be completed in this case.

The correct answer is "Do not assess if patient is unable to use toilet or commode." This answer is appropriate because the scenario clearly states that Mrs. M uses a bedpan for toileting. Therefore, there is no need to assess her ability to use a toilet or commode.