FUNCTIONAL INDEPENDENCE MEASURE (FIM)

PROCEDURE TO REGISTER FIM SCORE

Each of the items of the FIM has a maximum score of 7.

lowest score l.
The maximum score is 2, and the minimum is h.

2. The entrance evaluation and the recording of its results,

3. The final evaluation, and the detailed analysis of its results,

4. The follow-up evaluation should be conducted between the day and the days post.
tcrio res on discharge
declare patient.

Reach and write the score that describes the level of functioning of your subject.
for each itcni
of the PlM.

The score of the P-IM must reflect what the patient has experienced, not what
the perennial
I could do what I have achieved at some point. It would be a challenge to me.
real actual, and not
the capacity of the patient.

7. If differences occur in functionality in different environments or in

different nor
be sure to register the score. The most frequent reason
what a waste of time
because the subject has dominated the task, he is feeling bad and tired,
scc niuti
Vacation to carry out the activity focused on the therapeutic context. It is required.
defi nir cl
habitual conduct term by the different types of team.
rehabilitation.

The preparation, or aprex you, xc rcgi x t va with a score Jc 3.

If the subject faces risks when being evaluated in some task, it

register

If the subject does not complete the task, the score will be recorded for that activity. All will be.
. Pure agent
In the case of the patient who is located in Canta, a score of...
the ark dc
transfer to tub or shower.

When the two assistants were assigned to Luc, the subject carried out the actions of a
item, is recorded
with a score of Total Attendance, l.

No gym item should be left in the blank.

Do not enter No/Not Applicable for any item in the FIM.

14. For the items March/Wheelchair, Understanding and Expression, it must
indicate the mode
more frequently to carry out these tasks.

15. The mode of locomotion in the item Walk/Wheelchair must be the same as the
admission and discharge.
If the subject changes their mode of locomotion from their admission until discharge (for
example, from
manage wheelchair until achieving movement) record the mode of locomotion at
entry, is recorded
Finally, according to the mode of transportation, it is infrequent to go up.

16. The FIM score should be based on the most reliable information. The preferred source is the
observation
directly from the patient. However, a performance report can be received.
most frequent
of the patient by the patient himself
patient, for family and friends, or the rest of the team members. A
medical report
Can you provide background on intestinal or bladder accidents, or
misalignments
behavioral.

17. To evaluate, the performance of the last 24 to 72 hours is the most

important; without
embargo, it is important to observe for longer periods of time. For
example, in management
vesical and intestinal.

If the subject requires supervision, then he is NOT independent.

DESCRIPTION OF OPERATION LEVELS AND THEIR POINTS

INDEPENDENT (WITHOUT ASSISTANT) No other person is required to assist in the

activities.

7. Complete Independence All the described tasks are carried out in a manner
typical, including
its preparation or setup, without modification, adapted devices, or technical aids,
and dentm of a
reasonable time.

6. Modified Independence: One or more of the following conditions exist:

carry out the activity
with adapted devices or technical aids, it takes longer than a reasonable amount of time to
perform the
task, or there are risk conditions during it.

DEPENDENT (WITH ASSISTANT) The subject requires another person to supervise or

provide help
physical resources to carry out the activity, without which I could not fulfill it.

ModiBcada dependency: The subject exerts more than half (50flo) of the effort. The
levels of
attendance is as follows:
5. Supervision or Preparation The subject requires supervision, instructions, or
stimuli to perform
the activity, without physical contact; or requires some prior preparation,
arranging the
elements of the activity, applying orthotics, adapted devices, or other aids
techniques.

4. Minimum Contact Assistance - The subject requires light assistance, just touch,
and carry out the 75th
of the effort to complete the task.

3. Moderate Assistance: The subject requires more help than just touch, and
make between the 50s
to 75% of the effort in the task

Complete Dependency: The subject exerts less than half (50%) of the effort.
Needs
maximum or total attendance The levels of
attendance is the
following:

2. Maximum Assistance The subject exerts between 25% and 50% of the effort.

Total Assistance - The subject puts in less than 25% of the effort
to carry out the

FEEDING

It includes the use of appropriate utensils to bring food to the mouth, the
chewing, and the
swallowing, once the food is presented to it in the usual way on the
table or tray.
Carry out the activity safely.

