Which item is NOT included in the Functional Independence Measure (FIM)?

The Functional Independence Measure (FIM) is a standardized assessment tool used to evaluate a person's level of independence in performing daily living activities. It focuses on various aspects of physical and cognitive function, specifically capturing the individual's capabilities in self-care, mobility, and communication.

Cognition is included within the FIM to assess the individual's cognitive ability to effectively perform tasks and make decisions necessary for self-care and social interactions. Bowel management is also a critical component, as it pertains to an individual's ability to manage their bowel function independently. Locomotion is included as part of the FIM to evaluate the individual's ability to move from one location to another, whether by walking or means of other mobility assistance.

Occupational therapy, while essential in the rehabilitation process, is a type of intervention and service provided to individuals to help them achieve independence and improve functional abilities. It is not a specific item measured within the FIM tool itself, which strictly focuses on functional performance rather than the therapeutic modalities applied to achieve those functions. Thus, this choice correctly reflects an item not included in the FIM assessment.