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Predicting hours of care needed

P B Disler¹, C W Roy, B P Smith

¹Massey University, Medical Rehabilitation Unit, Palmerston North Hospital, Manawatu-Wanganui Area Health Board, New Zealand.

Archives of Physical Medicine and Rehabilitation

|February 1, 1993

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The Functional Independence Measure (FIM) and Edinburgh Rehabilitation Status Scale (ERSS) can predict care hours for individuals with neurological disabilities. These scales effectively estimate required care, excluding supervision needs.

Area of Science:

Rehabilitation Medicine
Disability Studies
Neurology

Background:

Accurate estimation of care needs is crucial for individuals with disabilities.
The Functional Independence Measure (FIM) and Edinburgh Rehabilitation Status Scale (ERSS) are commonly used assessment tools.

Purpose of the Study:

To determine if FIM and ERSS scores can predict the weekly hours of care required by individuals with neurological disabilities.
To assess the correlation between these scales and actual care needs.

Main Methods:

Seventy-five individuals with neurological disabilities (aged 19-65) were assessed.
An observer estimated weekly care hours needed.
A second observer, blinded to the first's assessment, administered FIM and ERSS.

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Pearson's correlation coefficients were calculated.

Main Results:

Initial correlations were moderate (ERSS: 0.36, FIM: -0.39).
Three cases requiring significant supervision, not direct care, were identified as outliers.
Excluding these outliers strengthened correlations significantly (ERSS: 0.61, FIM: -0.76).

Conclusions:

Both FIM and ERSS are valuable tools for predicting required care hours in individuals with neurological disabilities.
The predictive accuracy is high when focusing on direct care needs, excluding supervision.
These scales aid in resource allocation and care planning.