SfN ASSISTANT
7. Complete Independence. The subject feeds from a plate, handling a
variety of
food consistencies, and drink from a glass or cup, with the food presented in
the way
habitual on a table or tray. The subject opens jars, butter on the
pan, cut
meats, serve liquids. Use a fork or
spoon to bring food to the mouth, chew and swallow the food in form
safe.

6. Modified Independence. The subject requires an adapted device or assistance.

techniques such as
a long bulb, a fork with an elongated handle, a pendular knife, or requires
more than the
reasonable time to eat, or needs modified consistency foods or
papilla, or are there
safety considerations during the activity. If the individual uses other
means of
nutrition, such as parenteral nutrition or gastrostomy, then
manages its own
independent feeding.

WITH ASSISTANT
5. Supervision or Preparation. The subject requires supervision (to stand up to
side, indication
ions, or stimuli) or preparation for the activity of d rsis or
adaptations). Or it
needs another person to open jars, spread butter on the bread, cut
meat, or serve
liquids.

4. Minimum Contact Assistance. The subject performs 75% or more of the activity.
of food.

3. Moderate Assistance. The subject performs between 50% and 74% of the activity.
nutrition.

2. Maximum Attendance. The subject performs between 25% and 49% of the activity.
Nutrition.

Total Attendance. The subject performs less than 25% of the activity.
feeding, or requires
of parenteral nutrition or gastrostomy, and is not able to self-administer it.

PERSONAL ARRANGEMENT

Includes facial care, hair styling, hand washing, face washing,

shaving of beard or
makeup application. If the subject does not shave or does not apply makeup,
the arrangement
personal only includes the first four tasks. Carry out the activity in form
safe.

SfN ASSISTANT
7. Complete Independence. The subject brushes their teeth or dental plate, combs their hair.
hair, wash your
he washes his face, shaves, or applies makeup, including all
the preparation
preview for the activity. He does it safely.

6. Modified Independence. The subject requires special equipment (prosthesis or

orthosis) to carry out
the personal grooming tasks take more than a reasonable amount of time, or they exist
considerations of
safety when performing the task.

WITH ASSISTANT
5. Supervision or Preparation. The subject requires supervision (to stand up
to the side,
indicate, or stimulate), the preparation (application of orthoses or adapted devices, or
arrange the
elements of personal arrangement, and initial preparation, such as placing paste
of teeth to
toothbrush, open makeup containers.

4. Minimum Contact Attendance. The subject performs 75% or more of the activity.
of arrangement
personal.

3. Moderate Assistance. The subject performs between 50 and 74% of the activity.
personal arrangement.

2. Maximum Assistance. The subject performs between 25% and 49% of the activity of
personal arrangement.

1. Total Attendance. The subject performs less than 25% of the activity.
personal arrangement.

NOTE
For evaluation purposes, only include the tasks described in the definition. If
the subject is
bald, or has the option not to shave or apply makeup, then you are
activities can
not to be evaluated. Personal care does not include using dental floss, washing hair.
shampoo, apply
deodorant, or shaving legs. Washing the face and hands includes rinsing and
drying.

BAO

Include body washing from the neck down (excluding the neck and
back). Can
be a bath in the tub, shower, or sponge in song. Carry out the activity in
safe furnace.

WITHOUT ASSISTANT
7. Complete Independence. The subject washes the body (washes, rinses, and dries).
It is localized in
dark form

C ON A$ ISTENTE
Supervision and Preparation. The subject requires supervision.
(stand up IaJu,
inJic, u cx tin u l), rc x t (application Je aratx
aJaptaJu x ,
This is a text in Spanish and is about something initial with a focus on
prepare the water
utn x n atcri:dcx ).

4. Thus, the contact minimum. The subject performs cl 75% or

more than the city
life dc
bathroom.

3. Moderate Assistance. The subject ranges between 5°C and 74°C of the activity.
life of the boat.

2. Maximum Assistance. The subject conducts the activity at 25°C and 49°C.
barin

NOTE
If the subject showers in a shower or tub some days, and washes himself/herself in singing the songs
I will take it easy.
then the score must reflect the required attendance in the most methodical way
frequently you
sad for cl ba u.

Arm and z9 weird or

Pechu
Right Arm Abdomen
puncture for the forehead

Right thigh
(includes foot)

UPPER BODY CLOTHING

Includes dressing and undressing from the waist, as well as applying and removing prostheses.
orthoses
(when appropriate). It is done safely.

