If you work in acute rehab, you probably frequently assist patients with showers. Showers is part of the scoring for the CARE Item Set. Scoring showers can be tricky – there are up to 10 body parts to keep track of and the level of assistance provided for each. All of that hard then gets calculated and converted to a CARE Item Set Score. Thankfully, the math is usually not too bad as it’s fractions of 10, so 10%, 20%, 30%, 40%, etc.
However, if some body parts are not applicable, e.g., amputation, the fractions get trickier (you decrease the denominator by how many body parts were not applicable). So to make your life easier, I created a FIM/CARE Shower Calculator. You input an entry for each body part: Independent, Assistance Needed, or N/A. N/A will re-adjust and decrease the numator by a quantity of 1 from 10 for each body part. After inputting all the body parts, you get a % for the level of assistance. The calculator then interprets this as a final CARE Item Set Score for showers.
This calculator can still be used for scoring FIM showers, you’ll just have to interpret the percentage yourself from the assistance provided. I didn’t want to make this calculator too cluttered and with FIM being phased out anyways, this shouldn’t be a problem for most.
Hope you all find this handy, especially therapists who float to ARU once in a while and don’t really do CARE Item Set charting often.