PTMeasures.com

Acute Care Index of Function (ACIF)

Assess and document a patient's functional status.

Part I: Mental Status

1. Comprehension & Communication

3: Follows all commands, asks and answers questions appropriately, communicates needs.

2: Follows simple commands, may need cues, may communicate with gesture or limited verbalization.

1: Follows occasional commands, non-verbal or incoherent communication.

0: Does not follow commands, unable to communicate.

Part II: Bed Mobility

2. Rolling

3: Independent/Modified Independent.

2: Supervision/Standby Assist.

1: Contact Guard/Min/Mod Assist.

0: Maximal Assist/Dependent.

3. Supine to Sit

3: Independent/Modified Independent.

2: Supervision/Standby Assist.

1: Contact Guard/Min/Mod Assist.

0: Maximal Assist/Dependent.

Part III: Transfers

4. Sit to Stand

3: Independent/Modified Independent.

2: Supervision/Standby Assist.

1: Contact Guard/Min/Mod Assist.

0: Maximal Assist/Dependent.

5. Walking

3: Independent/Modified Independent.

2: Supervision/Standby Assist.

1: Contact Guard/Min/Mod Assist.

0: Maximal Assist/Dependent.

Results

Mental Status Score:

Bed Mobility Score:

Transfers Score:

Total ACIF Score:

A higher score indicates greater functional independence.