SfN ASSISTANT
7. Complete Independence. The subject dresses and undresses, obtaining the clothing from
the place where
commonly stored, such as drawers and closets. It may also include handling a
bra, garments
pullover type, buttoned garments at the front, zippers, buttons, or clasps, and the
application and
withdrawal of prosthesis orthosis (that is not used special equipment for
carry out the task of
clothing) when appropriate.

6. Modified Independence. The subject requires special closures such as velcm.

or a
adapted device (including prosthesis or orthosis) for dressing or taking
more time
WITH ASSISTANT
5. Supervision or Preparation. The subject requires supervision (to stand next to)
indicate, or
stimulate), the preparation (application of a prosthesis or orthosis of the upper limb,
application of
an adapted or assistive device, or to arrange the garments.

4. Minimum Contact Assistance. The subject performs 75% or more of the activity.
of clothing.

3. Moderate Assistance. The subject performs between 50% and 74% of the
activity of
clothing.

Maximum Attendance. The subject participates between the 25th and 49th floor of the activity.
of clothing.

1. Total Assistance. The subject performs less than 25% of the activity of
the task.

NOTE
When evaluating clothing, the subject must put on and take off garments that are.
appropriate for
to be used in public. The lifting gowns are not included in the evaluation.
pajamas, or others
hospital garments. If the subject wears different types of garments during the
week (for the
which requires different levels of assistance), then the score must
reflect the level
of attendance associated with the type of clothing used most frequently.
Level 7: The subject applies a prosthesis or orthosis, but it is not required as
assistance for
complete the activity.
Level 6: The subject applies a prosthesis or orthosis that is required as assistance.
to complete
the activity of clothing.

LOWER BODY CLOTHING

Includes dressing and undressing from the waist down, and applying and removing
prosthesis urethesis
when appropriate. Perform the activity safely.

SfN ASSISTANT
7. Complete Independence. The subject dresses and undresses, obtaining the clothing from the place.
where
commonly stored, such as drawers and closets. It may include handling clothes.
interior
pants, skirt, belt, socks, shoes, closures, buttons, and bnx:hes, and
the application
of prostheses or orthoses (that are not used as assistance to perform the
activity of
clothing) when applicable. It is done safely.

6. Modified Independence. The subject requires a special closure like velum, or

a team
adapted (including prostheses or orthoses) for dressing, or takes more than the time
reasonable.

WITH ASSISTANT
5. Supervision or Preparation. The subject requires supervision (standing next to them,
indicate or stimulate
the preparation (application of prosthesis or orthosis of the lower extremity, application of
a device
adapted or of assistance, or the arrangement of the clothing)

4. Minimum Contact Assistance. The subject engages in 75% or more of the activity.
of clothing.

3. Moderate Assistance. The subject performs between 50 and 74 of the activity.

clothing

2. Maximum Assistance. The subject performs between the 25th and 49th of the
wardrobe activity.

Total Attendance. The subject performs less than 25% of the task.
clothing

NOTE
When evaluating clothing, the subject must put on and take off garments that are
appropriate for
to be used in public. The lifting gowns are not included in the evaluation.
piyamas, you
other hospital garments. If the subject wears different types of garments during
the week (for
which require different degrees of assistance), then the score
must reflect the
level of attendance associated with the type of clothing worn most frequently.

Level 7: The subject applies a prosthesis or orthosis, but it is not required as

assistance for
complete the activity.

Level 6: The subject applies a required orthosis or prosthesis as assistance.

to complete
the clothing activity.

PERINEAL HYGIENE

Includes maintaining perineal hygiene and adjusting clothing before and after.
to use the toilet
It's boring. Carry out the activity safely.

SfN ASSISTANT
7. Complete Independence. The subject cleans themselves after the movements.
intestinal or bladder.
Feminine hygiene products (sanitary pads, tampons) are placed if
he needs them.
Adjust your map before and after using the WC or toilet. Carry out the activity properly.
safe.

6. Modified Independence. The subject requires special equipment (including

prothesis uorthesis
for perineal hygiene, either take more than the reasonable time, or there are
security considerations
when performing the task.

WITH ASSISTANT
5. Supervision or Preparation. The subject requires supervision (to stand
next to,
indicate or stimulate the readiness (application of prostheses orthoses of
lower extremity
application of an adapted or assistive device, or opening containers.

