The Problem Solving A Rehabilitation System For Disability Based On The International Classification Of Impairment, Disabilities And Disabilities

1353 Words Dec 5th, 2014 6 Pages
Introduction
Although Functional Independent Measures and Morse Fall Scale are widely used as tools in healthcare by nurses, many question their validity in accurately predicting falls. Falls are the most common cause of accidently injury in a hospital. There are a higher percentage of fall rates on a rehabilitation unit as compared general hospital units (Gilewski, 2007, p. 234). Thirty percent of falls result in patient injury and four to six percent is seriously injured (Forrest, 2012 p. 186). Even though a Morse Fall Scale score of 45 identifies a high fall risk for patients, FIM is a more comprehensive measure of a CVA rehabilitation patients’ functioning because FIM mobility and problem solving scores had greatest correlation with fall and functional gains of 1 point on total FIM score were related with decreased falls.
Literature Review
The FIM scoring is a system of measurement for disability based on the International Classification of Impairment, Disabilities and Handicaps. It measures the patient’s disability and indicates how much assistance is required for the individual to carry out activities of daily living.
There are 18 items (13 motor tasks and 5 cognitive tasks). The measure looks at self-care, sphincter control, transfers, locomotion, communication and social cognition. Health care providers must be certified in FIM scoring. These scores are taken on admission, throughout the hospitalization and on discharge. The hospital receives payment based on a…
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