ICF and Application in Clinical Practice: Difference between revisions
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== Core Sets == | == Core Sets == | ||
The ICF contains more than 1400 categories making challenging its applicability in everyday clinical practice.<ref name=":2">Selb M, Escorpizo R, Kostanjsek N, Stucki G, Üstün B, Cieza A. [https://d1wqtxts1xzle7.cloudfront.net/49257491/A_guide_on_how_to_develop_an_Internation20160930-5044-10ddv0f-with-cover-page-v2.pdf?Expires=1662750924&Signature=DwEdZoEISVMCR6yAZSkjAmcVJ-W5RfGOawN-b-skukDvG1iN8vRVJnCZFBshmkTl7TUIg0yHlBySWkLehZgSVI2GwbopPZ7eefpwffT-IXZUR7h2jFik-yNe4IEJGsGdpt2OleUZ7yvELR9OOSmv1DtRFOxdEmLhpdIpB-ZVmyAndvIrxiEY8uztQWDfABzmw5n5~kbhU22bd5QRaPN4SOZ4sbDB1YRTBFDCRPn2dg2tYVpSyo-BktgnmxXlENba3QjmTFBwvRtP3ZwH7D~ZWQwx5xcYfsWyfegOrNMZtZ~kbpSLKQSpDzmhqgJ7YoXFIt-vX4UYCG-6m0n3BQm76A__&Key-Pair-Id=APKAJLOHF5GGSLRBV4ZA A guide on how to develop an International Classification of Functioning, Disability and Health Core Set]. Eur J Phys Rehabil Med. 2015 Feb;51(1):105-17.</ref> | |||
What it is? shortlists of ICF categories from the whole ICF classification for describing functioning and disability<ref name=":2" /> | |||
"An ICF Core Set (ICFCS) is a selection of essential categories from the full ICF classification that are considered most relevant to describe the functioning of a person with a specific health condition or in a specific healthcare context"<ref name=":2" /> | |||
Process of developing core sets: an empirical multicentre study, a systematic literature review, a qualitative study and an expert survey<ref name=":2" /> | |||
== Clinical Forms == | == Clinical Forms == | ||
Revision as of 20:10, 9 September 2022
Original Editor - Ewa Jaraczewska based on the course by Patricia Saleeby
Top Contributors - Ewa Jaraczewska, Jess Bell and Tarina van der Stockt
Introduction[edit | edit source]
A comprehensive and holistic nature of the International Classification of Functioning, Disability and Health (ICF) makes it extremely useful in clinical practice. [1] The primary purpose of applying the ICF into clinical practice is to establish a common language for defining health and health-related states between different providers.[2] It improves communication in decision making among healthcare and social care professionals, which is essential for making more informed assessments, developing more effective interventions, and achieving good patient outcomes.[1]
Overview of ICF[edit | edit source]
The ICF defines the interaction between health conditions, personal and social factors, daily life activities and social life.[3]The relationship of these various domains and components is reciprocal, which explains how they interact with one another.[1]
The following are the characteristics of the ICF:[4]
- The ICF is universal: applies to all people regardless of age, gender, socioeconomic and health condition
- The ICF is neutral : does not depend person's functioning on the cause of their health status
- The ICF uses neutral language when describing health and health-related states
- The ICF provides continuum between functioning and disability
Framework[edit | edit source]
The ICF is a biopsychosocial model of functioning, health and disability. By using a standard language to define and measure disability, the ICF helps to explain how person's body problems and social circumstances effect person's functioning.
Definitions for the ICF Domains/Components[edit | edit source]
Based on the ICF model, the person is viewed in terms of their health conditions, their body functions and structures, their activities and participation, and their environmental and personal factors.[1]
- Health condition: "an umbrella term for disease, disorder, injury, trauma"[4]
- Body Functions:" physiological functions of body system, including psychological functions"[4]
- Body Structures: "anatomical parts of the body, such as organ, limbs and their components"[4]
- Activity: "execution of a task or action by an individual".[4] Activity limitations describes the problems or issues at the level of the individual.[1]
- Participation:"involvement in a life situation". [4]Participation restrictions are problems the individuals may experience in their life situation or within environmental context.[1]
- Environmental factors: "physical, social and attitudinal environment in which people live".[4]
- Personal factors: "particular background of an individual's life and living".[4]
ICF-Based Tools[edit | edit source]
You can find detailed information about ICF-Based tools here.