4. Minimum Contact Assistance. The subject performs 75% or more of the activity.
of cleaning
perineal.

3. Moderate Assistance. The subject performs between 50% and 74% of the activity.
perineal hygiene.

2. Maximum Attendance. The subject performs between 25% and 49% of the activity of
perineal care.

Total Attendance. The subject performs less than 25% of the cleaning task.
perineal

NOTE
If the subject requires assistance with feminine hygiene products
(generally 3 to 5 days)
per month) the level of attendance is 5.

MANE.IO VESICAL

Include the complete intentional content of the bladder, and if necessary, the use of.
team or
elements for bladder management.

SfN ASSISTANT
7. Complete Independence. The subject fully controls their bladder.
intentional; never
is incontinent.

6. Modified Independence. The subject requires a urinal, a bedpan, catheter,

diapers, a collector
urinary, or uses medication for control; if using a catheter, the individual it
install without
assistance; wash, sterilize, and prepare the elements for disposal without
assistance If the subject
use an external device, assemble it, and apply the external catheter and bag
collector
independently, see, place, remove, and clean the collection bag. Without
accidents.

WITH ASSISTANT
5. Supervision or Preparation. The subject requires supervision (to stand)
to the side,
indicate or stimulate) the preparation (place or empty) of the equipment for
to maintain a
satisfactory emptying pattern. Or due to the delay in getting to the bathroom or
to the flat one, the
The subject has occasional bladder accidents or leaks urine, but with a
lower frequency
every two weeks.

4. Minimum Contact Assistance. The subject requires minimum contact assistance.

to maintain a
external device. The individual performs 75% or more of the management tasks
vesical. It can
to have occasional bladder accidents, or leaks from a catheter, penn with a
frequency less than
once a week.

3. Moderate Assistance The subject requires moderate assistance to maintain a

external device.
Conduct between the 50s and 74s of bladder management tasks. It may have.
bladder accidents
occasional, or spills from the flatboat, but with a frequency less than once per
day.

2. Maximum Attendance. Despite the attendance, the subject gets wet with a frequency
almost daily,
needing diapers or other absorbent cloths, whether or not he/she has one placed on
catheter and osteotomy.
The subject performs between the 25th and 49th floor of the bladder management tasks.

1. Total Attendance. Despite the attendance, the subject gets wet frequently.
almost daily
needing diapers or other absorbent cloths, whether or not one has placed a
cater to ostotomy.
The subject performs less than 25% of the bladder management tasks.

NOTE
The functional objective of bladder management is to open the urinary sphincter only when
it is necessary,
and keep it closed for the rest of the time. This may require
devices, medications,
or assistance for some individuals. This item handles two
10

variables, 1) the level of assistance required, and, 2) the level of success in the
bladder management.
Generally, the two go together. For example, when more incidents occur,
normally it
needs a higher level of assistance. However, if the two levels are not
exactly the same,
the lowest score is always recorded.

11

MANE.IO INTESTINAL

Includes complete control of bowel movements and, if necessary, the

use of elements
for intestinal control.

SfN ASSISTANT
7. Complete Independence. The subject completely and intentionally controls the
movements
intestinal and, if necessary, the use of elements for intestinal control.

6. Modified Independence. The subject regularly requires a stretcher.

digital stimulation
suppositories, laxatives (different from natural laxatives are for example the
plums), or enemas
, or use another medication for control. If the individual has a colostomy,
he/she drives it.
Good accidents.

WITH ASSISTANT
5. Supervision or Preparation. The subject requires supervision (standing next to him/her,
indicate the
to stimulate), or needs the elements to be arranged to maintain a pattern of
evacuation
Satisfying or maintaining an ostomy. The individual may have accidents.
intestinal
occasional, but with a frequency of less than every two weeks.

4. Minimum Contact Assistance. The subject requires minimum contact assistance.

to maintain a
satisfactory evacuation pattern using suppositories, enemas, or a device
external. The
individual performs 75% or more of intestinal cleaning tasks, or may have
accidents
occasional intestinal, occurring less frequently than once a week.

3. Moderate Assistance. The subject requires moderate assistance to maintain a

pattern of
satisfactory evacuation, using suppositories, enemas, or an external device. The
individual
performs between 50Wo and 74a of intestinal control tasks. It may have
accidents
occasional intestinal, with a frequency of less than once a day.

