Inpatient Rehabilitation Acute, Subacute, and in Community Settings
K. Rao Poduri in Geriatric Rehabilitation, 2017
The World Health Organization’s International Classification of Functioning, Disability and Health (ICF) is a framework that acknowledges that every human being can experience a decrement in health and thereby experience some degree of disability, thus recognizing disability as a universal and mainstream human experience. The ICF shifts focus from cause to impact, placing all health conditions on an equal footing and allowing them to be compared using a common metric—the measure of health and disability. The ICF takes into account the social aspects of disability and does not see disability only as a “medical” or “biological” dysfunction. The ICF comprises of two parts, Health Conditions and Contextual Factors. Health Conditions encompasses the three domains of Body Functions and Structure, Activities, and Participation. Contextual factors consists of the two domains of environmental and personal elements, which consider the impact of the environment on the person’s functioning. Therefore, the ICF is a useful conceptual model for providers, which considers the individual’s function in relation to organ-specific disease in the perspective of personal and environmental factors. For this reason, ICF-based interventions designed to modify a person’s impairments, limitations in activities, and participation provide a framework to develop a comprehensive rehabilitation care plan that determines the intensity of services during care transitions to appropriate rehabilitation settings.
Rehabilitation and self-care
Barbara Smith, Linda Field in Nursing Care, 2019
The Act explains that the term ‘substantial’ means more than minor or trivial, for example taking much longer than normal to complete an everyday task such as dressing. It defines long term as meaning more than 12 months, for example a breathing condition that develops as a result of infection. Progressive conditions are conditions that get worse over time; these may include HIV infection, cancer or multiple sclerosis and these automatically meet the disability definition under the Act (Equality Act, 2010). There are many different classifications of disability. The International Classification of Functioning, Disability and Health (ICF) is mainly related to health and health associated domains (World Health Organisation, 2018); however, not all people who have disabilities regard this as being just a health issue (Disabled World, 2018). Below are some definitions that have been used to define disabilities: Impairment is the loss or limitation of physical, mental or sensory function on a long-term and permanent basis.Disablement is the loss or limitation of physical, mental or sensory function on a long-term and permanent basis.
A woman found slumped in a chair
Tim French, Terry Wardle in The Problem-Based Learning Workbook, 2022
Multidisciplinary stroke rehabilitation aims to maximise a patient’s activity participation (socially and occupationally) and quality of life, and to address carers’ concerns. To help accomplish these aims the International Classification of Functioning, Disability and Health (ICF) suggests that the following areas of function are assessed, and input is provided where needed: learning and application of knowledgeperformance of general tasks and demandscommunicationmobilityself-caredomestic lifeinterpersonal interactions and relationshipscommunity, social and civil life.
Predictive factors of functional independence in basic activities of daily living during hospitalization and after discharge of stroke patients
Published in Brain Injury, 2021
Luciana Protásio Melo, Débora Carvalho Oliveira, Ana Amália Torres Souza Gandour Dantas, Renan Alves Silva Júnior, Tatiana Souza Ribeiro, Tania Fernandes Campos
The International Classification of Functioning, Disability and Health (ICF) is a universal classification system adopted by the WHO that uses a common language to describe health problems or interventions. The ICF targets functionality in the assessment of an individual’s health status. As such, it identifies functional limitations in a person’s daily life, in terms of the functions of bodily organs, systems or structures, as well as limitations in activities and social participation in an individual’s environment (8). A study on stroke revealed that 98.8% of interventions provided by the rehabilitation team could be linked to the ICF, but the interventions used are often more related to the function and structure of the body, that is, since professionals treat physical disabilities more than the domains of the activity and participation, interventions for community, social and civic life are limited (9).
Systematic review: Investigating the effectiveness of assistive technology to enable internet access for individuals with deafblindness
Published in Assistive Technology, 2019
Erin Perfect, Atul Jaiswal, T. Claire Davies
The International Classification of Functioning, Disability and Health or ICF is an international framework for describing and organizing information on functioning and disability approved by the World Health Assembly in 2001 (World Health Organization, 2013). The ICF is known as an “integrative model” as it integrates the social and medical model of disability as a “bio-psycho-social synthesis” (World Health Organization, 2013, p. 5) and provides a standard language for describing health and health-related states to improve communication among different users, such as healthcare workers, researchers, policy-makers, and the public, including people with disabilities (World Health Organization, 2002). The ICF is structured around three broad components; body structures/body functions, activities/participation, and environmental and personal factors. Understanding the interactions among these components is essential in capturing the nature and impact of a health condition. From an ICF perspective, deafblindness impacts on a person’s “functioning”, (inclusive of body structures [e.g., eyes and ears], body functions [e.g., sensory function], activities [e.g., communication, mobility, and access to information], and participation [e.g., community, social, and civic life]). Moreover, for each person with deafblindness, functional independence, and participation in various domains of life are affected by both personal factors (e.g., communication mode) and environmental factors (e.g., access to technology).
Attitudes toward the use of low-tech AAC in acute settings: a systematized review
Published in Augmentative and Alternative Communication, 2022
Shaeron Murray, Suzanne C. Hopf
Thematic analysis applied an integrated methodology as detailed in Whittemore and Knafl (2005). This approach allowed incorporation of various study designs into the analysis, facilitated coding of data during the data extraction process, and resulted in the development of common themes. The WHO ICF was chosen as a deductive analysis framework because of its global reach and consistent language, and its focus on ensuring the patient/client is always central to decision making while also encouraging the identification of personal and environmental barriers and facilitators (Mitra & Shakespeare, 2019). The ICF is a “framework for measuring health and disability at both individual and population levels” (WHO, 2001, International Classification of Functioning, Disability and Health section). The Personal Factors and Environmental Factors domains of the ICF consider individual and community attitudes, respectively, that may influence a person’s well-being, activity, and participation. Consequently, attitudinal barriers and facilitators to adult use of low-tech AAC in acute care settings were mapped to a sub-set of codes within either the Environmental Factors domain, Attitudes chapter; or the Personal Factors domain (see Figure 2).
Related Knowledge Centers
- International Classification of Diseases
- Social Model of Disability
- Medical Classification
- International Classification of Diseases
- Social Model of Disability