Physical and Mental Impairment-of-Function Evaluation (PAMIE)

1.    Which of the following best fits the patient? (Circle one)
5 Has no problem in walking
4 Slight difficulty in walking‚ but manages; may use cane
3 Great difficulty in walking‚ but manages; may use crutches or stroller
2 Uses wheelchair to get around by himself
1 Uses wheelchair pushed by others
0 Doesn’t get around much; mostly or completely bedfast‚ or restricted to chair
(Factor X)
2.    As far as you know‚ has the patient had one or more strokes (CVA)? (Circle one)
0 No stroke
1 Mild stroke(s)
2 Serious stroke(s)
(Factor VIII)
3.    Which of the following best fits the patient? (Circle one)
4 In bed all or almost all day
3 More of the waking day in bed than out of bed
2 About half the waking day in bed‚ about half out of bed
1 More of the waking day out of bed than in bed
0 Out of bed all or almost all day
(Factor V)
Yes No (Check either Yes or No)
4.    Eats a regular diet
5.    Is given bed baths
6.    Gives sarcastic answers
7.    Takes a bath/shower without help or supervision
8.    Leaves his clothes unbuttoned
9.    Is messy in eating
10.Is irritable and grouchy
11.Keeps to himself
12.Says he’s not getting good care and treatment
13.Resists when asked to do things
14.Seems unhappy
15.Doesn’t make much sense when he talks to you
16.Acts as though he has a chip on his shoulder
17.Is IV or tube fed once a week or more
18.Has one or both hands/arms missing or paralyzed
19.Is cooperative
20.Is toileted in bed by catheter and/or enema
21.Is deaf or practically deaf‚ even with hearing aid
22.Ignores what goes on around him
23.Knows who he is and where he is
24.Gives the staff a “hard time”
25.Blames other people for his difficulties
26.Says‚ without good reason‚ that he’s being mistreated or getting a raw deal
27.Gripes and complains a lot
28.Says other people dislike him‚ or even hate him
29.Says he has special or superior abilities
30.Has hit someone or been in a fight in the last six months
31.Eats without being closely supervised or encouraged
32.Says he’s blue and depressed
33.Isn’t interested in much of anything
34.Has taken his clothes off at the wrong time or place during the last six months
35.Makes sexually suggestive remarks or gestures
36.Objects or gives you an argument before doing what he’s told
37.Is distrustful and suspicious
38.Looks especially neat and clean
39.Seems unusually restless
40.Says he’s going to hit people
41.Receives almost constant safety supervision (for careless smoking‚ objects in mouth‚ self-injury‚ pulling catheter‚ etc.)
42.Looks sloppy
43.Keeps wandering off the subject when you talk with him
44.Is noisy; talks very loudly
45.Does things like brush teeth‚ comb hair‚ and clean nails without help or urging
46.Has shown up drunk or brought a bottle on the ward
47.Cries for no obvious reason
48.Says he would like to leave the hospital
49.Wets or soils once a week or more
50.Has trouble remembering things
51.Has one or both feet/legs missing or paralyzed
52.Walks flight of steps without help
53.When needed‚ takes medication by mouth
54.Is easily upset when little things go wrong
55.Uses the toilet without help or supervision
56.Conforms to hospital routine and treatment program
57.Has much difficulty in speaking
58.Sometimes talks out loud to himself
59.Chats with other patients
60.Is shaved by someone else
61.Seems to resent it when asked to do things
62.Dresses without any help or supervision
63.Is often demanding
64.When left alone‚ sits and does nothing
65.Says others are jealous of him
66.Is confused
67.Is blind or practically blind‚ even with glasses
68.Decides things for himself‚ like what to wear‚ items from canteen (or canteen cart)‚ etc.
69.Swears; uses vulgar or obscene words
70.When you try to get his attention‚ acts as though lost in a dream world
71.Looks worried and sad
72.Most people would think him a mental patient
73.Shaves without any help or supervision‚ other than being given supplies
74.Yells at people when he’s angry or upset
75.Is dressed or has his clothes changed by someone
76.Gets own tray and takes it to eating place
77.Is watched closely so he doesn’t wander
     I.        Self-care
   II.        Belligerence‚ irritability
 III.        Mental confusion
 IV.        Anxiety‚ depression
    V.        Bedfast‚ moribund
 VI.        Behavioral deterioration
VII.        Paranoia‚ suspicion
VIII.        Sensory and motor function
 IX.        Withdrawn‚ apathetic
    X.        Ambulation
Yes‚ No
Self-care (items 7‚ 31‚ 45‚ 49‚ 55‚ 60‚ 62‚ 68‚ 73 and 75)
Belligerence‚ irritability (items 6‚ 10‚ 13‚ 16‚ 19‚ 24‚ 27‚ 36‚ 40‚ 61‚ 63‚ 69 and 74)
Mental confusion (items 15‚ 34‚ 41‚ 43‚ 50‚ 58‚ 66‚ 70‚ 72 and 77)
Anxiety‚ depression (items 14‚ 22‚ 32‚ 39‚ 47‚ 54 and 71)
Bedfast‚ moribund (items 3‚ 5‚ 17‚ 20‚ 23‚ 53 and 56)
Behavioral deterioration (items 8‚ 9‚ 38‚ 42 and 44)
Paranoia‚ suspicion (items 12‚ 25‚ 26‚ 28‚ 37 and 65)
Sensory and motor function (items 2‚ 18‚ 51 and 57)
Withdrawn‚ apathetic (items 11‚ 22‚ 33‚ 59 and 64)
Ambulation (items 1‚ 52 and 76)

Gurel‚ L.‚ Linn‚ M.W.‚ Linn‚ B.S. (1972). Physical and Mental Impairment-of-Function Evaluation in the aged: the PAMIE scale. Journal of Gerontology‚ 27:83–90.

Goga‚ J.A.‚ Hambacher‚ W.O. (1977). Psychologic and behavioral assessment of geriatric patients: a review. J Am Geriatr Soc‚ 25:232–237.

McDowell‚ Ian. (2006). Measuring Health: A Guide to Rating Scales and Questionnaires‚ Third Edition. OXFORD UNIVERSITY PRESS