2. Maximum Assistance. Despite the assistance, the subject is incontinent with a

almost frequency
daily, requiring the use of diapers or absorbent pads, whether or not there is an ostomy. The
individual
between the 25th and 49th perform the intestinal contml tasks.

1. Total Assistance. Despite the assistance, the subject is incontinent with a

almost frequency
daily, requiring the use of diapers or absorbent pads, whether or not there is an ostomy. The
individual
perform less than 25% of the intestinal control tasks.

NOTE
The functional objective of intestinal control is to open the anal sphincter only when
it is necessary
and keep it closed the rest of the time. This may require devices,
medications, or
assistance for some individuals. This item handles two variables: 1) the level
of assistance
required and 2) the level of success of intestinal control. Generally these
two go
together. For example, when more accidents occur, it is usually

12

needs a higher level of assistance. However, if the two levels are not
equal, always
the lowest is recorded.
TRANSFER

Include all aspects of the transfer to and from a bed, chair, and
wheelchair, or
to join a bipedal position, if walking is the most common mode of
displacement
Perform the activity safely.

SfN ASSISTANT
Complete Independence.
3i walks, the subject approaches, sits down, and rises to a biped position from
a chair
common. Transferred from a bed to a chair. Carries out the activity properly.
safe.

3i uses a chair of fears, the subject approaches a bed or chair, places the
brakes, lift them
footrests, remove the armrests if necessary, and perform a pivot transfer or
one
slip transfer (without a table), and then return.
activity in form
safe.

6. Modified Independence. The subject requires an adaptation or help.

technique, just like a
transfer table, support bars, or a special seat or chair, or canes
orthoses. Take
more than reasonable time or there are security considerations. In this case,
a prosthesis u
A brace is considered an assistive device used for the
transfer

WITH ASSISTANT
5. Supervision or Preparation. The subject requires supervision (to stand
to the side,
indicate, or stimulate) the preparation (place a transfer table, move the
footrest
etc.)

4. Minimum Contact Attendance. The subject performs 75% or more of the activity.
of
transfer

3. Moderate Assistance. The subject performs between 50% to 74% of the activity.
transfer

2. Maximum Attendance. The subject performs between 25% and 49.7% of the activity of
transfer

1. Total Attendance. The subject performs less than 25% of the activity of
transfer

NOTE
During the transfer from bed to chair, the subject begins and ends at
supine position.

13

TRANSFERS: W.C.

Include the transfer to and from the WC rate. Carry out the activity properly.
secure

SfN ASSISTANT
7. Complete Independence.
!If he walks, the subject approaches, sits down, and stands up in a bipedal position.
from the cup of
WC. Carry out the activity safely.

3i uses a wheelchair, the subject approaches the toilet bowl, places the brakes,
lift them
footrests, remove the armrests if needed, and make a pivot transfer or
a
slip transfer (without a table), and then returns. Performs the
activity in form
safe.

6. Modified Independence Modified Independence. The subject requires a

adaptation or help
technique, such as a transfer board, support bars, or a seat or chair
special, the
crutches or orthotics. It takes more than a reasonable time or there are considerations of
security. In
In this case, a urinary prosthesis is considered an assistive device.
used for the
transfer

WITH ASSISTANT
5. Supervision or Preparation. The subject requires supervision (to stand
to the side,
indicate, or stimulate) the preparation (to place a transfer table, move the
footrest
etc.)

4. Minimum Contact Attendance. The subject engages in 75% or more of the activity of
transfer

3. Moderate Assistance. The subject performs between 50% to 74% of the activity.
transfer

2. Maximum Attendance. The subject participates between the 25th and 49th of the activity.
transfer

Total Attendance. The subject performs less than 25% of the activity.
transfer

14

TINA OR SHOWER

Includes entering and exiting a tub or shower. Perform the activity properly.
safe.

SfN ASSISTANT
Complete Independence.
The person walks, approaches, enters and exits a tub or shower.
the activity
in
safe way.

3i USA wheelchair, the subject approaches a tub or shower, places the

brakes, lift them up
footrests, remove the armrests if necessary, and make a pivot transfer or
a
slip transfer (without a table), and then returns. Perform the
activity in form
safe.

6. Modified Independence Modified Independence. The subject requires a

adaptation or help
technique, such as a transfer board, support bars, or a seat or chair
special, or
straws or braces. It takes more than the reasonable time or there are considerations of
security. In
In this case, a urological prosthesis is considered an assistive device.
used for the
transfer

WITH ASSISTANT
5. Supervision or Preparation. The subject requires supervision (to stand up
to the side,
indicate or stimulate the preparation (place a transfer table, move the
footrest
etc.)

