[628] | 1 | SPNGFIMB ;WDE/SD OUTCOME GRID FOR FIM'S 8/22/2002
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| 2 | ;;2.0;Spinal Cord Dysfunction;**19**;01/02/1997
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| 3 | FIM1 ;
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| 4 | ;;-------------------------------------------------------------------------
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| 5 | ;;|Median| 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
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| 6 | ;;-------------------------------------------------------------------------
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| 7 | ;;|Exp | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 6 |
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| 8 | ;;-------------------------------------------------------------------------
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| 9 | ;;|Range | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1-6 |
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| 10 | ;;-------------------------------------------------------------------------
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| 11 | ;;|Goal | | | | | | | | | |
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| 12 | ;;-------------------------------------------------------------------------
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| 13 | ;;
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| 14 | ;;The median FIM Motor Score for individuals with similar SCIs at one
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| 15 | ;;year following their injury is 13 (interquartile range 13-18). Other
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| 16 | ;;important considerations for individuals with motor complete C1-C3
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| 17 | ;;tetraplegia include ventilator use and inability to clear secretions,
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| 18 | ;;equipment or assistance to provide pressure relief and/or positioning,
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| 19 | ;;and communication equipment or assistance. Accessible public
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| 20 | ;;transportation or an attendant-operated van with lift and tie-downs is
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| 21 | ;;needed. The veteran should be able to instruct all aspects of care,
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| 22 | ;;but will need total assistance for homemaking.
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| 23 | ;;EOR999
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| 24 | Q
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| 25 | FIM2 ;
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| 26 | ;;-------------------------------------------------------------------------
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| 27 | ;;|Median| 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 |
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| 28 | ;;-------------------------------------------------------------------------
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| 29 | ;;|Exp | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 6 |
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| 30 | ;;-------------------------------------------------------------------------
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| 31 | ;;|Range | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1 | 1-6 |
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| 32 | ;;-------------------------------------------------------------------------
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| 33 | ;;|Goal | | | | | | | | | |
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| 34 | ;;-------------------------------------------------------------------------
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| 35 | ;;
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| 36 | ;;The median FIM Motor Score for individuals with similar SCIs at one
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| 37 | ;;year following their injury is 18 (interquartile range 13-23). Other
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| 38 | ;;important considerations for individuals with motor complete C4
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| 39 | ;;tetraplegia include whether the person is able to breathe without
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| 40 | ;;ventilator use. Assistance with clearing secretions may be needed due
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| 41 | ;;to an inability to cough. There is need for equipment or assistance to
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| 42 | ;;provide pressure relief and/or positioning, and communication
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| 43 | ;;equipment or assistance. Accessible public transportation or an
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| 44 | ;;attendant-operated van with lift and tie-downs is needed. The veteran
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| 45 | ;;should be able to instruct all aspects of care, but will need total
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| 46 | ;;assistance for homemaking.
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| 47 | ;;EOR999
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| 48 | Q
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| 49 | FIM3 ;
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| 50 | ;;-------------------------------------------------------------------------
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| 51 | ;;|Median| 1 | 1 | 1 | 5 | 1 | 1 | 1 | 1 | 6 |
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| 52 | ;;-------------------------------------------------------------------------
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| 53 | ;;|Exp | 1 | 1 | 1 | 5 | 1 | 1 | 1-3 | 1 | 6 |
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| 54 | ;;-------------------------------------------------------------------------
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| 55 | ;;|Range | 1 | 1 | 1 | 2-6 | 1-4 | 1-4 | 1-5 | 1-3 | 5-6 |
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| 56 | ;;-------------------------------------------------------------------------
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| 57 | ;;|Goal | | | | | | | | | |
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| 58 | ;;-------------------------------------------------------------------------
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| 59 | ;;
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| 60 | ;;The median FIM Motor Score for individuals with similar SCIs at
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| 61 | ;;one year following their injury is 23 (interquartile range 20.5-33.5).
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| 62 | ;;Other important considerations for individuals with motor complete
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| 63 | ;;C5 tetraplegia include low respiratory endurance and vital capacity
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| 64 | ;;secondary to paralysis of intercostals; assistance may be needed to
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| 65 | ;;clear secretions. There is a need for equipment to be independent
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| 66 | ;;with pressure relief and/or positioning. In order to be independent
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| 67 | ;;with communication, some assistance is needed with equipment set-
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| 68 | ;;up of adaptive devices for page turning, writing, button pushing, etc
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| 69 | ;;Accessible public transportation or an attendant-operated van with
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| 70 | ;;lift and tie-downs is needed. The veteran should be able to instruct
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| 71 | ;;all aspects of care, but will need total assistance for homemaking.
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| 72 | ;;EOR999
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| 73 | Q
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| 74 | FIM4 ;
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| 75 | A ;;-------------------------------------------------------------------------
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| 76 | ;;|Median| 1 | 1 | 1 | 5 | 2 | 2 | 4 | 1 | 6 |
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| 77 | ;;-------------------------------------------------------------------------
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| 78 | ;;|Exp | 1-2 | 1-2 | 3 | 5-6 | 1-3 | 1-3 | 3-6 | 1 | 6 |
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| 79 | ;;-------------------------------------------------------------------------
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| 80 | ;;|Range | 1 | 1 | 1-3 | 4-6 | 1-5 | 1-5 | 2-6 | 1-3 | 4-6 |
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| 81 | ;;-------------------------------------------------------------------------
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| 82 | ;;|Goal | | | | | | | | | |
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| 83 | ;;-------------------------------------------------------------------------
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| 84 | B ;;
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| 85 | ;;The median FIM Motor Score for individuals with similar SCIs at one
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| 86 | ;;year following their injury is 27 (interquartile range 22-42). Other
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| 87 | ;;important considerations for individuals with motor complete C6
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| 88 | ;;tetraplegia include low respiratory endurance and vital capacity
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| 89 | ;;secondary to paralysis of intercostals; assistance may be needed to
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| 90 | ;;clear secretions. There is a need for equipment or adapted techniques
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| 91 | ;;to be independent with pressure relief and/or positioning.
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| 92 | ;;Independence with communication may be achieved with or without
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| 93 | ;;assistance from adaptive devices for tenodesis, page turning, writing,
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| 94 | ;;button pushing, keyboard use, object manipulation, etc. Independent
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| 95 | ;;driving from a wheelchair may be possible with a modified van with
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| 96 | ;;lift, sensitized hand controls, and tie-downs. The veteran should be
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| 97 | ;;able to instruct all aspects of care, having the ability to do some
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| 98 | ;;light meal preparation, but will need total assistance for all other
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| 99 | ;;homemaking.
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| 100 | ;;EOR999
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| 101 | Q
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