FIM Score Percentage Calculations for ADLs

7     Complete Independence (timely, safely)
6     Modified Independence (device)
5     Supervision (cuing, setup, coaxing)
*4     Minimal Assist (Patient participation= 75% or more)
*3     Moderate Assist (Patient participation= 50% – 74%)
*2     Maximal Assist (Patient participation= 25% – 49%)
*1     Dependent (Patient participation= less than 25%)
0     Activity did not occur/ Not Tested
*See Categories of Scoring for Objective Score to Determine these Levels of Assist

Categories of Scoring:

Eating/ Feeding (__/7)

  • Picking up a utensil
  • Using suitable utensils
  • Scooping food onto a utensil
  • Bringing food to the mouth
  • Drinking from a cup or glass
  • Chewing and swallowing
  • Managing a variety of food consistencies

Grooming (__/5)

  • Oral care
  • Hair grooming (combing or brushing),
  • Washing hands
  • Washing the face
  • Shaving the face or applying make-up

Bathing (& drying) (__/10)

  • Left arm
  • Chest
  • Right arm
  • Abdomen
  • Front perineal area
  • Back perineal area (buttocks)
  • Left upper leg
  • Right upper leg
  • Left lower leg, including the foot
  • Right lower leg, including the foot

Upper Body Dressing (__/15)

  • Shirt
  • Right Arm
  • Left Arm
  • Overhead
  • Arranging in the back
  • Fasteners
  • Bra
  • Right Arm
  • Left Arm
  • Overhead
  • Arranging in the back
  • Fasteners
  • Sweater/ Jacket
  • Right Arm
  • Left Arm
  • Overhead
  • Arranging in the back
  • Fasteners

Lower Body Dressing (__/14)

  • Pants
  • Right Leg
  • Left Leg
  • Arranging over hips
  • Fasteners
  • Socks
  • Right Foot
  • Left Foot
  • Shoes
  • Right Foot
  • Left Foot
  • Fastener
  • Underwear/ Brief
  • Right Leg
  • Left Leg
  • Arranging over hips
  • Compression Stockings
  • Right foot
  • Left foot

Toileting (__/3)

  • Transfer
  • Clothing Management
  • Hygiene

Cognition

  • Communication
    • Complex Abstract Information
    • Current events
    • Humor
    • Religion
    • Finances
    • Discharge Planning
    • Participating in and understanding information during group conversation/ relationships
    • Basic Information
    • Nutrition
    • Fluids
    • Hygiene
    • Sleep
  • Comprehension
    • Auditory
    • In patient’s usual language
    • Visual
    • Writing
    • Sign language
    • Gestures
  • Expression (ability to express needs & desires)
    • Verbal
    • Nonverbal
    • Social Interactions
  • Problem Solving
    • Initiating, sequencing and self-correcting tasks and activities to solve problems.
    • Making reasonable, safe and timely decisions regarding financial, social and personal affairs.
    • Recognizing a problem
    • Making appropriate decisions
    • Initiating steps and readjusting to changing circumstances
    • Carrying out a sequence of steps
    • Evaluating the results
    • Complex problems:
    • Managing a checking account
    • Participating in discharge plans
    • Self-administration of medications
    • Confronting personal problems
    • Making employment decisions
    • Routine problems:
    • The completion of daily tasks
    • Dealing with unplanned events or hazards that occur during daily activities
  • Memory
    • Recognizing people frequently encountered
    • Remembering daily routines
    • Executing requests without being reminded

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