WHO Disability Assessment Schedule[edit | edit source]
The WHO Disability Assessment Schedule enable clinical professionals to create functional profiles of their patients to develop more informed interventions. In this assessment all relevant domains are included: health conditions, activities and participation, and environmental factors. Thus, the ICF can be useful at enhancing decision making among healthcare and social care professionals.
Case Study[edit | edit source]
The patient sustained a burn injury to the hand causing damage to the integrity of the skin structure.
Goals:
- Defining ICF codes that correspond to this patient's injury for the purpose of assessment
- Choosing ICF developed qualifiers or qualifiers specific to the profession you represent
Body structure codes (s codes) according to specificity :
- s810: structures of the area of skin
- s8102:skin of the upper extremity
Body functions (b codes) following the skin healing process:
- b810: protective functions of the skin may be impaired temporarily
- b820: functions of the skin for repairing breaks and other damage to the skin (from wound stage to scar formation)
- Inclusion and exclusion criteria can be applied to the body functions domain:
- Inclusion: function of scab formation, healing, scaring; bruising and keloid formation
- Exclusion: protective function of the skin; other functions of the skin.
- Inclusion and exclusion criteria can be applied to the body functions domain:
Activities and Participation (d codes) can be restricted due to nerve damage, or poor healing, which can effect long term mobility and hand function, including:
- d445: hand and arm use
- d440: finer use of the hand
- d4401:use one or both hands to seize or hold something (example: grasping a tool or a door knob)
- d550: eating (example: "carrying out the coordinated tasks and actions of eating food that has been served, bringing it to the mouth and consuming it in culturally accepted ways, cutting or breaking food into pieces, opening bottles and cans, using eating implements, having meals, feasting, or dining".)
- d750: cosmetic concerns and body image distress effecting informal social relationships, including meeting with a neighbour or participation in happy hour with co-workers
- d845: no being able to maintain the job due to anxiety and perceived stigma related to scarring in the area of the hand.
Environment(e codes)
- e460: not comfortable going out shopping due to societal attitude towards visible scars, causing person's anxiety
Core Sets[edit | edit source]
The ICF contains more than 1400 categories making challenging its applicability in everyday clinical practice.[5]
What it is? shortlists of ICF categories from the whole ICF classification for describing functioning and disability[5]
"An ICF Core Set (ICFCS) is a selection of essential categories from the full ICF classification that are considered most relevant to describe the functioning of a person with a specific health condition or in a specific healthcare context"[5]
Process of developing core sets: an empirical multicentre study, a systematic literature review, a qualitative study and an expert survey[5]
Clinical Forms[edit | edit source]
Rehabilitation Problem-Solving Form (RPS-Form)[edit | edit source]
Physical Therapy Clinical Reasoning and Reflection Tool (PTCRT)[edit | edit source]
Cross-Walking of the ICF[edit | edit source]
Resources[edit | edit source]
- bulleted list
- x
or
- numbered list
- x
References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 1.4 1.5 Saleeby P. ICF and Application in Clinical Practice Course. Plus 2022
- ↑ Aims of the ICF. Available form https://www.icf-elearning.com/wp-content/uploads/ [last access 9.09.2022]
- ↑ Pasqualotto L, Lascioli A. ICF-based functional profile in education and rehabilitation: a multidisciplinary pilot experience. Journal of advanced health care, 2020; 2(1)
- ↑ 4.0 4.1 4.2 4.3 4.4 4.5 4.6 4.7 The ICF model. Available from https://www.icf-elearning.com/wp-content/uploads/articulate_uploads/ [last access 9.09.2022]
- ↑ 5.0 5.1 5.2 5.3 Selb M, Escorpizo R, Kostanjsek N, Stucki G, Üstün B, Cieza A. A guide on how to develop an International Classification of Functioning, Disability and Health Core Set. Eur J Phys Rehabil Med. 2015 Feb;51(1):105-17.
