2009 Amputee Outcome Data

General Amputee Information

• 45 Total inpatient discharges
• 62.4 was the average age
• 11.9 days was the average time spent in Inpatient rehabiitation
• 78% were dischargd home

Measuring Patient Progress

Progress is measured by using a rating scale called the Functional Independence Measure (FIM). Therapists and Nurses will ask patients to do a number of everyday 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.

Functional Indepenced Measure Tasks

The tasks that are scored are:

• eating
• grooming
• bathing
• dressing
• toileting
• bladder management
• bowel management
• transfers from bed to chair
• transfers to the toilet
• transfers to the bathtub or shower
• walking
• stairs
• 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.

Amputee FIM Scores Admission vs Discharge

	Admission		Discharge
	Score	Definition	Score	Definition
Self Care (Eating,Grooming,Bathing,Dressing)	4	Minimal Assistance	6	Modified Independent
Bathroom Management:  (Bowel , Bladder, Toileting, Transfers to the Toilet)	3	Moderate Assistance	5	Supervision or Set-up
Mobility (Walking/wheelchair, Stairs, Transfers bed/Chair, Tub/Shower	2	Maximal Assistance	4	Minimal Assistance
Cognitive Funtion:  Comprehension, Expression, Social Interaction, Problem Solving , Memory)	6	Modified Independent	6.0	Modified Independent