Facts and Figures

How Do We Know Patients Get Better at Spalding?

How do we know that Patients get better at Spalding?
Progress is measured by using a rating scale called the Functional Independence Measure* (FIM). Therapists and Nurses will ask patients to do a number ofeveryday tasks and score those tasks on the FIM Scale depending on how much help is needed to do the task.

• A score of 7 on any item means the patient can do the taks without any help at all.
• A score of 1 means that the patient needs to have that task done for them.
• All of the scores in between are varying levels of assistance needed.
• The tasks that are scored are:
  • Motor Items: Eating, Grooming, Bathing, Dressing, Toileting, Bladder management, Bowel management, Transfers from bed to chair, Transfers to the toilet,        Transfers to the bathtub or shower,Locomotion (walking or propelling a wheelchair),Stairs
  • Cognitive Items: Comprehension, Expression, Social interaction, Problem solving, Memory  
• The scoring is done when a patient comes to Spalding, weekly while they are in the hospital, at the end of their stay, and by phone 90 days after they leave the hospital.