Izumi2019

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Izumi2019
BibType ARTICLE
Key Izumi2019
Author(s) Hiroaki Izumi
Title Use of the functional independence measure in Japanese rehabilitation team interaction
Editor(s)
Tag(s) EMCA, medical CA, clinical scale, ethnomethodology, functional independence measure, interprofessional decision-making, Japanese, medical record, plateau, rehabilitation team meeting
Publisher
Year 2019
Language English
City
Month
Journal Discourse Studies
Volume 21
Number 6
Pages 660–689
URL Link
DOI 10.1177/1461445619866981
ISBN
Organization
Institution
School
Type
Edition
Series
Howpublished
Book title
Chapter

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Abstract

The functional independence measure (FIM) is a clinical scale which is used to evaluate the amount of assistance disabled persons need to conduct their daily living activities. Drawing on 65 video-recorded rehabilitation team meetings and medical records collected from a Japanese hospital, this article utilizes ethnomethodology and conversation analysis to uncover how Japanese rehabilitation team members use the FIM to track changes in the functional status of patients and decide the length of stay in ongoing interactional sequences. Analysis shows that a series of the FIM scores assembled and arranged in situ provide a sequential framework for members to understand the progress of rehabilitation and predict the plateau phase. Moreover, a particular expert is asked about patients’ capacity for further improvements and his or her opinions are treated as a basis for clinical decisions. In this way, diagnostic and clinical decision-making is produced through the ongoing collaborative work of various specialists.

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