4. Minimum Contact Assistance. The subject performs 75% or more of the activity.
transfer
3. Moderate Assistance. The subject performs between 50% to 74% of the activity.
transfer

2. Maximum Attendance. The subject participates between the 25th and 49th of the activity.
transfer

1. Total Attendance. The subject performs less than 25% of the activity of
transfer

15

MOVEMENT: WALKING OR WHEELCHAIR

Includes walking, once the bipedal posture is adopted, or if a chair is used.

wheels, once
sitting on it, on a level surface. Perform the activity properly.
secure. It indicates the
most frequent mode of movement (walking or wheelchair). If both modes are
usan
Equitably, it was registered "Both".

SfN ASSISTANT
7. Complete Independence. The subject has a minimum of 150 feet (50
metms) without help
techniques. Does not use a wheelchair. Performs the activity safely.

6. Modified Independence. The subject walks a minimum of 150 feet (50 meters),
using
orthosis or prosthesis of the lower limb, adapted footwear, canes, crutches, or
walker. Take more
that the reasonable time or existing safety considerations.

The subject uses a manual or electric wheelchair.

regardless by
a minimum of 150 feet (50 meters). Turn, perform maneuvers around a table,
cama, WC, logra
drive over 3-degree inclined slopes, drive over carpets, and pass
by thresholds of
doors.

5. Exception (Wandering inside the Home). The subject walks only short distances.
short (a
minimum of 50 feet, 17 meters) independently, with or without technical aids. Take
more than the
reasonable time or there are safety considerations. If not, operate a chair of
manual wheels or
electric independently only for short distances (a minimum of 50 feet)
subways).

WITH ASSISTANT
5. Supervision.
3i walks, the subject requires supervision (stand next to, indicate or stimulate)
to advance
a minimum of 150 feet (50 meters).

The subject requires supervision (stand next to them, indicate or

stimulate) for
advance a minimum of 150 feet (50 meters) in a wheelchair.

4. Minimum Contact Assistance. The subject makes 75% or more of the effort.
displacement
to advance a minimum of 150 feet (50 meters).

3. Moderate Assistance. The subject exerts between 50% and 74% of the effort.
displacement for
advance a minimum of 150 feet (50 meters).

2. Maximum Attendance. The subject exerts between 25% and 49.7% of the effort
displacement for
advance a minimum of 50 feet (17 meters). Requires assistance from only one person.

16

1. Tut assistance. The subject performs marius dcl 25% effort dc

displacement, or requires
two assistants to move a minimum of 5fl pics (17 meters).

NOTE
If the subject rc9 creates a technical aid for the displacement (wheelchair)
wheels, p ritchie,
and ad or, b est n, APO, adapted footwear, cte) the itcm Displacement never pucdc
be taller Luc
The displacement node (walker or wheelchair) must be the same as in the group.
Light to the height.
If the subject changes the education of dcspl azaniicnto during their
it seems to be a typographical error or unreadable text
general notice of wheelchair marching) is regulated in education
displacement and the
score in grssu based on mi mode: ne fred u ente dr d r.sJa/c+cmir to ro c/
c/ rc.
17

SCALES
Includes going up and down 12 to 14 steps inside (equivalent to one floor).
Carry out the
activity

SfN ASSISTANT
7. Complete Independence. The subject goes up and down at least one floor of stairs.
without leaning on
no railing or other assistance. Carry out the activity safely.

6. Modified Independence. The subject ascends and descends at least one flight of stairs.
but requires a
side support, like a railing, a cane, or another type of portable assistance. Takes
more than the
reasonable time, or there are security considerations.

WITH ASSISTANT
5. Supervision. The subject requires supervision (standing next to, indicating or
stimulate) for
to go up and down a floor.

4. Minimum Contact Assistance. The subject exerts 75% or more of the effort.
to upload and
go down a flight of stairs.

3. Moderate Assistance. The subject exerts between 50% and 74% of the effort to
to go up and down a
scale floor.

2. Maximum Assistance.. The subject exerts between 25% and 49% of the effort to
rise and lower 4
a 6 steps. Requires assistance from only one person.

1. Total Attendance. The subject makes less than 25% of the effort or requires the
attendance of
two people, either go up and down 4 to 6 steps, or are carried by others.

