Article

The relationship between functional independence scores on admission and patient falls after stroke.

National Rehabilitation Hospital, Washington, DC, USA.
Topics in Stroke Rehabilitation (Impact Factor: 1.22). 02/2005; 12(2):65-71. DOI: 10.1310/G89Q-80VR-P5P7-9PTH
Source: PubMed

ABSTRACT This study explores the relationships between patient admission scores on the FIM tool for patients admitted with stroke and their risk for falling within the first 5 days of admission to an acute rehabilitation hospital.

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    ABSTRACT: PURPOSE: The purpose of this study was to determine if the Functional Independence Measure (FIM) is as useful as the Morse Fall Scale in determining which patients admitted to an inpatient rehabilitation facility (IRF) are at highest risk for fall. METHOD: Review of the charts of all patients admitted to an IRF in calendar year 2010. FINDINGS: Low scores on the FIM are as useful as high scores on the MFS in suggesting that a patient is at high risk for fall. CONCLUSIONS AND CLINICAL RELEVANCE: Nursing staffs that use the FIM to comply with Centers for Medicare and Medicaid Services (CMS) documentation requirements likely do not benefit by also evaluating and documenting the patients' score on the MFS.
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