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Run: Spinal Cord Independence Measure (SCIM) Documentation

Document SCIM scores for spinal cord injury patients across self-care, respiration and sphincter management, and mobility. Use it to track functional change ...

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Assessment Context

Assessment date (required)

Assessment type (required)

Patient identifier (required)

Use the facility's internal identifier or medical record number. Do not enter a full SSN.

Clinician name (required)

Care setting (required)

SCIM Scoring Summary

SCIM version used (required)

Total SCIM score (required)

Enter the summed SCIM score from the item-level assessment.

Change from last SCIM score

Enter the difference from the previous documented SCIM score, if available.

Overall interpretation

Briefly summarize the patient's functional independence level and notable changes since the prior assessment.

Self-Care

Feeding score (required)

Grooming score (required)

Bathing score (required)

Upper body dressing score (required)

Lower body dressing score (required)

Respiration and Sphincter Management

Respiration score (required)

Bladder management score (required)

Bowel management score (required)

Sphincter management aids or assistance used

Mobility

Bed mobility score (required)

Transfer score (required)

Indoor wheelchair mobility score (required)

Outdoor mobility score

Complete if applicable to the patient's mobility status.

Stairs score

Complete if the patient is expected to negotiate stairs.

Clinical Notes and Follow-Up

Functional change summary

Summarize meaningful changes in self-care, respiration, or mobility since the last assessment.

Barriers to independence

Follow-up plan

Consent for clinical documentation and trend tracking (required)

By submitting, you confirm this information is being recorded for treatment, care coordination, and outcome tracking in accordance with applicable privacy rules.

Yes No N/A

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