18

COMPREHENSION

Includes the understanding of auditory or visual communication (for example, the

writing, language
of signs, gestures). It is evaluated and indicates the most common way of understanding.
(Auditory)
If both are used equally, 'Both' is recorded.

SfN ASSISTANT
7. Complete Independence. The subject understands instructions and
complex conversations or
abstract. It understands verbal language as written, not necessarily the language
maternal

6. Modified Independence. In most conversations, the subject

understands lightly
difficulty instructions complex abstract conversations. Does not need
facilitation. It can
require a hearing or visual device, or other assistance, or more time than the
reasonable for
understand the information.

WITH ASSISTANT
5. Facilitating Presence. The subject understands instructions and conversations.
about needs
daily basics more than 90% of the time. Requires facilitation (speaking
slow
repetitions, emphasize certain words or phrases, pauses, visual cues
less than 10 copies
del

4. Minimum Facilitation. The subject understands instructions and conversations.

about
daily basic needs between 75% to 90% of the time.

3. Moderated Facilitation. The subject understands instructions and conversations about

of needs
basic daily between 50W and 74flo of time.

Maximum Facilitation. The subject understands instructions and conversations about

of needs
daily basics between the 25th and 49th of the month. It only includes expressions.
simple, for use
common (for example, hello, how are you?) or gestures (waving goodbye). Requires
facilit mine
more than half of the time.

Total Assistance. The subject understands instructions and conversations about

needs
daily basics less than 25% of the time, or does not understand simple expressions of
common use (for
example, hello, how are you?) or gestures (saying goodbye with the hand), or does not respond
appropriately or
consistently despite the facilitation

NOTE
The understanding of corripleja includes, but is not
limits to, the
understanding of contemporary events that appear on television or in the
newspapers, or
abstract information on topics such as religion, humor, mathematics, or finance
used in the
daily life. It may also include understanding information expressed in a
conversation
group. The understanding of the needs
basics
19

daily offers the conversation, the instructions, questions, or

related statements
with the subject's needs regarding food, liquids, evacuation,
hygiene, or dream
(physiological needs).
EXPRESSION

Include the verbal or non-verbal expression of language. This includes speech.

unintelligible or the
clear expression of language using writing or communication device. It
evaluate and
register the most common mode of expression (Verbal or Non-Verbal). If used
both in shape
equitable, it will be recorded as 'Both'.

SfN ASSISTANT
7. Complete Independence. The subject expresses complex or abstract ideas.
clearly and with
fluency, not necessarily the mother tongue

6. Modified Independence. In most situations, the subject expresses

ident
abstract concepts with relative clarity or only with slight difficulty. Does not require
facilitation. or system
delaying for the
communication.

WITH ASSISTANT
5. Facilitating Presence. The subject expresses basic ideas or needs more than
90a of the time.
Requires facilitation (frequent repetition) less than 10% of the time for
to be able to be
understood.

4. Minimal Facilitation. The subject expresses basic ideas or needs at 75%

y 90a
of time.

3. Moderate familarity. Subject 74a of time.

ideas basic needs between the 50s and

2. Maximum Facilitation. The subject expresses basic ideas or needs among the 25th
and 49a of the
time. Use only isolated words or gestures. Needs facilitation more than the
middle of the
time.

Total Assistance The subject expresses basic needs ideas less than 25%
of time, or not
express basic needs appropriately or consistently despite the
facilitation

NOTE
Examples of complex abstract identities include, but are not limited to, discussing
about events
contemporary, religion, or interpersonal relationships. Expression of
needs and ideas
Basics relate to the subject's ability to communicate about activities.
necessary daily
such as nutrition, fluids, evacuation, hygiene, and sleep (needs
physiological).

20

P4TERACIONSOC
Includes the skills necessary to relate and participate with others in
therapeutic situations and
social. It represents how one manages their own needs alongside the
needs of the
others.
SfN ASSISTANT
7. Complete Independence. The subject interacts appropriately with the team, others
patients, and
family members (for example, controls their temper, accepts criticism,
is aware of
that their words and actions have an impact on others). The subject
does not need
medication for self-control.

6. Modified Independence. The subject interacts adequately with the team, others
patients, and
family members in most situations and only occasionally loses
the control. No
requires supervision. It may take more than the reasonable time to adjust to
social situations
or may require medication to calm down.

