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Functional Independence Measure (FIM)

Note: The FIM is a proprietary instrument. Formal training is required for clinical use and coding. This tool is for educational reference.

Score 18 Items (1-7)

Self-Care

Motor Subscale

Eating

Grooming

Bathing

Dressing (Upper Body)

Dressing (Lower Body)

Toileting

Sphincter Control

Motor Subscale

Bladder Management

Bowel Management

Transfers

Motor Subscale

Bed, Chair, Wheelchair

Toilet

Tub / Shower

Locomotion

Motor Subscale

Walk / Wheelchair

Stairs

Communication (Cognitive)

Cognitive Subscale

Comprehension

Expression

Social Cognition (Cognitive)

Cognitive Subscale

Social Interaction

Problem Solving

Memory

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

When to Use

Standardised assessment of disability severity in inpatient rehabilitation settings.
Tracking progress during rehabilitation for stroke, brain injury, spinal cord injury, and orthopaedic conditions.
Determining the burden of care required post-discharge.

Comprehensive Evaluation

Unlike the Barthel Index which only measures physical ADLs, the FIM includes a 5-item cognitive subscale (communication and social cognition), making it superior for patients with stroke or traumatic brain injury.

Related Scores in Practice

In clinical practice, this assessment is frequently evaluated alongside other validated measures. Depending on the patient's presentation and specific diagnostic requirements, you may also need to utilize the Barthel Index, Katz Index of Independence in ADLs or the Lawton Instrumental ADL Scale to formulate a comprehensive care plan.

Last Comprehensive Review: 2026

Related Geriatrics Tools

Barthel Index
Katz Index of Independence in ADLs
Lawton Instrumental ADL Scale
Six-Item Screener
STRATIFY Risk Assessment Tool
HELP Score
4AT
Clinical Frailty Scale
OAB-V8
Waterlow Score
Geriatrics CalculatorsInternal Medicine CalculatorsEmergency Medicine Calculators
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