WITH ASSISTANT
5. Supervision. The subject requires supervision (monitoring, verbal control, indicating or
stimulate) only
under stressful or unfamiliar conditions, but no more than 10% of the time.
You may need
stimulation to initiate their participation.

4. Minimum Direction. The subject interacts adequately between 75% and 90%
of time.

3. Moderate Direction. The subject interacts adequately between 50.

and 74flo of

2. Maximum Direction. The subject interacts appropriately between the 25th and 49th.
time. Can
need to be restrained due to socially inappropriate behaviors.

Total Assistance. The subject interacts appropriately less than 25% of the time.
or in no
Moment. It may need to be restrained due to socially inappropriate behaviors.

NOTE
Examples of socially inappropriate behaviors include tantrums, language
the abusive
with strong volume. It also includes excessive laughter or crying, physical attacks, or
very behaviors
withdrawn and antisocial.

21

PROBLEM SOLVING
Include skills related to solving life problems
daily. This implies
make reasonable, safe, timely decisions regarding financial matters,
social, and
personal, and start, sequences, and self-correct tasks and activities
designed to solve
those problems.

SfN ASSISTANT
7. Complete Independence. The subject always recognizes whether there is a
problem, take
expanded decisions, initiates and executes a sequence of steps to solve
problems
they correct themselves until the task is finished, and they self-correct if they have made a mistake.
ermres.

6. Modified Independence. In most situations, the subject recognizes

if it is that
there is a problem, and only with mild difficulty makes appropriate decisions, starts and
make a
sequence of steps to solve complex problems, or requires more than just time
reasonable for
to make appropriate decisions or solve complex problems.

WITH ASSISTANT
5. Supervision. The subject requires supervision (to indicate or stimulate) for
resolver
routine problems only under stressful or unfamiliar conditions, but no more
what the l0flo
of time.

4. Minimum Direction. The subject solves problems

3. Moderate Direction. The subject solves problems

between 75flo and 90a of between 50Wo and 74a of
2. Maximum Direction FI subject resolves nitinary problems between the 25th floor and 49th floor
of time.
Needs direction more than half the time to start, plan, or execute.
activities
simple daily. It may need to be restrained for safety reasons.

1. Total Assistance. The subject solves routine problems less than 25% of the time.
time. Need
direction almost all the time, or else, it is not able to solve them. It may require
address one to
a constant to carry out simple daily activities. It may need to be
restrained for reasons
of security.

NOTE
Examples of solving complex problems include activities in handling
an account
banking, participate in the planning of hospital discharge, the self
administration of the
medications, the interpersonal problems, and the decisions of
employment.
22

Routine problems include successfully carrying out daily tasks, or dealing with
with events not
planned or obstacles that occur during the execution of activities
daily. Examples
specifics of routine problem resolution are asking for assistance for a
transfer in
proper way, ask for a glass of milk if the one you have is sour, unbutton
a shirt before
to try to put it on, or to ask for a fork if it is absent from the tray
lunch

23

MEMORY
including skills related to the clinical recruitment and memory
carry out activities
daily in an institutional or community setting. The nicturia in this
context implies the
ability to store and retrieve information, visual and verbal communication
al. The evidence
Functional DC memory includes RCC to the persons with the PCRs.
Luc frccu
They find themselves, remember the daily routines, and execute the requested.
without being recorded
A deficit in the nicotinic receptor alters learning, thus with the
execution of tasks.

WITHOUT ASSISTANT
7. Complete Independence. The subject recognizes the people with whom...
frequently
find, bite his daily routines, and cjecut to Lu Luc has been sulicitadu without
need dc
Let them repeat.

Modified Independence. The subject prescribed a certain difficulty for rec

to the UNHCR
people frequently find themselves at the CNN Luc, to remember daily routines, and
to respond to
the requests of the dcnias. You can use auto-initiated keys or anibicnt
sales, you facilitate
aciunes

AS AN ASSISTANT
5. Supervision. The subject requires facilitation (keys, repetitions, u
reminder s) sulu
clothing cundiciuncs cstrcsantcs a no f anti the arcs, but no more than cl l fl /c dcl
time.

4. Facilitation Maintenance. The subject recognizes and recalls against 75% and 90%.
declaring time.

1. Tut assistance. The subject recognizes and states marius of the 25% of the ticni
po, we a reconucc
not a word.